After the surgical procedure, correction of the  spinal deformity can only be achieved with a proper physical therapy regimen.

This physical therapy regimen can be performed at home, with some help from family members or friends. The exercises should begin 2 weeks after the operation unless otherwise advised.
Make sure you do not cause damage to your body. If at any point you feel pain, stop the exercise and only do within limits which are not painful.
Following are some recommended exercises:
The full set of exercises should be completed twice every day in order to staighten you’re spine. If at any certain point there is discomfort, the exercises should be stopped for several days until comfort is regained.

Note: Work up gradually to a set of ten inhalations/exhalations.Start with two consecutive breaths, adding another breath inhalation/exhalation to the set every day.
  • Stand on a stool next to a door with both hands holding the top of the door.
  • Bend knees until arms are fully extended.
  • Lean knees and toes  on the door and pull pelvis back.
  • Put full weight on the soles of the feet. Extend to create a single diagonal line with head between arms, looking down and neck extended. Pelvis, chest, head, and palms are in a diagonal straight line.


  • Inhale and exhale ten times.
  • Each time you inhale, expand your ribs outwards; each time you exhale, bring your ribs down, thrust your head upwards (with shoulders moving away from the ears), and thrust your pelvis down along the diagonal line.
  • Stand up and release the palms of your hands.
Chair Bends
  • Sit on a chair with the backrest against the ribs on your right side, pelvis in contact with the backrest. The backrest should reach the bottom of your shoulder.
  • Hang right arm down over the backrest.
  • Place left forearm over your head.
  • Cross legs resting on the floor to lock the pelvis in place.


  • Tilt the torso to the right, against the place where the ribs make contact with the backrest.
  • Stretch your right arm down.
  • Your left hand stays in place above the head, but does help lean the torso rightwards. Inhale/exhale ten times.
  • Each time you inhale, expand the ribs on your left side to the left; each time you exhale, tilt further to the right while relaxing all your muscles (without closing the ribs on the left side).
  • Rest in a normal sitting position.
Side stretches
  • Lie on your right side on a thin, firm mattress.
  • Bend bottom (right) leg, up to  abdomen.
  • Straighten left leg, in line with body.
  • Place a rigid cylinder below the ribs of the right side at the lower angle of the shoulder blade and down.
  • Bend right arm under the head and place left arm above the head. (you can use a pillow under your head if it does not rest on your right arm)


  • Inhale/exhale ten times.
  • Each time you inhale, expand the ribs of your left side sideways and upwards.
  • Each time you exhale, stretch your left arm above your head, open your left ribs more, and extend your left leg to its maximum length.
  • Take a short break.
Lying on chairs
  • Place two chairs side by side, facing each other.
  • Place a rigid cylinder on the chair close to the body.
  • Kneel on the floor.
  • Lie on the chairs on the right side of the abdomen.
  • Place the cylinder beneath the front and side of the ribs on your right side.
  • Put your right hand on the closer chair, above your head.
  • Place your left hand above your head, on the backrest of the chair that is farther away.


  • Inhale/exhale ten times.
  • Each time you inhale, open up the ribs on your left side towards the left.
  • Each time you exhale; stretch your left arm up and  back and your right arm forward, rotating the chest to the left (counterclockwise), so that the ribs on your left side are opened upwards and back and the ribs on your right side are closed and pulled forward.
  • Rest.


Tilts with band
  • Stand next to a ladder or a door (any place where  you can tie a band, such as a door handle)
  • Place legs apart to anchor pelvis.
  • Tie non-elastic band around the ribs on the right side, beneath the shoulder.
  • Put your right hand against the band tied around the ribs, with the elbow to the side.
  • Place left hand on the head, elbow out and pointed upwards.


  • Tilt torso to the right, towards the contact point on the band, without moving the hips or pelvis. Inhale/exhale ten times. Each time you inhale, open up the ribs on your left side towards the left.
  • Each time you exhale, increase the rightward tilt while relaxing all your muscles and without closing the ribs on left side.
  • Return to a normal standing position and rest.



All of ApiFix exercises developed by Dror Levy and Lior Sulam (BPT MPE)