Neck and Shoulder Tension

What is Neck and Shoulder Tension?

Definition

Neck and shoulder tension involves pain and stiffness in the neck and shoulder region, commonly caused by poor posture, lack of movement, or stress. It is one of the most prevalent complaints in the modern working environment.

Common Causes

• Prolonged sitting at a computer (screen work)
• Poor posture and muscular imbalances
• Stress and psychological tension
• Draughts and exposure to cold
• Facet joint restrictions
• Cervical spondylosis (degeneration of the cervical spine)

Physiological and Pathological Mechanisms

• Muscle contracture from sustained poor loading
• Trigger points in the neck and shoulder musculature
• Reduced circulation from persistent tension

How Traditional Chinese Medicine (TCM) understands Neck and Shoulder Tension

In TCM, wind-cold blocks the meridians in the neck, particularly the Bladder and Gallbladder meridians. Long-term stress leads to Liver Qi stagnation, which frequently manifests in the neck and shoulder region.

Treatment Principles

Acupuncture

Points such as GB 21, BL 10, SI 3, and GV 14 release tension, expel wind-cold, and harmonise Qi flow in the neck area.

Tuina Treatment

Extensive neck and shoulder massage, kneading techniques on the trapezius, and mobilisation of the cervical spine.

Traditional Chinese Medicine

Herbal formulas to expel wind-cold and promote circulation in the cervical region.

Lifestyle Adjustments

Ergonomic workstation (screen height, sitting posture), regular stretching breaks, neck yoga, heat treatment.

When to See a Doctor Immediately

Warning Signs

• Neck pain with fever and photophobia (rule out meningitis)
• Numbness or tingling in arms and hands
• Dizziness and visual disturbances

When to Contact a Clinic

If severe neck pain is accompanied by fever, seek a doctor immediately.