Could Poor Posture Be the Cause of Your Clavicle Pain? - Rehabilitation

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Could clavicular swelling and pain be due to poor posture?


Hello, doctor.
Could the pain and swelling in my clavicle be caused by poor posture? Initially, it was noted that my clavicle was lax, and I have seen both orthopedic and hematology-oncology specialists.
I underwent many tests, including nuclear medicine scans and biopsies, but the cause remains uncertain.
In the end, I was only prescribed pain relievers.
Is it possible that the pain and swelling, which have persisted for many years and sometimes flare up and sometimes do not, could be due to poor posture? Thank you!

Ya, 60~69 year old female. Ask Date: 2018/11/27

Dr. Xu Zhenrong reply Rehabilitation


If there is poor posture or injuries from exercise or work, swelling and pain typically occur at the joints at both ends of the clavicle (sternoclavicular joint, acromioclavicular joint).
Nuclear medicine and biopsy examinations can help rule out causes such as bone marrow issues, blood disorders, or tumors.
If no significant findings are discovered from these tests, it is recommended to consult a rehabilitation or orthopedic physician for further evaluation and treatment.

Reply Date: 2018/11/27

More Info


Clavicle pain can indeed be influenced by poor posture, especially if the pain has persisted for several years and has not been definitively diagnosed through various medical examinations. The clavicle, or collarbone, is a critical bone that connects the arm to the body and plays a significant role in shoulder movement. When posture is poor, particularly in the upper body, it can lead to muscle imbalances and strain on the structures surrounding the clavicle, potentially resulting in pain and discomfort.

Poor posture, such as slouching or hunching over a desk or electronic device, can lead to a condition known as "upper crossed syndrome." This syndrome is characterized by tightness in the upper trapezius and levator scapulae muscles, along with weakness in the deep neck flexors and lower trapezius. This imbalance can place additional stress on the clavicle and surrounding muscles, leading to pain and discomfort. Furthermore, if the shoulders are rounded forward due to poor posture, this can cause the clavicle to be positioned in a way that increases tension on the surrounding soft tissues.

In your case, since you have undergone various tests, including nuclear medicine scans and biopsies, and the results have not provided a clear diagnosis, it is essential to consider non-structural causes of your pain. Chronic pain that fluctuates in intensity can often be attributed to muscular issues, including those caused by poor posture.
To address your concerns, here are some recommendations:
1. Postural Assessment: Consider consulting a physical therapist or a chiropractor who specializes in posture correction. They can assess your posture and provide exercises to strengthen weak muscles and stretch tight ones.

2. Ergonomic Adjustments: If you spend long hours sitting, ensure that your workspace is ergonomically designed. Your chair should support your lower back, and your computer screen should be at eye level to prevent slouching.

3. Strengthening Exercises: Engage in exercises that strengthen the muscles of the upper back and shoulders. Exercises such as rows, shoulder blade squeezes, and wall angels can help improve posture and alleviate strain on the clavicle.

4. Stretching: Incorporate stretching routines that target the chest and shoulder muscles. Stretching the pectoral muscles can help counteract the effects of rounded shoulders.

5. Pain Management: Since you have been prescribed pain medication, it may be beneficial to discuss with your doctor the possibility of integrating non-pharmacological pain management strategies, such as physical therapy, acupuncture, or massage therapy.

6. Regular Breaks: If your daily activities involve prolonged periods of sitting or repetitive motions, take regular breaks to stand, stretch, and move around. This can help reduce muscle tension and improve circulation.

7. Monitor Symptoms: Keep a journal of your symptoms, noting when the pain worsens or improves. This information can be valuable for your healthcare provider in determining the best course of action.

In conclusion, while poor posture can contribute to clavicle pain, it is essential to approach this issue holistically. By addressing posture, strengthening and stretching the appropriate muscle groups, and seeking professional guidance, you may find relief from your chronic pain. If symptoms persist or worsen, further evaluation by a specialist may be warranted to rule out any underlying conditions that could be contributing to your discomfort.

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