What is Round Shoulder? More Than Just a Posture Issue?

by Son PMR(Physical medicine & Rehabilitation ) & Chiropractic Clinic in Seoul

In today’s modern society, where people spend long hours using smartphones and computers, rounded shoulders have become increasingly common. This condition is characterized by the forward rounding of the shoulders, often accompanied by poor posture, muscle imbalances, and potential discomfort in the neck, shoulders, and upper back.

🧍‍♂️ Common Symptoms

  • Stiffness or heaviness in the neck and shoulders

  • Headaches and eye strain

  • Pain in the upper back or near the shoulder blades

  • Numbness or tingling in the arms and hands

  • Shallow breathing and a feeling of tightness in the chest

If left unaddressed, this condition can lead to Upper Crossed Syndrome or Myofascial Pain Syndrome, which may further impact your quality of life.

🔧 Treatment Approaches at Son Chul-ho Rehabilitation Clinic

At Son Chul-ho Rehabilitation Clinic, we take a comprehensive approach to musculoskeletal conditions like round shoulder. Based on a patient’s individual condition, we utilize a combination of evaluation methods and therapeutic techniques, including:

1. Upper Cervical Spine Evaluation & Treatment

  • