What is Neck Hump? Causes, Symptoms & How to Fix It

Neck hump, a condition that many encounters but often gets overlooked unless there is pain, can significantly impact one's posture and overall health. At Activ8 Posture, we understand the complexities surrounding this condition and take a holistic approach to posture alignment therapy, guiding you on a path of improved health and confidence.

What is Neck Hump?

Neck hump, commonly known as dowager's hump or buffalo hump, can appear as a noticeable protrusion at the base of your neck. More than just an aesthetic concern, it’s a sign of underlying postural imbalances. This condition is often linked with other terms like widows hump or humpback, indicating a similar curvature in the upper back region.

what is neck hump

What Other Names Are There for Neck Hump?

"Neck hump" itself is not a proper medical term. It's a more informal descriptive term for a visible bulge or abnormality at the base of the neck. However, when discussing neck hump, various terms are often used interchangeably, though they have distinct definitions. Understanding these terms helps in recognizing the nuances of this condition. Here are the most frequently used terms:

  1. Kyphosis: Medically, kyphosis refers to an excessive, outward curvature of the thoracic spine. This curvature can lead to a pronounced hump at the base of the neck. It's often the underlying cause of what many refer to as a neck hump.
  2. Dowager's Hump: This term specifically describes kyphosis that occurs in older women. It stems from a historical stereotype depicting elderly women with a noticeable rounded upper back or a hunch at the base of the neck.
  3. Buffalo Hump: This is a term used to describe a fat deposit that forms on the upper back and base of the neck (formally the dorsocervical fat pad). Unlike kyphosis, which is a curvature of the spine, a buffalo hump is more about the accumulation of fat tissue in that area. It can be a symptom of various health conditions.
  4. Hunchback: Similar to kyphosis, hunchback is a non-medical term that describes an exaggerated curvature in the upper back. It's often used colloquially to refer to the physical appearance of someone with kyphosis.
  5. Cervical Lordosis: This term refers to the inward curvature of the cervical spine (the neck area). While not directly a cause of a neck hump, imbalances in cervical lordosis can contribute to postural issues that may exacerbate the appearance of a neck hump.
  6. Scheuermann’s Disease: A condition often associated with adolescents, where the vertebrae grow unevenly during the growth spurt, leading to kyphosis. This can contribute to the development of a neck hump.

Each of these terms, while related, describes different aspects or causes of what might be broadly termed as "neck hump." Understanding these distinctions is helpful for accurate diagnosis and effective treatment.

What Causes a Neck Hump?

There are several potential reasons for a neck hump, depending on its specific location and appearance. Here are some of the most common causes:

what causes neck hump

Postural Causes:

  • Kyphosis: As mentioned previously, this is the most common cause of a "neck hump," particularly when it involves an excessive curvature of the upper thoracic spine. Poor posture, like slouching or hunching forward, can contribute to kyphosis.
  • Forward head posture: This refers to the head being positioned too far forward in relation to the spine, pushing the chin out and putting strain on the neck muscles. It can contribute to a rounded appearance at the base of the neck.
  • Uneven muscle imbalances: Tightness in the chest and neck muscles pulling the head and shoulders forward, alongside weakened core and stabilizing muscles, can create postural imbalances that might manifest as a "hump."

Medical Conditions:

  • Scheuermann's disease (also Scheuermann’s kyphosis): This condition affects the discs and vertebrae in the upper spine, leading to a rounded back and potential "neck hump" formation.
  • Osteoporosis: This weakening of bones can increase the risk of spinal compression fractures, potentially leading to kyphosis and a hump-like appearance.
  • Congenital disorders: Some rare conditions affecting the spine development can present with abnormal curvatures and potentially a "neck hump" as a symptom.
  • Cushing's syndrome: This hormonal disorder involving excess cortisol production can cause fat deposits on the back of the neck and upper back, creating a "buffalo hump" appearance.
  • Lipodystrophy: A group of disorders characterized by abnormal fat distribution that can occasionally lead to excess fat accumulation on the neck and back, mimicking a "hump."

Other Factors:

  • Age: The amount of time stuck in poor posture leads to wear and tear on the spine. Kyphosis and other postural changes potentially lead to a "neck hump" appearance.
  • Injuries: Past injuries to the spine or neck muscles can sometimes affect posture and contribute to a "hump" formation.


  • A "neck hump" can be a symptom of various underlying causes, so it's crucial to consult a healthcare professional for proper diagnosis.
  • A qualified healthcare professional can assess your posture, symptoms, and medical history to identify the specific cause of your "neck hump" and recommend appropriate treatment or management strategies.

What Are the Symptoms Associated with Neck Hump?

