Published: 13 Aug 2021


[vc_row][vc_column][vc_column_text]As COVID lockdown continues there has been an increase in the number of patients with neck related pain and/or stiffness.  A recent study shows that 79% of the population between the ages 18-44 have their mobile phones with them almost all the time, with only 2 hours of their waking day spent without their cell on hand.

What is text neck?

“Text neck” is actually a term that has been used to describe the posture formed by leaning forward for prolonged periods. Inherently there is nothing wrong with this position, however spending too much time like this can result in cervical (neck), TMJ (jaw), thoracic (upper back) and shoulder pain, as well as headaches. The most common condition that contributes to neck pain is being in one position or posture for too long.

Being in one position for too long is often a result of work and/or study and it can be helpful to understand that during these times you may be:

  • stressed or anxious in meeting deadlines,
  • sleeping less and
  • not exercising as much as you should be.

A combination of these factors can lead to an increase in tension in your muscles and stiffness through your joints. Doing this day after day can then lead to all the nasty symptoms previously mentioned.

Contrary to popular belief, science has yet to establish a universally agreed upon ideal posture (O’Sullivan et al., 2021). Supplementing this, the evidence mixed as to whether sitting in one particular posture predisposes you to pain more so than another (Richards et al., 2017). Ultimately, there is a large variance amongst different people and different ages and the specific posture you adapt is probably just one piece of a multi-piece puzzle of why you have pain and tightness (Richards et al., 2021).

Forward head posture is when the neck slants forward placing the head in front of the shoulders This picture is an exaggeration of the posture seen when mobile phones and screens are used frequently.

Sometimes in the clinic, we will see people coming in with neck and upper back pain related to being in one position for too long. Generally, this will be in a more rounded position. Hence, the position can become sensitised and uncomfortable, particularly when you spend a significant amount of time like this. If this is the case for you, then trying to be more conscious of your posture can be helpful to reduce your pain and get you feeling better.

If you have spent an extended period of time in a flexed posture, try changing things up by having your ears aligned with your shoulder, and your shoulder blades resting in a retracted (squared) position.

On average we spend roughly 2-4 hours a day with our heads tilted over, reading and texting on smartphones and other handheld devices (kindle, ipads,laptops). A high school student can be up to an extra 5000 hours a year in this position.

So what does this mean for us?

 The diagram below summarises the effects of tilting our heads and the extra load through our spine with increasing flexion. 

With a seemingly innocent tilt of the head, you are actually exerting increased load with increasing flexion.

As you can see the greater the angle of tilt the more load is going through our neck. At 60 degrees of flexion there is a greater load going through your neck, which most of the time it is resilient enough to handle. However, spend too long in one position and combine it with added stress and you have a strong recipe for muscle tightness and pain.

This also applies to those of you using a laptop and iPad screen to do work at home.

How can we minimise the stress on our neck?

  • physio caringbah

    Spend less time on a hand held device.

  • Try holding your device out in front of you at eye level and minimise the amount of cervical flexion (Bend in your neck)
  • A good ergonomic setup at home or in the office.
  • Stretching often the deep neck flexor exercises, upper traps stretches are beneficial for posture related neck pain. They can be done often and will help to “reset” the resting position of your neck.
  • Varying your posture throughout the day to spread the load through various parts of your back and neck.
  • Getting up regularly to walk and move around as well as doing at least 30 minutes of exercise daily.

Gentle upper trap stretch

Physio Penrith

Laura is demonstrating a gentle upper trap stretch. Look towards your armpit and apply gentle pressure on the top of your head

Don’t ignore the signs. Listen to your body, if you are getting neck pain, have it seen to. One of our talented team members will be able to assess your neck, and provide you with advice, strength and stretching exercises, postural aids and bracing can minimise the risk of long term issues or discomfort.










O’Sullivan K., O’Sullivan P., O’Sullivan L. & Dankaerts W. (2012). What do physiotherapists consider to be the best sitting spinal posture? Manual therapy. 17(5):432-7. doi: 10.1016/j.math.2012.04.007

Richards K., Beales D., Smith A., O’Sullivan P. & Straker L. (2017). Neck Posture Clusters and Their Association With Biopsychosocial Factors and Neck Pain in Australian Adolescents. Physical Therapy, Volume 96, Issue 10, 1 October 2016, Pages 1576–1587,

Richards K., Beales D., Smith A., O’Sullivan P. & Straker L. (2021).Is Neck Posture Subgroup in Late Adolescence a Risk Factor for Persistent Neck Pain in Young Adults? A Prospective Study. Physical Therapy. Mar 3;101(3):pzab007. doi: 10.1093/ptj/pzab007.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][/vc_column_text][/vc_column][/vc_row]