Upper Back and Shoulder Pain and Our Evolving Bodies

About a month ago I attended an acupuncture symposium, at which the keynote speaker talked about treating musculoskeletal injuries and pain. Early on in his presentation he made the remark that the bodies he treated thirty years ago are very different from those he treats today.

It took a minute for me to understand how profound a statement this was, because my first thought was, sure…we’re all getting older, so of course our bodies are different. But what he meant was that collectively our bodies are changing. We are evolving right before our very eyes.

So what’s happening, and why are we changing? A few things:

-For starters, we didn’t use computers thirty years ago in the way we do today. The vast majority of people Minneapolis Acupuncture Clinicaround the world are sitting at a keyboard typing away at work, on social media, and even watching TV. Thirty years ago, typing was delegated to the office assistant or secretary. Today, both your boss and your eight-year-old type.

-In addition, we text today…hunched over a phone firing off witty messages with our opposable digits.

-Have you watched kids heading off to the school bus lately? They are wearing backpacks loaded down with books, folders, and school supplies. The weight of those packs cause most kids to lean forward to stabilize that weight.

-Even more than thirty years ago, women carried handbags. These were purses, or where I grew up, pocketbooks, with a short handle. The idea was that they were to be carried in your hand. Today, most bags come with a shoulder strap and are meant to be worn over one shoulder. And if you’re like me, worn over the same shoulder all the time, causing one shoulder to be perpetually higher than the other.

So why are these changes a big deal? The answer is that the biomechanics of our daily lives have changed. Today our backs are hunched, shoulders are rolled forward, and one side is frequently elevated above the other. It becomes a big deal in that I see a lot of patients with rotator cuff muscle injuries, neck pain, shoulder pain, and headaches caused from this forward roll of our collective shoulders.

Here’s where acupuncture comes in. Though the use of some strategically placed needles, we can get those tight muscles to release, those painful shoulders to relax, and relieve the pain from chronic overuse and plain bad posture. In addition, your practitioner can give you some specific stretches and exercises to strengthen and stretch the muscles involved. There are also things that you can do to help relieve the tightness, pain, and forward roll. Among them:

-Change your biomechanics. Can you work some of the time standing up? Our devices are now small enough that we can move them to just about anywhere. When I have the chance, I work standing with my iPad at chest height, which helps my posture dramatically.

-Open up your chest through stretching. One of the easiest is to stand in a doorway with your forearms in the frame and stretch your chest open. Do this with your upper arms in a “T” position, and then raise them and stretch in a “Y” position.

-Put a note on your computer to check your posture. It will take repeated reminders to change how you sit.

-Check your stress. Like the hackles on an alarmed dog, we tend to carry our stress in our shoulders and at the base of our neck. Whether it’s meditation, yoga, fishing, or taking a long vacation, do what it takes to get your stress under some kind of control.

-Shrug it off, really. Bring your shoulders up to your ears in a classic shrug and hold it there for a few seconds. Then very consciously let go of the shrug–it works wonders in loosening up a tight neck and shoulders.

-Deal with your shoulder bag. Either get a handbag with a short handle or wear your shoulder bag around your neck and across your chest. Either solution will help any imbalance you’ve developed from a handbag perpetually perched on one shoulder.

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Eight Ways to Ease That Pain in Your Neck

We’ve all heard the figurative term that something is a pain in the neck, but the reality of neck pain can cause sleepless nights, limited range of motion, and make your life miserable in general. There are a number of causes of neck pain, including trauma, turning and reaching at the same time, drafts, and bad ergonomics.

The most common cause of neck pain, however, is stress. Most people who are overwhelmed and under a lot of stress will tell you that they physically carry that stress in their neck. This has been the case since caveman times, when our furry ancestors raised the hackles on their neck in threatening situations. While a cranky boss, looming deadline, or a failing relationship isn’t the same as the threat of being eaten, your body still reacts in the same way, resulting in a tight, stiff neck.

In Chinese medicine, your stiff neck is a classic case of stagnation. The tightness in your upper back and neck create a slowdown in the circulation (stagnation) of blood and energy in the area. In addition, as that area becomes tight, it can move upward causing headaches, tooth grinding, and jaw pain; or move downward and cause back pain and tightness.

The antidote to neck pain in Chinese medicine is acupuncture, which works on two levels. It can help relieve the pain and tightness in your neck, and it can also help relieve stress.

You should check with your Western doc if your neck pain is accompanied by confusion, fever, or drowsiness. Also, if your neck pain radiates into your arms or hands, or if you feel numbness or tingling, it may be the sign of disk involvement and should also be checked out.

Some things you can do on your own to relieve neck pain include:

-Get some heat on it. Take a warm shower, use a heating pad, warm rice bag, or a towel soaked in hot water. By putting heat on your neck, you are increasing the circulation, loosening tight muscles, and enhancing your range of motion.

-Increase your flexibility. After you have warmed up your stiff neck, move your head up and down as if you were nodding yes. Then slowly move your head from side to side as if you were saying no. Tilt your head, moving your ear toward your shoulder on each side. These stretches will help increase your range of motion, but remember, don’t do anything that is intensely painful.

-Sleep on it. Sleep on your back with a pillow under your knees. This helps you maintain the natural curvature of your spine, and will help you avoid sleeping on your side, which can aggravate a stiff neck.

-Hold the phone. Keep the phone off of your shoulder. If you’re on the phone a lot at work, get a headset or hold the phone with your hand.

-Take a break. If you’re on your computer all day, make sure you take regular breaks to get up, stretch, and walk around.

-Eyes forward. Make sure that your work station is ergonomically correct. This means that you shouldn’t have to look sideways to see your computer screen, look downward all day long, or be sitting in an uncomfortable position.

-Stay away from drafts. Cold air blowing on your neck can be an underlying cause of a stiff neck. Avoid sleeping in a draft, and be sure to wear a scarf on cool, cold and windy days.

-Get some acupuncture. In most cases, your stiff neck will be gone in a few days. However, acupuncture can be extremely helpful in speeding up the healing process.

 

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