Physiotherapy should not be started until after an adequate rest period and once pain with daily activities has subsided.

In acute case, the goal of physiotherapy is to reduce the extension stresses and to promote the strengthening of elements that promote the antilordotic posture. So the exercises prescribed are that strengthen the abdominal muscles ( Williams' flexion biased exercises); and the exercises that increases the flexibility to stretch the spinal extensor muscles, hamstrings and dorsolumbar fascia.

Thoracolumbosacral orthosis ( Boston type antihyperlordotic brace) is very effective in those who do not respond to activities of daily living restriction with slippage less than 50% and is worn for 3-6 months.

In the recovery phase, the antilordotic strengthening and flexibility exercises for spine and lower extremity ( progressive spinal stabilization) is emphasized.

In maintenance phase, patient should continue to do the spinal stablization programme which include stretching and strengthening of spinal and lower extremity.