Camptocormia, first described by Brodie in 1818, is defined as involuntary forward flexion of
thoracolumbar spine. For many years, camptocormia was considered as chronic abnormal flexion of trunk with its origin primarily on psychiatric symptom. However, in these days, it is becoming recognized as a disease of progressive weakness in paravertebral muscles associated with many causes. We report a case with clinical suspicion of focal myopathy demonstrating symmetrical paraspinal muscle atrophy and fatty changes.