
Posture Could Be the Culprit
Behind Your Shoulder Pain
— December 2025 —

No one likes dealing with shoulder pain. The discomfort and immobility can prevent you from doing daily activities like grabbing something off a high shelf or reaching up to brush your hair. So, when your shoulder starts hurting, it’s important to figure out why.
Often, shoulder pain stems from an injury. For example, rotator cuff tears, in which the muscles and tendons that wrap the shoulder become damaged, are common and can result from a sudden traumatic injury like a fall or develop gradually.
However, sometimes, shoulder pain might not have such a clear-cut cause. One of our patients learned this for herself–we’ll call her Diana. She was dealing with persistent shoulder pain and couldn’t figure out why. Fortunately, the physical therapists and occupational therapist at Preferred Physical Therapy Associates were on the case.
And the culprit? It turned out to be Diana’s posture.
Meet Diana, Receptionist Extraordinaire
Diana had worked as a receptionist and administrative assistant for years. She enjoyed her work, but it did require her to spend long hours sitting in front of a computer as she sifted through spreadsheets and calendar appointments.
Her issues with shoulder pain began gradually. They had always been a little stiff, but the restricted range of motion had worsened in the last few months. She also noticed tightness in her chest and twinges of pain throughout her shoulders and neck.
Diana tried to ignore her symptoms at first, thinking they’d eventually go away on their own. Instead, they became more frequent, worsening enough that Diana struggled to sit at her desk long enough to get any work done. That was when she came to visit us.

Our Team Was on the Case
As always, we started Diana with a comprehensive assessment to help us understand the root cause of her discomfort. We took her health history, talked to her about potential injuries, how she organized her day and her workstation, and conducted several movement screens–including a postural screen.
The postural screen was where we made headway. After reviewing Diana’s posture while she was sitting, standing up, and moving around, we noticed the following:
- She held her head forward in relation to her shoulders, a stance called “forward head posture.”
- She tended to round her shoulders, giving her slight kyphosis, or a hunched posture, in her upper back.
- Her shoulder blades were protracted away from her spine.
The signs were clear: Diana had developed upper cross syndrome.
Upper cross syndrome is a condition marked by postural changes that have a waterfall effect throughout the body. Diana’s postural impairments had impacted the muscles in her upper back and shoulder girdle. As a result, the movement in her upper body became impaired, leading to her pain and mobility restrictions.
A Personalized Solution to Lasting Pain Relief
Now that we understood why Diana was experiencing shoulder pain, we could develop a customized treatment to correct her posture and address the muscular impairments and imbalances that had led to her symptoms in the first place.
The foundation of Diana’s treatment was a comprehensive therapeutic exercise program. Our occupational therapist began by improving her shoulder’s range of motion through simple mobility exercises.
After a few weeks, Diana was ready to begin strengthening the affected muscles. Using equipment like resistance bands and weights, our physical therapists guided Diana through targeted exercises that addressed muscular weakness and imbalance.
Throughout her program, we also helped Diana improve her overall posture. Like many people, she thought postural improvements were about “sitting up straight.” In reality, she needed to keep her spine aligned as she moved through different postures throughout the day.
Because Diana had a desk job, our occupational therapist worked with Diana to improve the ergonomics of her workstation, including adjusting the layout of her mouse and keyboard. This made it easier for her to maintain a proper posture. We also encouraged Diana to use a timer to remind herself to get up every 30 minutes or so and walk around the office.
While it took a little effort on Diana’s part, eventually, her pain receded, and her shoulders were more mobile than they’d been in years. To make sure she didn’t relapse, we provided her with exercises to do at home to keep her upper body strong.

Is Your Posture Causing You Pain?
Diana learned just how important posture is. If you’re struggling with persistent shoulder pain, call the team at Preferred Physical Therapy Associates. We’ll dig down to the source–and give you the guidance you need to correct the issue.
Your Progress Matters To Us!
Return to Preferred Physical Therapy and Let’s Continue Your Journey to Wellness Together. Schedule Your Appointment Now!


Tips for a Healthy Holiday Season
The holiday season is upon us, and getting wrapped up in the fun, festivities, and food is easy. While the joy of the season sparks a feeling of goodwill towards others, it’s also important to remember our physical well-being.
Keep yourself feeling your best to enjoy the holidays by following these three tips:
- Remember to Move: Prioritize exercise by taking a 20-minute brisk walk or doing a home workout. Movement can do wonders for your physical and mental well-being.
- Eat with Moderation: With tempting holiday treats all around, balance sweets with wholesome meals that include fruits, vegetables, and lean proteins.
- Mind Your Posture: Whether cooking, wrapping gifts, or working from home, being aware of your posture helps minimize back and neck pain.
Prioritizing your physical well-being helps you to be present and active in celebrating the holiday season with loved ones!
Here’s to a healthy, happy holiday season and a fantastic new year ahead!
December Word Scramble
vegnreree
wannsmo
rewtah
ircfapeel
eslhgi
ilodyha
Answer Key
evergreen
snowman
wreath
fireplace
sleigh
holiday

ANOTHER
5 STAR REVIEW
“I have been to several physical therapy facilities, and I was overwhelmed with the service I have received at Preferred Physical Therapy. From the front desk, to my physical therapist, Laura, the care and the professionalism that I received were far above the rest. If I should ever need care again, this is the place I will go to.”
–Lee B.
MEMBERSHIP PROGRAM
Due to the ever-changing world of healthcare and the evolving field of physical therapy, Preferred Physical Therapy Associates has created a Membership Program to help us continue providing the same high-quality, personalized care we’ve offered for the past 18 years. This program allows us to strengthen relationships with our patients, build lasting trust, and offer enhanced services that go beyond traditional care.
For $109, Members gain access to multiple modalities, including Physical Therapy (PT), Occupational Therapy (OT), and more, ensuring a comprehensive and well-rounded approach to your health and wellness. All patients of Preferred Physical Therapy Associates are eligible to become Members, and while we encourage everyone to join, participation is optional.
Click to find out more about the benefits of the Membership Program at Preferred Physical Therapy!

These No-Bake Chocolate Peppermint Balls are a festive, bite-sized delight that’s as easy to make as it is to enjoy. Rich, minty, and perfectly sweet, they’re the ultimate holiday treat without the hassle of baking!
Enjoy This Seasonal Healthy Recipe!
No-Bake Chocolate Peppermint Balls
- 10 tbsp cocoa powder
- 6 tbsp maple syrup
- 1/4 cup almond butter (can use SunButter or nut-free spread)
- 1/4 cup unflavored pea protein powder
- ½ tsp peppermint extract
- 1/4 tsp sea salt
- 2-4 tbsp crushed candy canes
- 2-4 tbsp dairy-free chocolate chips (optional)
Put everything except the candy cane and chocolate chips into a bowl and mix well. Slowly add water if needed (You may not need any water if your almond butter is runny). Start with a teaspoon and slowly add until you get a well-mixed batter. If you add too much then the batter will be too soft to roll. Add the candy canes/cacao nibs and chocolate chips and mix again. Allow batter to chill in the fridge while you clean up, then roll into balls.

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Don’t let pain dictate your life. Take the first step towards reclaiming your mobility and well-being with our expert support. Start your journey to a healthier you today.