Those with neck hump may experience a range of symptoms, including neck pain and upper back pain around the shoulder blades. The condition is often associated with kyphosis, an exaggerated forward rounding of the back, and can lead to chronic pain and stiffness in the affected area.

symptoms of neck hump

Local neck and back symptoms

  • Pain: Ache or sharp pain in the neck, upper back, and shoulders.
  • Stiffness: Difficulty moving the neck and head freely or even at eye level in severe cases.
  • Muscle tension: Tightness and knots in the neck and shoulder muscles.
  • Reduced range of motion: Limited ability to turn or tilt the head, causing difficulty looking up or down.
  • Numbness or tingling: Sensation changes in the hands or arms due to nerve compression.
  • Headaches: Tension headaches or migraines triggered by postural strain.

Chain Reaction: Whole-body symptoms

  • Lower back pain: As neck hump is a deviation from the normal S-curve of the spine, it can create a build-up of tension in the muscles and fascial lines. This stress leads to compression of the vertebrae, setting up back pain.
  • Fatigue and low energy: Chronic discomfort can affect sleep and overall energy levels.
  • Poor posture: Increased tendency to slouch or hunch forward, perpetuating the hump and creating additional imbalances leading to further bad posture.
  • Balance and coordination issues: Altered posture can affect balance and stability, increasing the risk of falls.
  • Digestive problems: Gastrointestinal issues like heartburn or acid reflux can occur due to postural pressure on the diaphragm.
  • Breathing difficulties: In severe cases, kyphosis can compress the chest cavity, potentially affecting breathing.
  • Psychological effects: Body image concerns and decreased self-confidence due to the visible appearance of the hump.

It's important to note that the specific symptoms can vary depending on the severity of the kyphosis, individual anatomy, and any underlying medical conditions. Some people might experience few or no symptoms, while others experience significant discomfort and functional limitations.

Remember: If you are concerned about a neck hump or experience any of these symptoms, consult a healthcare provider for proper diagnosis and personalized advice on managing your condition and preventing further complications.

Ready to Restore Your S-Curve?

Neck hump is a sign of bigger posture problems. Find out how you can restore your body's natural balance & alignment through targeted exercises and strategies.

The Postural Connection

neck pain from poor posture image

Posture plays a significant role in the development and progression of neck humps. The intricate connection involves muscle imbalances, altered biomechanics, and a domino effect throughout the body. Here's how specific postural syndromes like upper and lower cross syndrome can come into play:

Upper Cross Syndrome (UCS):

  • Triggering Mechanisms: This syndrome arises from chronic head forward posture (like hunching over a computer) and rounded shoulders. These positions tighten your chest muscles (pectorals) and shorten your neck flexors (deep neck flexors).
  • Impact on Kyphosis: The tight pectorals pull your shoulders forward, rounding your upper back and increasing the curve in your thoracic spine – a key component of kyphosis. Additionally, weak neck flexors struggle to hold your head upright, exacerbating the forward head posture and pushing the hump further out.

Lower Cross Syndrome (LCS):

  • Triggering Mechanisms: This syndrome develops from weak abdominal muscles and tight hip flexors (psoas). Slouching or sitting for extended periods often contributes to these imbalances.
  • Impact on Kyphosis: Weak abdominal muscles lack the support to maintain proper spinal alignment, allowing the lower back to sway (lordosis). This compensatory lordosis pulls the upper back and shoulders even further forward, ultimately contributing to the kyphosis hump. Tight hip flexors also tilt the pelvis forward, further disrupting overall posture and compounding the rounded back position.

The Domino Effect:

These syndromes don't exist in isolation. UCS and LCS often coexist, creating a vicious cycle. The forward head posture of UCS pushes the shoulders down, tightening the chest and activating LCS. Conversely, tight hip flexors in LCS limit pelvic movement, making it harder to maintain good posture and worsening UCS. This domino effect ultimately amplifies the kyphosis curve and the appearance of the neck hump.

Beyond Syndromes:

While UCS and LCS are common culprits, remember that posture is a complex interplay of muscles and their interactions. Weak back extensors, imbalanced core activation, and psychological factors like stress can also influence kyphosis development.

Breaking the Cycle:

The good news is that posture is adaptable and pain relief is possible! By understanding the connections between posture and neck humps, you can take proactive steps to correct imbalances and prevent further progression. This can involve:

  • Stretching and strengthening exercises: Targeting tight muscles in the chest, neck, and hip flexors while strengthening weak areas like the core and back extensors. Of course, the best exercises will depend on the nature of your specific case.
  • Mindful movement: Paying attention to posture throughout the day, avoiding slouching, and consciously retracting the shoulders while lengthening the neck.
  • Ergonomic interventions: Set up your workspace to promote proper posture with a well-adjusted chair, monitor height, and position of the keyboard.
  • Seeking professional help: Consulting a posture specialist can provide personalized guidance and exercises to address your specific posture and kyphosis concerns.

