Acupuncture and Chinese Medicine for upper back, shoulder, neck pain

(Colorado Pain Care, 2026)

We frequently see clients presenting with persistent upper back, neck, and shoulder tension.While many have tried various modalities, those who seek acupuncture often do so because they have not found sustained relief elsewhere. A common denominator for these persistent issues is often poor posture, particularly from slouching over desks and devices or improper sleep positions.

Acupuncture is highly effective in treating this tension. However, to achieve lasting results and prevent symptoms from returning, it is crucial to complement your treatments with a proactive approach to posture.

What is "Poor" Posture?

Poor posture occurs when joints and limbs are misaligned—often involving rounded shoulders or a forward head position. This places strain on the body, leading to muscle imbalances, stiffness, and pain. Modern examples include hunching over computers or phones for long periods. Sleep positions also play a role; stomach sleeping or unsupported side sleeping can misalign the spine. It is essential that your mattress and pillows support a more ideal position.

What is Ideal Posture?

Ideal posture maintains the spine’s natural S-curve, aligning the ears, shoulders, hips, and ankles vertically while keeping the core engaged. Since it is difficult to maintain this all day, especially at a desk, I recommend taking "shoulder breaks" every 30–60 minutes. While standing desks are popular, they are not a perfect solution as they can lead to early muscle fatigue. Alternating between sitting and standing every 30–60 minutes is more effective.

For sleep, back sleeping with a pillow under the knees is generally best for spinal alignment. If health conditions make this difficult, supported side sleeping is the next best option. Side sleepers should use a head pillow of the correct height to keep the neck straight and a pillow between the knees to keep the legs in a neutral position.

Understanding Postural Strain and Pain

Muscles operate most efficiently at their ideal resting length.Poor posture, such as rounded shoulders or a forward-head position, forces your muscles out of their ideal resting length. While chest muscles and hip flexors become shortened and tight, the opposing back muscles become overstretched and weak. This overstretching causes microscopic tears and inflammation, which the body signals as pain and stiffness to prevent further damage. 

The Role of Acupuncture

Acupuncture relaxes tight muscles and helps "reset" those that have been overstretched.  Additionally, the treatment triggers the release of endorphins and serotonin, which modulates the nervous system to reduce inflammation and suppress pain transmission.

Clinical Experience and Moving Forward

Our primary goal is to reduce your daily discomfort, as chronic pain can significantly impact your work performance, mood, and stress levels. For sustainable improvement, it is essential to incorporate regular stretching to enhance your posture and support long-term relief.

Weakened or shortened muscles cannot handle sudden, heavy strain without risking further injury. I encourage clients to be mindful of your activity levels as your pain subsides, as increasing exercise too quickly can cause symptoms to return.

About the Author

Youngmi Choi

Ripple Acupuncture | Charlestown | Newcastle

As an AHPRA-registered acupuncturist with 15 years of nursing experience, I offer safe, effective, and holistic care. My special interests include women’s health & fertility, pain management, psycho-emotional well-being, and digestive balance. My approach is outcome-focused, and clients receive a clear care plan with personalized lifestyle advice.

If you have any questions about your pain, please make an online booking, submit an online enquiry or call me on 0402 474 884. 

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Reference

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