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DO YOU HAVE UNEVEN SHOULDERS?

7/16/2020

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"Uneven shoulders" are often noticed when you look in the mirror as you get dressed after a shower. This can be a cause of various symptoms such as tension headaches, pain, tightness, pins and needles and a lack of general mobility in the neck and shoulders. Most of the time, it is not a major health concern. Common causes include:
  • Poor posture - due to lifestyle factors leading to muscle imbalances (muscle tightness and weakness) 
  • Scoliosis - a twisted spine which could be congenital or environmental
  • Being heavily dominant on one side of the body - for example, a regular tennis player or a manual labourer who uses a particularly heavy tool frequently
  • Pinched nerves in the neck or shoulder 
  • Less common - neurological conditions such as cerebral palsy, muscular dystrophy, spinal muscular atrophy, spina bifida and spinal cord trauma
Depending on the clinical diagnosis, physiotherapy which may include postural education, manual therapy and corrective exercises can be beneficial to correcting these common issues in mild-moderate cases. In more severe cases, surgery and medication may be considered.

If you are worried about having "uneven shoulders", please do not hesitate to get it professionally assessed by an appropriately trained physiotherapist or your GP.


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Video: Do you have a cervicogenic headache or neck pain?

7/7/2020

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70% of patients who present with neck pain at Acland Street Physiotherapy are clinically diagnosed with cervicogenic headaches or "tension headaches". "Cervicogenic" simply means the headaches are originating from the cervical spine or neck region. It is important to note that different medical conditions can trigger this pain. his includes osteoarthritis, disc prolapses, or even a whiplash injury. It can also be caused by lifestyle factors such as occupational or personal stress and poor posture.  Falling asleep in an awkward position with an unsupportive pillow can also trigger such symptoms.

Depending on the cause or trigger, this condition generally responds well to physiotherapy advice and treatment. Treatment may involve heat therapy, dry needling, soft tissue massage release of the affected structures including muscles, nerves and ligaments). Stiff joints in the neck (often the cervical facet joints often respond very well joint mobilisation, joint manipulation and therapeutic exercises.


This is an introductory explainer YouTube video (3:54) I often share with my patients at Acland Street Physiotherapy who are clinically diagnosed with cervicogenic headache. Enjoy!
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    Author


    ​Barry Nguyen
    ​Founder & Head Physio

    Barry is an Australian qualified physiotherapist with over 19 years clinical experience in sports and musculoskeletal injuries.
    ​
    Many of my patients and GPs whom I work with use this resource! 

    Got a question for Barry?

    Feel free to join his "Ask Barry The Physio" 
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