Neck Pain

Text Neck Syndrome and Chiropractic Care


The Modern Sore Neck

Text neck is the term used to describe the neck pain and damage sustained from looking down at your cell phone, tablet, or other wireless devices too frequently and for too long.

Children & Teens are Especially At Risk For Suffering Symptoms

Recently, a patient came into my practice complaining of severe upper back pain. He woke up and was experiencing severe, acute upper back muscle strain. I told him I believe the pain is due to his hours hunched over his cell phone. Diagnosis: Text neck.

This posture of bending your neck to look down does not occur only when texting. For years, we’ve all looked down to reading. The problem with texting is that it adds one more activity that causes us to look down—and people tend to do it for much longer. It is especially concerning because young, growing children could cause permanent damage to their cervical spines that could lead to lifelong neck pain.

Symptoms Associated With Text Neck

Text neck most commonly causes neck pain and soreness. In addition, looking down at your cell phone too much each day can lead to:

  • Upper back pain ranges from chronic, nagging pain to sharp, severe upper back muscle spasms.
  • Shoulder pain and tightness, possibly resulting in painful shoulder muscle spasms.
  • If a cervical nerve becomes pinched, pain and possibly neurological symptoms can radiate down your arm and into your hand.

Some studies suggest that text neck may lead to chronic problems due to the early onset of arthritis in the neck.

Poor neck posture of all kinds, not just from texting, can lead to strain or sprain.

How Common Is Text Neck?

A recent study shows that 79% of the population between the ages 18 and 44 have their cell phones with them almost all the time—with only 2 hours of their waking day spent without their cell phone.1

How Is Text Neck Treated?

First, prevention is key. Here are several pieces of advice for preventing the development or advancement of text neck:

  • Hold your cell phone at eye level as much as possible. The same holds for all screens—laptops and tablets should also be positioned, so the screen is at eye level, and you don’t have to bend your head forward or look down to view it.
  • Take frequent breaks from your phone and laptop throughout the day. For example, set a timer or alarm that reminds you to get up and walk around every 20 to 30 minutes.
  • If you work in an office, make sure your screen is set up so that when you look at it, you are looking forward, with your head positioned squarely in line with your shoulders and spine.
  • The bottom line is to avoid looking down with your head bent forward for extended periods throughout the day. Spend a whole day being mindful of your posture—is your head bent forward when you drive? When watching TV? Any prolonged period when your head is looking down is when you are putting excessive strain on your neck.

Keeping the neck straight and your phone at eye level can help prevent text neck.

Rehabilitation Is Important

Many people don’t know this, but you need to have strong core muscles—the abdominal and lower back muscles—to support your upper body, including your neck. Your core muscles usually do not get enough exercise during normal daily activities, so you need to do specific exercises to target these muscles.

You also need strong and flexible muscles in the neck to minimize strain on your cervical spine and help support the weight of your head. Again, your neck will not get sufficient stretching and strengthening during normal daily activities, so it is best to learn specific neck exercises with the help of a health professional.

Some people will also benefit from a more comprehensive treatment plan, such as a combination of manual adjustments, massage therapy, and cold laser therapy.

Chiropractic For Text Neck Syndrome


( Los Angeles Times) Dr. Dean Fishman, a Florida chiropractor, examined an X-ray of a 17-year-old patient’s neck in 2009 when he noticed something unusual. The ghostly image of her vertebral column showed a reversal of the curvature that normally appears in the cervical spine — a degenerative state he’d most often seen in middle-aged people who had spent several decades of their life in poor posture.

“That’s when I looked over at the patient,” Fishman says. She was slumped in her chair, head tilted downward, madly typing away on her cell phone. When he mentioned to the patient’s mother that the girl’s posture could be causing her headaches, he got what he describes as an “emotional response.” It seemed the teen spent much of her life in that position. Fishman says, “I knew I was on to something.”

The flexed neck can put a strain on cervical disks. (Zephyr / Getty Images/Brand X)

He theorized that prolonged periods of tilting her head down to peer into her mobile device had created an excessive strain on the cervical spine, causing a repetitive stress injury that ultimately led to spinal degeneration. He began looking through all the recent X-rays he had of young people — many of whom had come in for neck pain or headaches — and he saw the same thing: signs of premature degeneration.

Fishman coined the term “text neck” to describe the condition and founded the Text Neck Institute (, a place where people can go for information, prevention, and treatment.

“The head in neutral has a normal weight” of 10 to 12 pounds, says Fishman, explaining that the neutral position is ears over shoulders with shoulder blades pulled back. “If you start to tilt your head forward, with gravity and the distance from neutral, the weight starts to increase.”

A recent study in the journal Surgical Technology International quantified the problem: As the head tilts forward 15 degrees from neutral, the forces on the cervical spine and supporting musculature increase to 27 pounds. As the tilt increases, the forces increase to 40 pounds at 30 degrees, 49 at 45 degrees, and 60 at 60 degrees.

“When your head tilts forward, you’re loading the front of the disks,” says Dr. Kenneth Hansraj, study author, and chief of spine surgery at New York Spine Surgery & Rehabilitation Medicine. Though the study didn’t look at the long-term effects of this position, Hansraj says that, after seeing approximately 30,000 spinal surgery patients, he’s witnessed “the way the neck falls apart.”

