Atlas Osteopathy

14 September 2010

Neck and upper back pain at the desk: C/T junction dysfunction

Ache across the shoulders, pain on neck movement, occasional shooting down an arm. The C/T junction is where the cervical and thoracic spine meet, and it's where desk posture catches up with you.

One of the most common presentations in clinic is neck and upper back pain. The classic symptoms: an ache across the shoulders, pain on neck movement, and occasional sharp shooting pain down one or both arms. This is often termed C/T junction dysfunction.

What the C/T junction is

The C/T junction is the section of the spine where the cervical (neck) spine meets the thoracic (upper back) spine. The two regions take on very different loads. The cervical spine curves forward (lordosis), the thoracic spine curves backward (kyphosis). Where the two meet, pain often appears in people with desk jobs and poor posture.

Why desk workers feel it

Office workers, students and professionals spend hours at a desk in front of a screen. Where ergonomic setup is poor, stresses on the body accumulate and lead to dysfunction. The pattern is usually:

The spine becomes irritated, muscle spasm sets in, and nerve compression follows. Hence the symptoms above.

What helps

A specific technique called the C/T lift opens up the junction, relieves the area from excessive pressure, and reduces any nerve compression. Combined with soft tissue work it clears the muscle spasm. The gains need to be maintained with a correct ergonomic setup of your workstation, plus stretching of the tight muscles and strengthening of the weak ones. We work through both in session.

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