Neck Pain Due to Poor Posture

By Sydney CBD Osteopath Dr Abbey Davidson

Poor posture is often the result of our bodies adapting to everyday activities, and with desk workers or people who spend majority of their day in a sitting position, this can result in neck pain. Poor sitting posture can cause strain on the neck as the shoulders round inwards, the mid-back (thoracic spine) curves forward and the neck (cervical spine) is forced into an extended position. Sustaining this posture can result in some muscles tightening and shortening, while others lengthen and weaken.

Risk factors for poor posture include low mood or job stress, poor desk ergonomics, high weight/BMI, sedentary lifestyle and lack of physical exercise. Poor posture can not only cause pain and reduced range of motion in the neck, mid back and shoulder region but can decrease lung filling capacity.

What are the signs & symptoms of poor posture?Manual therapy can be useful for posture correction

  • Neck, shoulder and upper back pain
  • Decreased neck range of motion
  • Flexed upper back and extended neck region (hump appearance)
  • Tension-type headaches (especially at the end of a work day)

 

What can you do to help with your poor posture?

We recommend breaking up your sitting posture as much as possible during a work day using “micro-breaks”. Every 30 minutes get up out of your seat, walk for a few minutes, perform stretches and range of motion exercises. This will aim to discourage shortening, lengthening and weakening of your muscles held in a position for a prolonged period of time.

You should also consider assessing and correcting your desk set up. Your desk, seat and computer height should all be customised to your body to place minimal strain on the neck and decrease risk of injury. If you are unsure on how to check if your desk set up is contributing to your posture, your health professional can provide you with further assessment and advice.

A health professional can also demonstrate and prescribe stretches and range of motion exercises aimed at lengthening and strengthening muscles and joints effected by poor posture. General aerobic exercise is not only good for overall health, but can help maintain neck and mid-back range of motion and help modulate pain levels.

In some circumstances, a stand-up desk may be recommended for you. If required, a health professional can request your employer to provide one. It is recommended that a stand up desk be set-up specifically for your body and that you alternate between sitting and standing every 30 minutes or hour.

For more information on the contribution that poor posture and a poor work environment can have on neck pain, check out the video below from Sydney CBD Osteopath Dr Abbey Davidson, or click here

 

When should you see a health-professional for your poor posture?

You should consider booking an appointment with a health professional, such as a Chiropractor, Osteopath or Physiotherapist, if you are experiencing on or multiple of the following:

  • Neck pain becoming more intense or not improving
  • Restricted neck range of motion impacting performance of everyday activities
  • Headaches getting worse or more frequent
  • Pins, needles, tingles or nerve pain radiating in to the arm

 

What can a health professional do to help with poor posture?Health professionals aim to provide more than just symptomatic relief of pain and stiffness with hands-on techniques for posture correction

Health professionals aim to provide more than just symptomatic relief of pain and stiffness with hands-on techniques. The aim is to correct posture, decrease muscle tightness and decompress the neck region and prevent poor posture from causing pain/symptoms in the future. A session will typically begin with a long series of questions to establish which structures are generating your pain and the reasons why. This will help a health professional plan their hands-on treatment and the take-home exercises they will prescribe to you. Sessions are complimented with education and prescription of rehabilitation exercises which address joints and muscles impacted by poor posture.

For more information on other conditions of the Neck, please click on the following conditions:

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Nerissa D'Mello​​

Clinical Lead Physiotherapist
Nerissa’s interest in physiotherapy began after experiencing multiple injuries growing up. Being in and out of clinics sparked her curiosity about how the body heals and inspired her to help others return to what they love. Early hands-on experience with a Scottish rugby club during her masters strengthened her passion for musculoskeletal and orthopaedic rehabilitation.
 
Now the Clinical Lead Physiotherapist at Quay Health, she has a strong interest in helping patients recover without surgical intervention when possible. Her treatment style combines hands-on techniques with exercise prescription, grounded in the latest research to promote lasting recovery.
 
Some of the techniques Nerissa uses are dry needling, VALD ForceDecks and Dynamo for data-driven rehab, taping, and shockwave therapy for stubborn tendon injuries.
 
She enjoys treating a broad range of patients, regardless of age, fitness, or background, and is currently expanding her expertise in women’s health.
 
Patients can expect a thorough, personalised approach focused on understanding their goals, hands-on treatment, and education in a supportive environment.
 
Outside work, you can find Nerissa training for her first full marathon, playing tennis, smiling at your dog, and trying to keep up with all her downloaded podcasts.
 
Clinical interests include:
 
  • Shoulder injuries, including rotator cuff and instability
  • Ankle sprains
  • Tennis and racquet sports injuries
  • Neck and upper back pain
  • Rehab from postoperative hip and knee replacements
  • Women’s health 
 
Languages spoken other than English: Conversational Hindi
 
Nerissa is available at Quay Health. Call 1300 782 943 to make an appointment or book online.

Riccardo Erba​

Senior Physiotherapist

Riccardo’s passion for physiotherapy started while working with patients recovering from strokes, multiple sclerosis, and brain injuries. Seeing how vital movement is inspired him to explore the connection between the brain and body. Over seven years, he developed a holistic approach combining manual therapy, education, and sport-focused rehab.

His treatment style is evidence-based and tailored, blending hands-on therapy with corrective exercises and advanced technologies. Riccardo believes every patient deserves a personalised plan that balances pain relief and long-term improvement.

He uses techniques including spinal manipulation, mobilization with movement, dry needling, Class IV lasers, shockwave therapy, and VALD ForceDecks.

Riccardo enjoys helping clients who want to understand their bodies, relieve pain, prevent injury, and improve performance.

Outside work, he loves hiking, climbing, and following ball sports of all kinds.

Clinical interests include:

  • Headaches and neck pain
  • Shoulder and elbow conditions
  • Hip and knee rehab
  • Shockwave and laser therapy

Languages spoken other than English: Italian

Riccardo is available at Quay Health. Call 1300 782 943 to make an appointment or book online.