Strengthening exercises associated with postural modification is usually very important and specific instructions are required. The more the condition is accompanied by pain, back mobility changes, postural deformities and hamstring tightness, the more that rest will be required. This can mean complete rest from active contact sports such as football, and rest from activities requiring repetitive overload, e.g. long distance running, bowling in cricket, gymnastics, ballet dancing, etc. The major role for this therapy in Scheuermann's disease is to assist in providing an exercise program. Physical therapy such as mobilisation and manipulation aimed at the stiffest lower thoracic spine may be tried on 2 - 6 occasions, but the treatment should be performed with care and only continued if improvement is obvious and attributable to physical therapy, rather than to exercises and time.
Some Practitioners suggest manipulation to other areas of the spine, eg.
It is probable that this form of therapy should be avoided. Day to day activities General fitness should be maintained. Swimming is probably the best form of exercise, but may not help with pain relief. A modified general exercise program will assist with fitness and the degree of pain and stiffness during and after activity will indicate how much can be done. Sitting is often the most aggravating activity.