How To Prevent And Correct Forward Head Posture

Written by: Chris

Updated on:

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With the rise of smartphones and desk jobs in our midst, as well as more remote-working roles leaving individuals to take care of their office arrangements, we have seen a recent surge in the prevalence of forward head posture.

Forward head posture is a postural condition where the cervical spine adopts a forward-leaning misalignment and can cause mild to severe neck and upper back pain.

It can also progress into other postural conditions such as the similar upper-crossed syndrome and lower back pain. Also known as ‘texting neck‘, forward head posture is commonly found in those with seated desk jobs, poorly designed working conditions, and excessive smartphone use.

Luckily, forward head posture can be prevented or even corrected with therapeutic exercises and stretches that target the supportive musculature of the neck. Let’s take a closer look at what forward head posture is, and get into some of the preventative and corrective measures you can take to fix it.

Of course, if you are unsure or feel any pain while performing any exercise, stop and seek the advice of a healthcare professional.

Forward Head Posture Explained

Your human head weighs around 10 pounds, and when standing upright with perfect posture, it is stacked evenly over your cervical vertebrae, down your thoracic and lumbar spine, over your pelvis and finally down through your legs into the center of your feet.

That 10 pounds of skull won’t feel all that heavy when your joints are stacked.

Now picture yourself looking down at your phone with your head tilted down and sagging forward. Your skull and vertebrae are no longer stacked, and the musculature in your neck and upper back now has to work isometric overtime to hold your head in that position.

Over time, this will develop into a constant forward head posture. Your neck vertebrae will start to creep out on an angle so that your ears are always in front of your shoulders. The muscles in the back of your neck will lengthen and weaken and their fascia will thicken, leading to soreness and knots.

The muscles in the chest and front of the neck will shorten. You may start to develop neck pain, headaches, or tingling in your hands. You won’t even stand as tall as you did before.

How Should Forward Head Posture Be Tackled?

The first key to preventing forward head posture is to take inventory of your postural habits. Have someone take a picture of you sitting and standing normally. Are your ears over your shoulders or in front of them? Are your shoulders rounded forward or pulled back and down to open the chest?

Having these pictures can give you clues as to where to start with your prevention or correction program and also show your progress over time.

It is recommended to use the following series of exercises described below at least once every day. You may find it easiest and most effective to do the exercises immediately upon waking each morning and again when you are going to bed.

These exercises stretch the muscles most commonly shortened in forward head posture, and strengthen the muscles that have weakened to bring your head and neck back into alignment.

Exercise #1: Seated Chest Stretch

The exercise stretches the pectoralis and brachialis muscles.

  • Sit on the floor with your knees bent and your feet flat.
  • Place your hands about a foot behind you and as far apart as your hips. Ideally, your fingers will face forward, but to the side is fine if you don’t have that range of motion yet.
  • Take a soft bend in the elbows.
  • Draw the shoulder blades back and lift the upper chest.
  • Keep your hips on the floor.
  • Draw your chin back so your ears are in line with your shoulders. You should feel this stretch just below your collarbones.
  • Hold the stretch for 30 seconds and repeat for three repetitions.
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For a deeper stretch as you progress with this exercise, you can start to slowly lift the hips straight up and away from the floor. Keep your weight in your heels and maintain your neck alignment. Eventually, your torso and upper legs will come to parallel with the floor.


Exercise #2: Upper Back Pulls On the Wall

This exercise trains the middle and lower trapezius muscle fibers to pull your cervical spine back into alignment.

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  • Stand facing a wall and place the palms of both hands at least shoulder-height high on the wall in front of you.
  • Lean forward into your hands and bend at your hips, as shown above.
  • Squeeze your shoulder blades together and down your back.
  • Pull your chin back so your ears are in line with your shoulders.
  • Hold the contraction for 30 seconds and repeat for three repetitions.

Exercise #3: Stretching Trapezius and Suboccipital Muscles

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  • While sitting or standing tall, tuck your chin into your chest and look down.
  • Place the palms of your hands on the back of your head and gently press downward.
  • Hold for 30 seconds.
  • Then, rotate your right ear down slightly, maintaining the downward pressure with your hands, to stretch the left side.
  • Hold for 30 seconds.
  • Rotate your left ear down, maintaining downward pressure, to stretch the right side.
  • Hold for 30 seconds.
  • Repeat the sequence three times.

Exercise #4: Chin Retractions

This exercise will train your neck musculature to retain the “ears-over-shoulders” position for optimal posture.

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  • Begin by sitting or standing tall with your chin parallel to the ground.
  • Keeping your chin level, use your index and middle finger on one hand (your ‘peace’ fingers) to gently press your head back, giving yourself a double chin.
  • Relax any tension in your jaw.
  • Take your fingers away and try to keep your head in that position for 20 seconds.
  • Repeat for a total of three repetitions.

Summary

Prevention and early correction of forward head posture is key to eliminating neck and upper back pain.

If you work a desk job, you may find it helpful to adjust your workstation to accommodate your new postural habits. Try to raise your computer screen to eye level and keep it about two feet away from your face to encourage proper spinal alignment.

Paying close attention to your posture at work and at home, along with performing the above exercises, can help you commit to your health and wellness in just a few minutes a day.

Disclaimer: The content provided on this website is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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