Now you know more about the connection between posture and neck humps, so you can break the cycle, improve your overall health, and reclaim a pain-free, confident posture.

Remember, early intervention and proactive measures are key to preventing the progression of kyphosis and improving posture. Don't hesitate to seek professional advice if you're concerned about your posture or the development of a neck hump.

Posture Alignment Therapy: A Holistic Solution

At Activ8 Posture, we offer a holistic solution to neck hump through posture alignment therapy. This approach not only targets the hump itself but also addresses the overall balance and alignment of your body, ensuring long-term health and whole-body wellness.

Are You Concerned About Neck Hump?

Have one of our posture therapy pros take a closer look with you. In your free 30-minute consultation, we'll also take posture photos and discuss how to fix it.

Frequently Asked Questions

What causes a person to develop a neck hump?

Causes range from lifestyle factors to underlying health conditions. Most cases, more than ever in today's tech-driven society, appear related to the habitual, constant use of mobile phones, hand-held devices, tablets, and computers without regard to ergonomics and proper posture.

Can neck hump go away by itself?

While minor cases may improve with lifestyle changes, significant humps often require targeted intervention. Remember that your body adapts to stimulus. Unless you introduce new stimuli, your body will stay the course it is on. This is where therapeutic exercises, like those we offer at Activ8, can help.

How long does it take for a neck hump to go away?

The timeline varies based on the severity and the individual's commitment to corrective measures. Treating the spine and body as a whole versus just the upper back is a key part of sustained success.

Is neck hump kyphosis of the thoracic or cervical spine?

A "neck hump" can be associated with kyphosis in both the thoracic and cervical spine, or a combination of both. Here's a breakdown:

Thoracic Kyphosis:

  • More likely to contribute to a visible "neck hump" at the base of the neck.
  • This is because the curvature naturally begins in the upper thoracic spine and can progressively extend toward the base of the neck, creating a rounded appearance.

Cervical Kyphosis:

  • Less commonly leads to a noticeable "hump" on its own.
  • When present, it often manifests as a forward head posture with a rounded upper neck rather than a prominent bump.

Combined Kyphosis:

  • In some cases, both thoracic and cervical kyphosis can occur together, leading to a more pronounced "neck hump" and contributing to overall postural misalignment.

Here are some additional factors to consider:

  • Severity of the curvature: The degree of kyphosis in both the thoracic and cervical spine can influence the visibility of a "neck hump."
  • Individual anatomy: Some people may naturally have slightly more prominent spinal curves, affecting the appearance of their posture.
  • Underlying conditions: Specific medical conditions like Scheuermann's disease or congenital anomalies can contribute to kyphosis and the appearance of a "neck hump."

What are the diagnosis and treatment options for neck hump?


  • Physical exam: Assessing posture, spinal curvature, and muscle imbalances.
  • X-rays or CT scans: Measuring the degree of kyphosis (curved spine) and ruling out other causes.
  • Blood tests: Checking for underlying medical conditions like osteoporosis or hormonal imbalances.


  • Posture correction exercises: Stretching tight muscles, strengthening weak ones, and retraining proper alignment.
  • Physical therapy: Manual therapy, specific exercises, and education on maintaining good posture.
  • Bracing (in severe cases): Supporting the spine and preventing further curvature.
  • Weight management: If obesity is a contributing factor, healthy weight loss can help.
  • Addressing underlying conditions: Treating any medical issues causing the hump, like osteoporosis or hormonal imbalances.

Remember, early diagnosis and proactive management are key to improving posture and preventing the progression of kyphosis. Consult a healthcare professional for personalized diagnosis and treatment recommendations.

Can Neck Hump be Reversed?

Reversing a neck hump is possible, especially with early intervention. The process involves dedicated posture correction practices and exercises, which can gradually reduce the prominence of the hump.


Remember, the narrative of your neck hump doesn't have to be one of pain and limitations. By understanding the causes and seeking the right solutions, you can rewrite the story. That's where Activ8 Posture comes in. We believe in a holistic approach, tackling the root of the problem, not just the bump itself. Schedule a free consultation and posture assessment with one of our experienced therapists to find out more on how you can straighten your spine.

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Take the first step today and schedule your free consultation with Activ8 Posture. We'll analyze your unique alignment, answer your questions, and discuss your roadmap to success, so you can restore the natural curve to your spine. Don't accept a life of limitations. You are capable of more than you think!

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