We see neck pain regularly in our routine practice. Most of the time it is associated with shoulder pain/pathology

We have patient complained of pain while looking down/up during ADL (activity of daily living). Those who spend extensive time with gadgets are more prone for neck pain.

Let’s understand what exactly happens when neck pain occurs….

Many times we do not check for scapula dysfunction during arm elevation. Scapula dysfunction is also a contributing factor in neck pain. When there is downward rotation with anterior tilt of scapula, there is tightness in pectoralis minor and insufficiency of lower trap and serratus anterior. 

When there is downward rotation of scapula, levator scapula become

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