Manage Back Pain

Neck and Upper Back Pain.

The most common presentation of neck and upper back pain that I see is due to poor neck posture.


In my experience it is more common to have neck and upper back pain than to have neck pain alone.

This is down to their close proximity and connection to each other, as well as the fact that your upper back takes the weight of the head and neck as you sit and stand.

From this you can understand how the upper back can potentially have symptoms in conjunction with neck pain.

The most common presentation of neck and upper back pain that I see in my physiotherapy clinic is due to poor posture. Poor posture of the neck is where the chin is poked out forwards increasing the depth of the curve in the neck.

This "chin-poked" posture places excess strain on the mid to lower neck and the muscles of the upper back have to work excessively hard to hold the head. Frequently, patients tell me that their head is too heavy for their neck - this is due to the excess work the upper back muscles have to do to hold the neck in this poor posture.



Another common clinical presentation is neck pain due to stiffness in the upper back. If the upper back is not moving as freely as it should, the neck has to compensate by moving beyond its normal range.


This can also result in neck and upper back pain. Treatment of the cause is the most important thing here so a diagnosis of cause of the stiffness is important. As you turn your head the upper back is required to turn with it and if the stiffness is in your upper back and it does not move with the neck - neck strain will occur.


Another common cause of neck and upper back pain is poor sitting posture - again resulting in chin poke. I see this mainly in clients with office jobs - posture correction and work station redesign are the main considerations that I address in these situations. Back pain relief products such as "back friends" may also be of use.



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The information on this web site does not replace specific medical advice. It should only be used to complement advice from your doctor. Always seek in-person advice from a doctor or other qualified health provider for your particular condition.