The patient sought help complaining of chronic neck pain, stiffness, and occasional headaches, especially after prolonged work hours. She reported these symptoms as well as limited neck mobility starting roughly 2 months ago and unfortunately, she has been recently feeling upper back discomfort as well.
The patient had long hours of desk work with poor posture (forward head, rounded shoulders), as well as mild stress from work deadlines as an accountant. There were no significant trauma or surgeries related to the cervical spine, and no underlying health issues, except mild hypertension, well-controlled with medication.
The clinician noted forward head posture with rounded shoulders (classic turtleneck syndrome) as well as tenderness in the cervical paraspinal muscles and upper trapezius. There was indeed reduced cervical range of motion (especially in flexion and rotation) and hypertonicity in the SCM (sternocleidomastoid) and levator scapulae muscles.
Electroacupuncture was prescribed for her twice weekly for 4 weeks, followed by reassessment. Stimulation lasted 20-30 minutes per session, and mostly focused on the muscles of the neck, as well as a little bit on the shoulder area.
- Week 1-2: Reduced neck stiffness and headaches. Improved sleep.
- Week 3-4: Noticeable improvement in posture, enhanced range of motion, and less reliance on pain medication.
- Follow-up: Incorporate Pilates-based strengthening to sustain results.