A Comprehensive Look at How Posture Affects the Shoulder
A Comprehensive Look at How Posture Affects the Shoulder

A Comprehensive Look at How Posture Affects the Shoulder

A Comprehensive Look at How Posture Affects the Shoulder

Shoulder pain is an all-too-common complaint, making routine activities like lifting, typing, and sleeping much more difficult. However, many people are surprised to learn that shoulder pain is often connected to poor posture.

You’ve probably heard the old song about how the foot bone is connected to the knee bone (and the knee bone is connected to the thigh bone and so on). In the world of musculoskeletal care, we call this regional interdependence. This means something in one area of the body is affecting another area. As the song says: it’s all connected.

Well, this is definitely true when it comes to the functioning of our shoulder joints. Poor postural habits and prolonged slumped postures put the shoulder in a vulnerable position, making it susceptible to pain or injury. The good news is the multidisciplinary team at MSK Centre has extensive training in identifying all the factors contributing to your shoulder pain and, most importantly, how to resolve them one by one!

How Posture Impacts the Shoulder 

One significant factor contributing to shoulder pain is Upper-Crossed Syndrome (UCS). This condition is characterized by postural changes that affect how the muscles of the upper back and shoulder girdle work, which in turn affects the normal movement patterns in the entire upper portion of the body. 

The classic signs of Upper Crossed Syndrome include:

  • Forward head posture: The head is positioned forward in relation to the shoulders.
  • Rounded shoulders: The shoulders are rounded forward, causing the upper back to appear hunched.
  • Increased thoracic kyphosis: The upper back has an increased curvature, leading to a rounded appearance.
  • Protracted shoulder blades: The shoulder blades are positioned more forward and away from the spine.
  • Weak deep neck flexors: The muscles at the front of the neck that help stabilize the head are weak.
  • Tight pectoral muscles: The muscles in the chest area are tight and may contribute to the rounded shoulder posture.
  • Weak scapular stabilizers: The muscles that stabilize the shoulder blades are weak, leading to altered movement patterns.

These issues often lead to shoulder pain, limited range of motion, and impaired muscle function. Although these signs are common in many people, not everyone with them will have the same symptoms. This is why it is essential to consult with our physiotherapists and chiropractors to identify your specific needs and design a tailored treatment plan that addresses your situation.

The Role of Physiotherapy and Chiropractic Care in Resolving Your Pain

The first step to resolving your shoulder pain is a comprehensive evaluation. We will conduct a thorough history and physical exam that includes an assessment of your posture as well as the function of your shoulder blade musculature to identify any obvious changes to muscle activation and movement patterns. 

Based on the assessment, we’ll create a customized treatment program to help improve your posture and reduce your shoulder pain:

Manual Therapy

  • These hands-on techniques, including soft tissue and joint mobilization, can help manage acute pain and improve mobility at the early stages of your treatment. 

Spinal Manipulations

  • A cornerstone of chiropractic care, this technique involves sharply thrusting your spine through its current range of motion, helping to enhance spinal alignment and mobility.

Therapeutic Exercise

  • Our physiotherapists can design tailored exercise regimens that address spinal joint mobility and muscular imbalances that may affect your postural issues. Improving these areas helps correct any postural dysfunctions contributing to your shoulder pain. 

Postural Corrections

Our team will work with you to improve how you are holding and moving your body throughout the day–the key to maintaining proper posture regardless of what you’re doing. Training your body in the proper movement patterns that help to correct imbalances and offer lasting relief.


Take the First Step Towards Lasting Relief Today 

If you’re experiencing persistent shoulder pain, limited range of motion, or discomfort in your upper body, it’s important to seek treatment. These symptoms can have a long-term impact on your quality of life and overall well-being. 

Reach out to MSK Centre today for a comprehensive assessment and personalized treatment plan designed to help restore balance to your muscles, improve your posture, and, most importantly, alleviate your pain!


4 Leaf Raking Tips

For many of us, autumn is one of the most beautiful times of the year. There’s nothing like the cool refreshing air and breathtaking fall foliage. However, with the changing of the seasons comes a chore that we all dread– raking leaves. 

Thankfully, there are a few easy ways to make raking the leaves more enjoyable. If you need help with your follow through on this chore, keep reading!

