Background: Postural thoracic kyphosis is frequently accompanied by upper back pain, muscle imbalance, and restricted spinal mobility. Myofascial trigger points and altered neuromuscular control may contribute to persistent symptoms. Integrated Neuromuscular Inhibition Technique (INIT) is a manual therapy approach designed to reduce muscle hypertonicity and pain through combined neuromuscular inhibition strategies.

Case Presentation: A 39-year-old female homemaker presented with chronic bilateral upper back pain of 6 months duration, associated with thoracic hump, postural dysfunction, and sleep disturbance. Clinical examination revealed increased thoracic kyphosis, forward head posture, rounded shoulders, reduced thoracic mobility, scapular muscle weakness, and myofascial trigger points in the upper trapezius, levator scapulae, and pectoral muscles. Pain intensity was rated 8/10 on the NRS.

Results: The physiotherapy program emphasized INIT followed by postural correction, mobility, and strengthening exercises. Following intervention, the patient demonstrated reduced pain intensity and improved postural control after 6 weeks.