The Weight of the World on your Shoulders

Why Do I Have Neck Pain?

Flow Physio London

February 22, 2022
Neck pain

The phrase ‘The weight of the world on your shoulders’ could not be more apt in the current climate.  There are a number of causes of neck pain, through a thorough assessment completed there are then a number of treatment options available to help deal with the problem and assist with prevention also.

A very topical subject at present is the effect of the COVID -19 pandemic. With people returning to work following the pandemic, the sudden changes in peoples work set up has caused a situation in which the body needs to adapt to. The pressures associated with the daily commute and the overall stress of being back in the office are certainly causing an increased number of neck pain complaints at Flow Physio London.

People’s natural inclination when something is sore is to rest, however research shows that exercise as part of physiotherapy should be the first treatment approach.


What causes neck pain?


  • Poor Posture
  • Repetitive Motion
  • Bad Sleep Habits
  • Stress
  • Jaw Related Tension: Grinding/ Clenching
  • Carrying Heavy Loads
  • Pinched Nerves
  • Sports Injuries
  • Car Accident
  • Arthritis
  • Infection
  • Tumor
  • A Fractured or Collapsed Vertebrae
  • Disc Herniation
  • Fibromyalgia
  • Spinal Stenosis (Narrowing within spinal canal)


It is noted that 75% of the population experience neck pain at some time during their life


Everyday life is not kind to the neck, the familiar tension of working at the computer all day long. This is rarely something that starts overnight but evolves over time. With a constant irritant causing then a low level of inflammation which builds over a period of time there can be a concern regarding chronicity. This can explain on occasion why symptoms can take a long time to resolve.


Stress has been proven to have a significant impact upon neck pain


We all know when we are stressed, we can experience a certain level of tension at our neck and shoulders. One reason for this is a link with a specific motor nerve controlling both the neck muscles and inspiration. When stressed, breathing becomes shorter and more laborious causing use of the top of the lung and rib cage causing a level of tension at this level.


Flow Physiotherapy guide to Neck Pain



Analysis of posture that may be contributing to pain and stiffness.



Aiming to help you to understand the biomechanics behind the pain. Focusing on prevention.


Symptomatic relief:

Provide relief through massage, mobilisation and acupuncture.


Exercise prescription:

An individualised, targeted programme to address areas of dysfunction.


Work based desk assessment


Onward referral if required for imaging/ surgical review





Evidence suggests that when suffering with neck pain the first recommendation is to seek professional guidance from a physiotherapist.


At Flow Physio London we are determined to get to the root of the issue.


Within assessment it is important not only to evaluate physically, however, consider the impact of stress, emotions and beliefs upon the experience of pain.


For more information please refer to:

1. Headspace: can be fantastic for guided meditation as a management tool for stress relief:

2. Schopflocher D, Taenzer P, & Jovey R. The prevalence of chronic pain in Pain Res Manag. 2011; 16(6): 445–450.10.1155/2011/876306 [PMC free article][PubMed] [CrossRef] [Google Scholar]

3. Nazari G, MacDermid J, Bryant D et al. The effectiveness of surgical vs conservative interventions on pain and function in patients with shoulder impingement syndrome. A systematic review and meta- analysis. 2019; 14(5). 10.1371/journal.pone.0216961.
PubReader | ·  ePub (beta) | ·  PDF (2.5M) | ·  Cite

4. Refer to my Instagram handle: flowphysiolondon


Please also contact me with any questions you may have

Picture of Florence Penny

Florence Penny

Owner & Founder of Flow Physio London

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Flow Physio London is a tranquil space offering a bespoke, holistic approach to physiotherapy and wellness optimisation. A service offering cutting edge research driven treatment techniques to deliver results whilst being inspired by a desire to help people. Flow Physio London aims to fuse interior design providing a clean crisp feel with warmth creating a healing environment. We have a wealth of knowledge treating musculoskeletal injuries, post op orthopaedic rehabilitation and sports injuries.

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