1. If you can, rake downhill

Raking leaves is hard enough without having to go against gravity. Make this process a little easier on yourself by raking downhill.

2. Pull the leaves towards you as you rake

This technique helps keep stress off your back and prevents injury. For extra preventative measures, tighten your abdominal muscles as you move. 

3. Divide your lawn into sections 

If you’re dealing with a huge lawn, don’t overdo it by trying to tackle all the space in one day. Instead, divide your lawn into smaller, more manageable sections and spread the work out over a couple days. 

4. Wear the proper clothes 

To prevent blisters or bug bites, it’s important to wear long sleeves and long pants while raking. It’s also a good idea to invest in a pair of strong gloves to protect your hands while you work.

Patient Spotlight:

-Ches P.

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  • 1 cup oats
  • 1 large Granny Smith apple, diced
  • 1/2 cup fresh cranberries
  • 3 tbsp maple syrup
  • 1 tbsp pure vanilla extract
  • 1 tsp ground cinnamon
  • 1/2 tsp ground cardamom
  • 2 pinches of kosher salt
  • 4 1/2 cups unsweetened almond milk

    Toppings:
  • chopped apple
  • almond slices/chopped almonds
  • dried cranberries
  • ground cinnamon


Spray a 2-quart or 4-quart slow cooker insert lightly with cooking spray. Combine the steel cut oats, diced apple, cranberries, maple syrup, vanilla extract, cinnamon, cardamom, salt, and almond milk. Stir to mix thoroughly. Cover and cook on low heat for 6 hours (for firmer oats) to 8 hours (softer oats with the slightest chew), stirring once or twice if possible. As the oats are cooking a thin, dark colored skin may form on top of the oats and they will look slightly dry at first glance. Don’t worry. Go ahead and stir the oats well until they are creamy and smooth. If you prefer looser oats, stir in an additional half cup or so of almond milk. Serve hot and garnish with toppings as desired.

Refer a Friend


If you’ve experienced the outstanding care at MSK Centre, why not share it with your friends? Referring them means giving them access to personalized treatment that can make a real difference in their health and well-being. Help them find a trusted healthcare partner—refer a friend to MSK Centre today!

Staying Motivated To Eat Healthy

1. Set small, measurable goals that will help you get to your overall large goal.

2. Keep a food and exercise journal. This is extremely helpful to track how much you’re eating – sometimes you don’t realize how many small bites here and there add up. You can do a hand-written journal or go digital and log your food/fitness from the computer or your smartphone. 

3. Crowd processed junk food out of your diet by adding in nutritious whole foods.

4. Skip the pantry and head to the fridge. No one really keeps a lot of processed foods in their fridge because they’re usually self-stable. When looking for an afternoon snack, stick with something from the fridge (non-fat greek yogurt, fruit, veggies with hummus, edamame, etc.)

5. Try new foods. Eating the same meal every night can get old. Look for new healthy recipes online, in cookbooks or magazines so you don’t get bored with eating healthy.

6. Eat something every 2-3 hours. This keeps your metabolism running and also makes sure you don’t overeat after work.

7. Keep nutritious foods on hand and ready to eat. Preparation is the key to eating healthy! Having fresh vegetables and fruits, lean protein, healthy fats and smart carbs each week is super helpful for staying on track. 

Meet Our Team

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Robert Chalmers

B.Sc.(PT), B.A.(PHE), MCPA

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Drew Dupras

Hons. B. Kin, M.Sc.PT

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Jordan Fayez

BKin (Hon), M.Sc.PT

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Parth Suthar

Hons. BHSc. Kin, DPT

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Thirusan Thiruchelvam

B.Sc.Kin(Hons), M.Sc.PT, Cert.SMT

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Vito Manchisi

BKin Honours, MScPT

Adam-Yousufzay
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Adam Yousufzay

BSc Honours, MScPT

A Comprehensive Look at How Posture Affects the Shoulder
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Adrienne Paliyath

BSc(Kin), M.Sc.(P.T.)

MSK Centre
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Alexandra Ilich

B.H.Sc.(PT), H.B.Sc., MCPA, Advanced BoneFit™ Certified

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Patrick Lee

PT, BScPT, BSc, MSc

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Dr. Andrew Robb

BA, DC, FRCCSS(C), CSCS, Acu., ART®

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MD, BSc, FRCS(C), CIME

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