Chronic Back Pain: The Impact of Poor Posture on Muscle Health - Rehabilitation

Share to:

Pain in the muscles of the lower shoulder blade area?


Hello Dr.
Li, about 20 years ago during my university years, I had to use a bulky CRT monitor that was positioned diagonally to the right to save desk space.
As a result, for about a semester, I consistently tilted my head to the right while my body did not fully rotate in sync.
Since then, whenever I maintain the same posture for too long (such as during long motorcycle rides), I experience significant pain in the back muscles near the lower part of my neck on the left side (likely the upper trapezius muscle).
The pain only alleviates after I change my posture.
I would like to ask if this issue could be a long-term consequence of my poor posture for several months? Is it likely that I will have difficulty recovering in the future? Thank you for your response, doctor.

Awei, 30~39 year old female. Ask Date: 2022/09/21

Dr. Li Yanheng reply Rehabilitation


It is recommended to undergo ultrasound and X-ray examinations in the rehabilitation department to determine if there is any nerve compression.

Reply Date: 2022/09/21

More Info


Chronic back pain, particularly when linked to poor posture, can significantly impact muscle health and overall quality of life. Your experience of discomfort in the upper trapezius muscle, particularly after maintaining a static posture for extended periods, is a common issue that many individuals face, especially those who have developed habits of poor ergonomics over time.

The symptoms you describe, including pain in the upper trapezius region near the neck, are indeed consistent with the long-term effects of poor posture. When you consistently hold your head in a tilted position, as you did while using a CRT monitor, it places undue stress on the muscles and ligaments of the neck and upper back. This can lead to muscle imbalances, where certain muscles become overactive and tight (like the upper trapezius), while others become weak and underactive. Over time, this can result in chronic pain, tension, and even headaches.

Research indicates that prolonged poor posture can lead to structural changes in the spine and surrounding musculature. For instance, the cervical spine may develop a forward head posture, which can exacerbate muscle strain and lead to discomfort. Additionally, the upper trapezius muscle, which is responsible for shoulder elevation and neck movement, can become overworked and fatigued, leading to pain and discomfort.

To address your concerns about whether this issue is a permanent consequence of your past posture, it is important to understand that while chronic pain can be persistent, it is often manageable with the right interventions. Here are several strategies that may help alleviate your symptoms and improve your muscle health:
1. Postural Awareness: Being mindful of your posture throughout the day is crucial. Ensure that your workstation is ergonomically set up, with your computer screen at eye level and your chair providing adequate support. Regularly check in with your posture and make adjustments as needed.

2. Stretching and Strengthening Exercises: Incorporating exercises that target the upper back, neck, and shoulder muscles can help alleviate tension and strengthen underactive muscles. Stretching the upper trapezius and strengthening the lower trapezius and rhomboids can help restore balance to your musculature.

3. Regular Movement: Avoid staying in one position for too long. Set a timer to remind yourself to take breaks every 30-60 minutes. During these breaks, stand up, stretch, and move around to promote blood flow and reduce muscle stiffness.

4. Physical Therapy: Consulting with a physical therapist can provide you with a tailored exercise program and manual therapy techniques to address your specific issues. They can also help you learn proper body mechanics and posture correction strategies.

5. Mindfulness and Relaxation Techniques: Stress can exacerbate muscle tension. Techniques such as deep breathing, yoga, or meditation can help reduce stress and promote relaxation, which may alleviate some of the muscle tension you experience.

6. Heat and Cold Therapy: Applying heat can help relax tight muscles, while cold therapy can reduce inflammation. Alternating between the two may provide relief from pain.

7. Consideration of Other Factors: If your pain persists despite these interventions, it may be worthwhile to explore other potential contributing factors, such as underlying spinal issues, nerve compression, or other musculoskeletal conditions. Imaging studies like MRI or X-rays may be necessary to rule out structural problems.

In conclusion, while your history of poor posture may have contributed to your current discomfort, it does not mean that you cannot improve your condition. With a proactive approach that includes awareness of posture, targeted exercises, and possibly professional guidance, you can work towards alleviating your pain and enhancing your muscle health. Remember, recovery is often a gradual process, and consistency in your efforts will yield the best results.

Similar Q&A

Poor Posture and Its Impact on Nerve Health: Understanding Your Symptoms

Hello, doctor! I have been riding a motorcycle for a long time, which has caused inflammation in the thick muscle between my anus and coccyx. This inflammation has recurred twice, and since the second occurrence, I have started to experience pain radiating to both sides of my gro...


Dr. Gao Chunde reply Neurology
If the source of the problem is related to sitting posture, it is advisable to consult a rehabilitation physician to learn the correct way to sit, as correcting this is fundamental to treatment. If there is no improvement after correction, further investigation is necessary to de...

[Read More] Poor Posture and Its Impact on Nerve Health: Understanding Your Symptoms


Understanding Chronic Lower Back Pain and Stiffness: A Comprehensive Guide

Non-smoker; irregular exercise habits; has experienced dizziness leading to loss of balance or consciousness. Height: 172 cm, Weight: 77 kg, BMI: 26.03 (considered dangerously overweight). Flexibility: 3 (very poor). ------ (The above is the result of an online assessment) ------...


Dr. Zheng Shunping reply Physical Fitness
Dear Yao-Yao, Your condition is quite complex, and it is evident that you have been in pain for a long time. If it is not too much trouble for you, I suggest you come to our outpatient clinic (you can take advantage of the summer break) so that I can provide you with an appropr...

[Read More] Understanding Chronic Lower Back Pain and Stiffness: A Comprehensive Guide


Improving Posture and Alleviating Back Pain: Expert Tips

Hello Dr. Lee, I often find myself slouching while sitting or standing, but I try to consciously keep my chest up. However, after a while, I sometimes feel soreness in my back (it feels better when I lie down), which might be due to muscle weakness. Could you please advise me on ...


Dr. Li Yanheng reply Rehabilitation
It is recommended to incorporate a combination of aerobic exercises such as running and swimming, along with closed-chain exercises for the back, such as planks.

[Read More] Improving Posture and Alleviating Back Pain: Expert Tips


Understanding the Connection Between Back Pain and Muscle Tension Issues

Hello Doctor, I have the following questions, but I'm unsure how to clarify where the issues lie, so I would like to ask about possible causes. 1. In recent months, I sometimes wake up with pain in my lumbar spine. 2. I have noticed that in crowded places or when speaking...


Dr. Shi Guozheng reply Orthopedics
Prolonged use of computers or typing can easily lead to shoulder and neck pain. Additionally, improper sitting posture can cause spinal pain as well as lower back and upper back discomfort. To alleviate these issues, it is important to maintain proper posture while sitting and to...

[Read More] Understanding the Connection Between Back Pain and Muscle Tension Issues


Related FAQ

Back Soreness

(Rehabilitation)

Lower Back

(Rehabilitation)

Neck Stiffness

(Rehabilitation)

Muscle Strain

(Rehabilitation)

Coccyx Pain

(Rehabilitation)

Sciatica

(Rehabilitation)

Electromyography

(Rehabilitation)

Sit-Ups

(Rehabilitation)

Torticollis

(Rehabilitation)

Buttocks

(Rehabilitation)