Vital Edge

The desk, the neck,
and the same shoulder

It did not arrive on a particular day. It goes on holiday with you, comes back by the Wednesday, and is never quite today's problem.

The Return

Your working week
keeps bringing it back

Tick whatever is true. It's not a test and there's no score. It shows which areas your week keeps straining, and what that means for how often you'll need to come back.

Neck
Desk posture, screen height and how you sleep. It often starts in the upper back, not the neck itself.
Upper back
Long hours at a desk and shallow breathing. Usually felt as tightness between the shoulder blades.
Hip
Lots of running or cycling, or the opposite: long hours sitting with your hips bent.
Lower back
Long hours sitting, lifting technique and stiff hips. The back is usually where you feel it, not the cause.
Shoulder
Overhead work in racquet sports and the gym, or long hours held still at a desk.
It comes back. That doesn't mean it isn't working

A session can't stop you sitting for eight hours a day. The sitting is the cause and it isn't going anywhere, so the next week of work puts back what a session took off. That's why people who sit all day tend to book regularly instead of one session at a time.

Usually monthly. Most people start after a flare-up and keep coming once it has settled. Desk all day, on the Rhythm
How regular slots work
Where it starts

There is no incident
to describe

Most people who come in can name the moment it started: a tackle, a lift that went wrong, the mile their calf went. So the first question in a first session is usually some version of "what happened?"

That question doesn't work here, because nothing happened. There was just the same Tuesday, over and over. You've probably answered it already by telling yourself it's been like this for a while. And it's one shoulder, not both, and you already know which.

And the boundary is the same here as everywhere else on this site: if it turns out to need a diagnosis, a scan or a prescription, Jonathan will say so and point you to the person who can, rather than work around it.

Jonathan is amazing. I’ve been managing shoulder pain for a few years and finally feel like I’m making progress in the past few months after starting treatment with him. He has great knowledge and techniques. Don’t think twice.
David Shepherd· Read review on Google
Say what your week looks like
Answered elsewhere

Three things this page
does not answer

Before you book

Questions desk workers ask

Is this a posture problem I should be fixing myself?

Partly, but nobody can tell you without seeing it. The panel above describes the strain of long hours in one position and where it usually ends up. Whether your shoulder is taking it the way most do is what a session is for.

Is it my chair, or my desk setup?

They matter, and they are not the whole of it. If a new chair had been going to fix it, it would have fixed it in the first fortnight. That is worth knowing before you buy another one.

Shouldn't I just stretch more?

Stretching helps and it's free, so it's a good place to start. The trouble is that Monday morning tends to undo it. If a few weeks of stretching hasn't shifted it, that tells you something useful. It doesn't mean you did it wrong.

Should I be seeing somebody medical instead?

Possibly, and Jonathan is the one who will say so. He is not a physiotherapist, and this is soft tissue work, one-to-one. If what you have turns out to need a diagnosis, a scan or a prescription, he will tell you and point you at the right person rather than keep you on the table.

I sit all day but I also train. Which one is doing it?

Usually both, and the combination is what people underestimate. A shoulder held still since nine doesn't arrive at the gym fresh. It's worth mentioning in the first ten minutes.

How long before it comes back?

It does come back, because nothing here changes the hours you sit. How often people actually come back is at the end of this page.

You can book without knowing which area is causing it. Finding out is the first thing Jonathan does.

Book a session

After the first few

And then what
usually happens

Something that has been there for years usually takes three to six sessions: weekly at first, then spaced out as it improves. Somewhere along the way, the thing you came in with stops being on your mind.

What nobody tells you is what happens after that. There are really only two options.

01

Stop here

Most people do, and it is a perfectly reasonable end to it.

The work has done what it was going to do and you get on with your life. Nobody will chase you, there is nothing to cancel, and you are not on a list. If something else goes in two years you know where he is.

02

Keep something going

Usually monthly. Most people start after a flare-up and keep coming once it has settled.

Not four sessions a month, and not a plan written in advance. Just a time that stays in your diary, so it's one less thing to decide. That's a standing slot, and there are three kinds, depending on whether you have a season, an event date, or neither.

Which one suits you isn't something to decide from a web page. It's a conversation at the end of a session, with someone who has just worked on the problem and can give you an honest view.

The maintenance page shows the nine routines other people have settled into, each in that person's own words.

See what the rhythms look like

Elsewhere

If it is not quite this

Or start from where you are: something already hurts, or nothing hurts yet.

Book