Your neck hurts. Again. It started with a little stiffness, then became a constant ache, and now sometimes it sends pain up into your head or down into your shoulders.
If you work at a computer, you’re not alone. Neck pain is one of the most common complaints among office workers, affecting up to 50% of people who work at computers regularly.1 Research shows that prolonged computer time significantly increases the risk of neck pain, especially when combined with poor posture and inadequate ergonomics.2
The good news: computer-related neck pain usually isn’t caused by anything serious. It’s mechanical—the result of poor posture, inadequate ergonomics, and muscle imbalances. And mechanical problems have mechanical solutions.
Why Computer Work Causes Neck Pain
When you work at a computer, several things typically happen:
Your head moves forward
Instead of sitting balanced over your spine, your head drifts toward the screen. This is forward head posture, and it’s almost universal among computer users.
Every inch your head moves forward adds about 10 pounds of effective weight on your neck. A head that’s 3 inches forward puts around 40 pounds of strain on muscles designed to support 10-12. These muscles fatigue, tighten, and eventually hurt.
Your shoulders round
As your head moves forward, your shoulders follow, rounding toward the screen. This is rounded shoulders, and it further strains the muscles connecting your neck to your upper back.
You stay static
When you’re focused on work, you barely move. You might sit in essentially the same position for hours. This static load fatigues muscles and reduces blood flow to tissues that need it.
Your screen is in the wrong place
If your screen is too low (laptops are terrible for this), too far away, or off to the side, you have to crane your neck to see it. Hours of this creates strain.
Stress adds tension
Mental stress often manifests as physical tension in the neck and shoulders. Computer work is often stressful, and that stress goes straight into your muscles.
This combination—forward head, rounded shoulders, static posture, poor ergonomics, and stress—is the recipe for computer-related neck pain. The medical term is tech neck, and it’s epidemic in our digital age.
Signs Your Neck Pain Is Computer-Related
Not all neck pain comes from computer work. But these signs suggest your work setup is the culprit:
- Pain develops or worsens during or after computer work
- Pain is worse at the end of the workday
- Pain improves on weekends or vacations
- Stiffness in the morning that loosens up, then returns as you work
- Pain is accompanied by tension headaches
- You also have upper back pain or shoulder tension
- You can see that your head is forward when you look in a mirror
The Fixes: Three Areas to Address
Solving computer neck pain requires addressing three areas: your workspace setup, your movement habits, and your muscle imbalances.
Fix 1: Your Workspace
Get the ergonomics right, and you remove the cause of the problem.
Monitor height: Your screen should be at eye level. The top of your monitor should be at or slightly below eye level. You shouldn’t have to tilt your head up or down to see it.
If you use a laptop, this is critical—laptop screens are always too low. Get a separate keyboard and mouse, and elevate your laptop to eye level with a stand or books.
Monitor distance: Your screen should be about arm’s length away (20-26 inches). If it’s too far, you lean forward to see it. Too close and your eyes strain.
Monitor position: Directly in front of you, not off to one side. If you use multiple monitors, put the one you use most directly ahead.
Keyboard and mouse: Close enough that you’re not reaching forward. Your elbows should be at about 90 degrees, close to your body.
Chair: Supports your lower back. Your feet flat on the floor (or a footrest). Knees at roughly 90 degrees.
Document holder: If you reference documents while typing, put them at screen height beside your monitor, not flat on your desk.
For a complete ergonomic setup guide, see desk posture exercises.
Fix 2: Your Movement Habits
Even with perfect ergonomics, sitting still for hours causes problems. You need to move.
Take breaks every 30-45 minutes: Stand up. Walk to get water. Look out a window. Studies support the use of microbreaks, indicating that taking short active breaks every 20 minutes is optimal for comfort and productivity.3
Change positions: Vary between sitting, standing (if you have a standing desk), and moving. No single position is good for hours on end.
Move your neck: Gently rotate your head, tilt it side to side, look up and down. Not aggressively—just enough to take your joints through their range.
Do desk stretches: A few minutes of desk posture exercises a few times a day can prevent pain from developing.
Fix 3: Your Muscles
The muscle imbalances from computer work need active correction through exercise.
Chin tucks: The most important exercise for computer neck pain. Strengthens the deep neck flexors that hold your head over your spine.
