Posture ProblemsSymptoms & Treatment

Posture issues often relate to habits, strength and mobility. Physiotherapy helps build capacity and reduce strain.

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What are posture problems?

Common areas include the neck, shoulders and lower back. Targeted mobility and strengthening can reduce pain and improve function.

“Posture” is less about a single perfect position and more about having the capacity to move between positions comfortably. Sensitivity often builds with prolonged time in one position and eases with movement variety and progressive loading.

Who it affects and typical treatment

Who it affects

  • Office workers and students with long device time
  • People returning after inactivity or illness
  • Workers in repetitive roles or long driving hours
  • People with high stress or poor sleep impacting recovery
  • Those with mobility limits impacting position variety

Typical treatment plan

  • Mobility plus postural endurance/strength
  • Workstation strategies and position variety
  • Education on flare‑up management and pacing
  • Gradual increases in tolerated sitting/standing time
  • Gradual exposure to tolerated time under task

Common causes

Sedentary habits

Prolonged sitting with little movement variety.

Muscle deconditioning

Reduced endurance in postural muscles.

Mobility limits

Thoracic, shoulder or hip stiffness changes posture.

Work setup

Suboptimal desk or device use patterns.

Common symptoms

  • Neck or shoulder ache with desk work
  • Lower back stiffness after sitting
  • Fatigue holding certain positions
  • Headaches or eye strain later in the day
  • Discomfort using phone/laptop for long periods

Related symptoms: Neck pain, Back pain

How a physiotherapist can help

  • Ergonomic advice and movement variety
  • Postural endurance and strength training
  • Mobility for thoracic spine, shoulders and hips
  • Load management and activity planning for work/study
  • Education to reduce fear and improve self‑management

Effective treatments

Exercise therapy

  • Scapular, trunk and hip endurance/strength
  • Task practice for desk and daily activities

Therapeutic exercise

Manual therapy (short‑term)

  • Pain‑modulating techniques to support movement
  • Joint mobilisation as indicated

Manual therapy

Education & self‑management

  • Move more often; vary positions
  • Set up desk/device ergonomics

Treatment methods

Adjuncts

  • Heat/ice for comfort
  • Short‑term analgesics as advised

See all physiotherapy treatments

At‑home management

Mobility

  • Thoracic rotations and extensions
  • Hip flexor and hamstring stretches
  • Neck mobility and gentle chin‑tucks

Strength

  • Scapular setting and rows
  • Trunk endurance (dead bugs, bird‑dogs)
  • Hip/glute strengthening

Habits

  • Change positions every 30–60 minutes
  • Set reminders for movement breaks
  • Optimise desk/device setup

What to expect in physiotherapy

Assessment

Movement and endurance screening; ergonomic and activity review. Red flags are screened and a plan is tailored to your goals.

Plan

Mobility and endurance plan, workplace strategies, progress milestones. Expect meaningful change over 4–8 weeks with consistent practice.

Progress

Advance time under task and variety; reduce symptom sensitivity. Loads and complexity are increased gradually to build resilience.

Medical Disclaimer

This information is for educational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.