Neck and shoulder disorder prevention
Neck and shoulder disorder prevention
Neck and shoulder disorder prevention
Neck and shoulder disorders are generated from poor posture, incorrect work stations, muscle imbalances, and tight muscles. A combination of stretching and strengthening a couple of times a week goes a long way in preventing neck pain.
Do you have a forward head posture or rounded shoulders? If you do you may be susceptible to neck or shoulder issues.
For more details read below.
Stretching Video for Neck and Shoulders
Strengthening Video for Neck and Shoulders
We are designed to move, try not to stay in any single position too long
Neck and shoulders Disorder Prevention
Read on if you want a detail explanation.
Are you at risk for tension headaches and early cervical degeneration?
Muscle tightness and imbalances could put you at risk for early cervical degeneration and tension headaches. These conditions are debilitating and are quite common in the
workplace. Improper posture and repetitive movements at work and in daily life may be
the root cause.
Postural deviations are commonly seen in the cervical and thoracic spines.
They may result from pain, muscular imbalance, and poor postural habits. It
may simply be caused by the way you sit, stand, and move.
One of the most common acquired deviations is forward head posture. This
position is characterized by forward alignment of the head relative to the
shoulders, roundness of the shoulders, and increased neck extension to
maintain an upright posture. It may result from injury, but is most commonly
caused by overuse at poorly designed workstations, athletic and fitness
training imbalances, and poor postural mechanics
(slouching).
How can you tell if you have forward head
posture and accompanying roundness
of the shoulders?
An easy way is by studying a picture of your self
from the side. Good posture is balanced alignment
where stress applied to body segments are
minimal. There should be a natural curve to your neck
(referred to as the neutral position).
Do you have excessive neck curvature? A slight
curvature is normal but it should not be excessive.
Is your head straight or is it extended forward?
Correct posture is an imaginary almost straight line
from the ear through the shoulder, hip, knee, and
ankle joints.
Is your upper back rounded?
Look at your arms as they hang by your side. Are they on the lateral aspect
of your leg or do they come forward to the front of your leg making you
appear like you have an ape like posture (roundness, increased kyphotic
posture). Many bodybuilders and weightlifters have this posture.
Moving your head in different directions will help you understand if you could have a
potential problem. Look to your right and then your left. Was it the same or was one side
easier to move? Was there any pain? Pain could be a sign of dysfunction. Try bringing
your shoulder to your ear on both sides by shrugging your shoulder and tilting your head. You should be able to do this without any pain. Bringing your chin from your chest to where your looking at the ceiling should be pain free fluid motion.
What's so bad about forward head postures?
Postural dysfunction is connected to muscle imbalance, joint dysfunction, and abnormal
neuromuscular control. In the forward head posture the mid-neck is in a forward bent position causing the upper neck to compensated by bending back to keep the eyes
horizontal. This creates compression on the upper cervical veterbrae and the
greater or lesser occipital nerve, which may create occipital and frontal
headaches.
In the forward head position the jaw tends to
open causing the muscles of the jaw to
become excessively active. This may lead to
abnormal muscle activity, which may lead to
nocturnal bruxism and
temporomandibular joint degeneration.
The shoulder girdle comes forward in the
forward head position causing the
thoracic spine to become rounded (kyphotic).
Chronic roundness causes the
rear shoulder muscles to become stretched
and weakened while the frontal
chest muscles become tight. Chest muscle
tightness compromises diaphragmatic
breathing through limiting expansion of the
lower rib cage, which causes the
accessory muscles of respiration to be active
resulting in inefficient and
labored breathing. This accessory activity
causes the first rib to be elevated
which decrease costoclavicular space, which
may lead to thoracic outlet type
symptoms.
The forward head posture is associated with
tightness in the pectoralis
(chest), upper trapezius, levator scapula, and
posterior erector spinae neck
muscles, with corresponding weakness to
their antagonist, the rhomboids,
middle and lower trapezius, and anterior cervical musculature. When the
muscles of the neck and shoulder girdle are out of balance degenerative
joint disease from C5 to C7 may result. Muscle imbalances may also lead to
abnormal muscle firing resulting in palpable trigger points.
Overtime a “dowagerʼs hump may develop at the base of the neck due to prolonged
stress to the base of the neck.
In some cases of forward-head posture the lumbar spine way loses it curve
resulting in lumbar hypermobility and possible disc strain.
How can you correct these potential problem? A good place to start is by stretching
and strengthening with postural reeducation and improvement to your workstation. See
description. See Videos above.
Other Neck Issues
Bedtime
Reading in bed can cause neck strain. So try not to prop up on several pillows, bending your neck forward while trying to hold your arms out in order to support a book. Rather if you do read in bed try to make it easy on your neck by propping a book on a pillow and sitting up or get a book stand for your bed.
Sleeping position is another source of possible neck issues. Do you sleep with your neck at an angle, either too high or too low? Try to use a pillow that conforms with your next that helps keep your neck in a neutral position.
Workstations
A neutral neck position as with your lower back should be kept while at your workstation or computer. Don't bend your neck forward. Make adjustments at your desk, monitor, and chair to a comfortable height position so that the monitor is at eye level, your knees are slightly lower than your hips, and sit close enough to the computer so that you can see. Use arm rests so that you are not holding your arms up causing your upper neck muscles to strain. Try to use a head set rather than holding a phone with the neck bent. Also move frequently, there is no perfect seated position.