3 Common Causes of Upper Back Pain and How to Prevent Them

1) Posture

It’s well-known that poor posture can lead to neck and upper back pain. Everyone has had that moment when they go to sit straight up and realize they’ve been sitting like the hunchback of Notre Dame for the past hour. To prevent this chronic slouching and forward head carriage state, one easy trick is to perform a quick exercise known as Bruegger’s postural position (seen below). All you have to do is sit with a neutral spine (not hyperextended), retract your head (give yourself a double chin), and slowly rotate rotate your palms to face forward while squeezing your shoulder blades together. The goal is to perform this exercise as micro-breaks, 2 sets of 30sec holds, as many times throughout the day as you can!

Bruegger's position

2) Sleep Position

If you notice that your pain is usually present upon waking up, then it can be the way you’re sleeping that’s causing your pain. Try these quick tips for a pain-free night’s rest!

1. Avoid sleeping on your stomach: When you sleep on your stomach your head is going to be rotated in one direction, causing one side of neck muscles to be contracted and the other side stretched for hours on end.

2. When sleeping on your side or back try to focus on maintaining a neutral spine (see pictures below)

-For side-sleepers, try placing a pillow between your knees as well as part of the pillow below your neck.

-For back-sleeping, try a small pillow below your knees as well as a pillow below the neck as well!

Sleeping positions

3) Inactivity

Inactivity is one of the worst things you can do to your body. Sedentary lifestyles cause a wide range of conditions, with upper back pain being one of them. Disuse can cause a loss of range-of-motion, stiffness, and weakened muscles. The phrase “use it or lose it” applies greatly to musculoskeletal health! To prevent this, make sure you maintain a daily exercise program. It doesn’t have to be a crazy total-body destroyer, but anything that’s going to move your joints through a full range of motion. These sample exercises below are great examples of simple and effective motions that can help prevent upper back pain. In order from left to right: cat-camel, prone extension, and child’s pose.

Cat Camel Child's poseProne extensions



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Written by Dr. Brandon Buchla, DC, CSCS

Check us out at www.atpplusct.com

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