- Sit tall
- Pull your chin straight back (like making a double chin)
- Hold 5 seconds
- Repeat 10-15 times
Do these multiple times throughout the day—at your desk, in your car, whenever you think of it.
Upper trapezius stretch: Releases the muscles that get tight and painful from forward head posture.
- Sit tall, grab the bottom of your chair with your right hand
- Tilt your head to the left, ear toward shoulder
- Hold 30 seconds
- Repeat on other side
Levator scapulae stretch: Releases another key muscle that causes neck and shoulder blade pain.
- Turn your head 45 degrees to the right
- Look down toward your armpit
- Gently add pressure with your hand
- Hold 30 seconds
- Repeat on other side
Thoracic extension: Mobilizes your upper back, which gets stuck in flexion from hunching.
- Sit in your chair, hands behind head
- Arch back over the chair, extending through your mid-back
- Don’t arch your lower back—movement is from mid-back
- Hold 2-3 seconds
- Repeat 10-15 times
Chin tucks against resistance: Progression for stronger neck muscles.
- Place fingers on your forehead
- Do a chin tuck while gently pushing against your fingers
- Hold 5 seconds
- Repeat 10 times
For a complete routine, see our 10-minute posture workout and our guide to tech neck. For a quick office-friendly neck stretch session, this Neck Desk Refresh routine can be done between meetings to keep tension at bay.
Quick Relief When Pain Hits
When your neck is hurting right now:
Heat or ice: Heat relaxes tight muscles and increases blood flow. Ice reduces inflammation. Experiment with both—most people prefer heat for chronic tension.
Gentle movement: Don’t stay frozen. Gentle range-of-motion movements can reduce stiffness. But don’t force through sharp pain.
Self-massage: Press into the tight muscles at the base of your skull, the sides of your neck, and the upper shoulders. Hold on tender spots for 20-30 seconds.
Change position: Get out of the position that caused the pain. Stand, walk, lie down—anything different from sitting at your computer.
Chin tucks: Gently. These can relieve pain by taking pressure off stressed tissues.
Prevention Is Better Than Treatment
Once you’ve addressed the acute pain, focus on prevention:
- Fix your workstation ergonomics (do this once, benefit forever)
- Take regular movement breaks (set a timer)
- Do daily exercises for neck and posture
- Manage stress (it goes straight to your neck)
- Watch your phone posture too
- Sleep in a position that supports your neck
See sleeping positions for posture for guidance on nighttime neck care.
When to See a Doctor
Most computer-related neck pain responds to the changes above. But see a healthcare provider if you have:
- Pain that radiates down your arm
- Numbness or tingling in your arm or hand
- Weakness in your arm or hand
- Severe pain that doesn’t improve with rest
- Pain following an injury
- Headaches that are severe or worsening
- Difficulty with coordination or balance
These could indicate nerve involvement or other issues that need professional evaluation.
The Long-Term View
Computer work isn’t going away. If you work at a computer, you need ongoing strategies to protect your neck.
The fixes in this article aren’t one-time solutions—they’re habits. Set up your workspace once. But the movement breaks, the exercises, the awareness—these are daily practices.
The payoff is worth it. Less pain, more energy, better focus, fewer headaches. Your neck supports your head and connects to everything—when it’s healthy, everything works better.
Start with the workspace fixes today. Add the exercises tomorrow. Make movement breaks a habit. Your neck will thank you.
Related articles:
References
The Posture Workout app includes desk-friendly routines with reminders to move throughout your workday. Download it free →
Cote P, et al. The burden and determinants of neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine. 2008;33(4 Suppl):S60-74. See also: Blangsted AK, et al. One-year randomized controlled trial with different physical-activity programs to reduce musculoskeletal symptoms in the neck and shoulders among office workers. Scand J Work Environ Health. 2008;34(1):55-65. ↩︎
Jun D, et al. Occupational and non-occupational risk factors for neck and lower back pain among computer workers. Int J Occup Saf Ergon. 2022;28(2):1065-1071. Taylor & Francis ↩︎
Henning RA, et al. Frequent short rest breaks from computer work: effects on productivity and well-being at two field sites. Ergonomics. 1997;40(1):78-91. See also: Physiopedia. Office Ergonomics and Neck Pain ↩︎