Dr Ramesh Katewa

A neck hump, or dowager’s hump, is a fatty-fibrous pad plus increased thoracic kyphosis at the C7-T1 junction.

Main causes: prolonged forward head posture from phones/laptops, weak deep neck flexors and mid-back, tight pecs and suboccipitals, low bone density, and excess weight.

It can cause stiffness, headaches, and shoulder strain. Physiotherapy targets the root: chin-tuck holds to recruit deep neck flexors, thoracic extensions for mobility, band rows and wall slides to strengthen scapular retractors, and pec/suboccipital stretches. Ergonomic fixes, frequent movement breaks, and a rolled towel under the upper back help remodel posture.