Hello, Thank you for contacting me at Ask a Doctor . I will try to answer your question to the best of my ability. There is certainly a couple of things that need to be looked at in your situation. Most of the time decent issues are due to poor posture and is seeing a physical therapist can certainly help correct this issue. The most significant thing to look for is a scoliosis which can be diagnosed by an orthopaedic specialist. This sometimes needs x-rays. In the first instance, I would suggest a visit with your primary care physician who can probably tell you whether this is truly posture related or something more challenging such as a scoliosis. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, Adrian Rawlinson MD