Desk Job Dilemmas: Combating Neck and Shoulder Pain from Prolonged Sitting

Read time: 6 mins 

If you spend your working day hunched over a keyboard, you're certainly not alone. Millions of people across the UK – including many of my clients – are experiencing neck and shoulder pain and stiffness as a direct result of prolonged sitting and poor desk set up. What starts as a mild ache at the end of the workday can quickly develop into chronic discomfort that affects your quality of life, sleep and overall wellbeing.

The good news? You don't have to accept a pain in the neck as part of your desk job reality. Understanding the common causes of neck and shoulder pain and taking proactive steps in pain management can help you combat discomfort and prevent long-term problems.

Why Does Sitting Cause So Much Pain?

Our bodies simply weren't designed for the static postures that modern office work demands. When you sit at a desk for extended periods, several things happen simultaneously:

Forward Head Posture: For every inch your head moves forward from its natural position, the effective weight on your neck increases by approximately 4.5 kilograms. Spending hours looking at a screen can shift your head forward significantly, placing enormous strain on the muscles and joints of your neck and upper back.

Rounded Shoulders: Typing, using a mouse and leaning towards your screen causes your shoulders to round forward. This position stretches and weakens the muscles between your shoulder blades whilst shortening and tightening the chest muscles, creating muscular imbalances that lead to pain and restricted movement.

Reduced Blood Flow: Prolonged sitting reduces circulation to your muscles. Without adequate blood flow, muscles don't receive the oxygen and nutrients they need, leading to stiffness, fatigue and discomfort.

Static Muscle Tension: When you maintain the same position for hours, certain muscle groups remain contracted continuously. This constant tension leads to muscle fatigue, trigger points and eventually pain that can radiate from your neck into your shoulders, upper back and even down your arms.

The Mental Health Connection

It's worth noting that concurrent neck and shoulder pain doesn't just affect you physically. Chronic pain has a significant impact on mental wellbeing, contributing to stress, anxiety, poor sleep quality and reduced productivity. The relationship works both ways too – stress and tension often manifest as physical tightness in the neck and shoulders, creating a vicious cycle.

At SLS Therapy, I recognise the intricate connection between mental and physical wellness. Addressing your physical pain through soft tissue therapy can have profound benefits for your mental clarity and overall sense of wellbeing.

Practical Solutions for Desk-Related Pain

1. Optimise Your Workspace Set Up

Your desk setup plays a crucial role in preventing head and neck pain:

  • Monitor Height: Position your screen so the top of the monitor is at or slightly below eye level. You shouldn't need to tilt your head up or down to view your work.
  • Keyboard and Mouse Placement: Keep these close enough that your elbows remain at roughly 90 degrees and close to your body. Reaching forward repeatedly strains your shoulders and upper back.
  • Chair Support: Invest in a chair with proper lumbar support. Your feet should rest flat on the floor, with your knees at hip level or slightly lower.
  • Phone Use: If you spend considerable time on the phone, use a headset. Cradling a phone between your ear and shoulder is a recipe for neck pain.

2. Movement is Medicine

The single most important thing you can do is move regularly. Set a reminder to stand up and move every 30-45 minutes. Even brief movement breaks can significantly reduce muscle tension and improve circulation.

Try incorporating these simple desk stretches throughout your day:

  • Neck Rolls: Gently roll your head in slow circles, five times in each direction.
  • Shoulder Shrugs: Lift your shoulders towards your ears, hold for five seconds, then release. Repeat 10 times.
  • Shoulder Blade Squeezes: Pull your shoulder blades together, as if trying to hold a pencil between them. Hold for five seconds and repeat 10 times.
  • Chest Opener: Clasp your hands behind your back, straighten your arms and lift them slightly whilst opening your chest. Hold for 20-30 seconds.

3. Strengthen and Stretch

Beyond these quick fixes, developing a regular exercise routine that targets the muscles affected by desk work is essential. Focus on:

  • Strengthening exercises for the muscles between your shoulder blades and the back of your neck
  • Stretching for your chest, neck and shoulders
  • Core strengthening to support better posture overall

Regular movement not only prevents pain but also improves your mental health, reduces stress and boosts your mood – all crucial for maintaining wellness in demanding work environments.

4. Mind Your Posture

Whilst you can't maintain perfect posture all day (and trying to do so can actually create tension), developing awareness of your positioning helps. Periodically check in with yourself:

  • Are your shoulders relaxed or hunched up near your ears?
  • Is your head balanced over your shoulders or jutting forward?
  • Are you breathing deeply or taking shallow breaths?

Making small adjustments throughout the day can prevent the build-up of tension that leads to pain.

When to Seek Professional Help for Neck and Shoulder Pain

Sometimes, despite your best efforts with your office set up and self-care, neck or shoulder pain persists or worsens. This is when professional intervention becomes valuable. Chronic pain, numbness or tingling in your arms or hands, severe headaches or pain that interferes with sleep are all signs you should seek help.

Soft tissue therapy can be particularly effective for desk-related pain. This hands-on approach works to release muscle tension, break down adhesions, improve circulation and restore proper movement patterns. At SLS Therapy, treatments are tailored to address the specific muscular imbalances and tension patterns that develop from prolonged sitting.

Additionally, acupuncture can provide significant relief for neck and shoulder pain by reducing muscle tension, decreasing inflammation and promoting the body's natural pain-relieving mechanisms.

The Bigger Picture: Prevention and Holistic Wellness

Addressing desk-related pain isn't just about treating symptoms – it's about adopting a holistic approach to your physical and mental wellbeing. My SLS methodology focuses on prevention as much as treatment, empowering you with the knowledge and tools to maintain your health long-term.

Remember that mental clarity and physical resilience are interconnected. When you're free from pain, you can focus better, sleep more soundly and approach both work and life with greater energy and positivity.

Take Action Today: Prevent Tech Neck From The Start

Don't wait until occasional discomfort becomes chronic pain. Start implementing these changes to your workspace and daily routine now. Your body will thank you for it.

If you're already experiencing persistent neck and shoulder pain, or if you want to take a proactive approach to preventing it, professional support can make a significant difference. SLS Therapy specialises in helping people like you overcome the physical challenges of desk work through expert injury management and personalised treatment plans.

Your desk job doesn't have to mean a life sentence of pain and discomfort. With the right approach, you can feel fighting fit – where pain relief meets performance – and get back to your best self.


Ready to address your desk-related pain? Book an appointment with SLS Therapy today and begin your journey to wellness. Your neck and shoulders deserve the care and attention that will help you thrive, both at work and beyond.

Meet Sarah:

Sarah is the founder of SLS therapy and will be your wellness therapist during your treatment, she will create a bespoke care plan that fits your individual needs.