He explains, “When you’re eccentrically loading the spine, you’re going to get cracks in the disks, slipped disks, or herniated disks. This leads to stenosis or blockage of the spine.”

In addition, Fishman says, text-neck posture can lead to pinched nerves, arthritis, bone spurs, and muscular deformations. “The head and shoulder blades act like a seesaw. When the head goes forward, the shoulder blades will flare out … and the muscles start to change over time.”

Much like tennis elbow doesn’t occur only in people who play tennis, text neck isn’t exclusive to people who compulsively send text messages. Hansraj says people in high-risk careers include dentists, architects, and welders, whose heavy helmets make them especially vulnerable. He adds that many daily activities involve tilting the head down, but they differ in intensity and propensity for mobile-device use.

I’ve noticed many adolescents slumped over their phones sitting in the passenger seat of their parent’s cars….there will be a whole range of physical and emotional problems resulting from this behavior; believe these printed words! See you in the future!

“Washing dishes is something nobody enjoys, so you do it quickly. And while your head is forward, it’s probably tilted at 30 or 40 degrees,” he says. People tend to change position periodically while reading a book and glance up frequently while holding an infant. But mobile devices are typically held with the neck flexed forward at 60 degrees or greater, and many users, particularly teens, use them compulsively. The study reports that people spend an average of two to four hours a day with their heads tilted at a sharp angle over their smartphones, amounting to 700 to 1,400 hours a year.

To remedy the problem, Hansraj has a simple message: “Keep your head up.” While texting or scrolling, people should raise their mobile devices closer to their line of sight. The Text Neck Institute has developed the Text Neck Indicator, an interactive app that alerts users when their smartphones are held at an angle that puts them at risk for text neck ($2.99, available for Android; in development for iPhone).

Fishman also recommends that people take frequent breaks while using their mobile devices and do exercises that strengthen muscles behind the neck and between the shoulder blades to increase endurance for holding the device properly.

He adds, “I’m an avid technology user — and I use it in the proper posture.”

Exercises To Ease The Strain Of ‘Text Neck’

If you’re not mindful of your body alignment, engaging with mobile devices for long periods can wreak havoc on your spine. This behavior can result in muscle strain, a straightening of the normal curvature of the cervical spine, disk compression, slipped disks, pinched nerves, and arthritis. Here are some exercises that can help prevent and relieve “text neck”:

Neck Stretches

Increasing the range of motion in the neck keeps the cervical spine flexible and helps maintain its normal curvature. Gentle stretches relieve neck tension as well as lengthen muscles that may have shortened due to chronic poor posture.

  • First, relax your shoulders and nod your head “yes” and “no” slowly a few times.
  • Then, holding one arm behind your back, grasp the side of your head with your opposite hand and press gently, tilting your head to the side until you feel a gentle stretch.
  • Hold for 20 seconds.
  • Next, tilt your chin up and hold for 20 seconds; tilt your chin down and hold for 20 seconds.
  • Repeat on the other side.

Chest Opener

Expanding the chest muscles helps to counteract slumped posture.

  • Stand in a doorway with your arms held out from the body like a T, forearms resting on each doorjamb at a 90-degree angle to upper arms.
  • Next, lean your body forward through the doorway, leading with your sternum until you feel a gentle stretch across your chest.
  • Hold for 20 seconds.
  • Now move your arms up the door jamb to position them like a V.
  • Repeat the forward stretch, holding for 20 seconds.

Shoulder, Upper Back & Neck Muscle Strengtheners

Strong muscles in the back of the neck and between the shoulder blades will support proper posture, preventing muscle strain and spinal degeneration. With more strength, you will be able to comfortably hold your mobile device in your line of sight without having to bend your neck forward and hunch over. Here are two exercises that help strengthen these postural support muscles:

Wall Angels

If you’ve ever made snow angels, you can use a similar movement to strengthen your shoulder muscles while standing against a wall.

  • First, stand with your heels, back, and head resting against a wall.
  • Hold arms perpendicular to the body with the forearms pointing upward at a 90-degree angle to your upper arms.
  • Press your shoulder blades back and down.
  • Keeping your arms bent at a 90-degree angle, move them slowly overhead without letting them lift from the wall.
  • Next, move your arms slowly until your upper arms touch the sides of your body. (Forearms are still perpendicular to upper arms, and shoulder blades are still locked down.)
  • Do 12 repetitions.

Sky Diver

  • Lying face-down on a mat or other firm, comfortable surface
  • Hold your arms straight over your head at an angle so your body forms a Y shape.
  • Lift your upper torso from the mid-back, leading with your sternum and keeping your chin down so your neck is aligned with your spine.
  • Hold for 30 seconds, then release. Next, still lying face-down, hold your arms straight out to the sides, so your body forms the shape of a T.
  • Rotate your arms so your thumbs are pointing skyward.
  • Once again, lift your upper torso from the mid-back, leading with your sternum and keeping your chin down.
  • While maintaining the upper body lift, pinch your shoulder blades together as you slowly lift and lower your arms for 12 repetitions.

Chiropractic Neck Discomfort Treatment

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The information herein on "Text Neck Syndrome and Chiropractic Care" is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional.

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Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

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Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*


Licensed in: Texas & New Mexico*

Dr. Alex Jimenez DC, MSACP, CIFM*, IFMCP*, ATN*, CCST
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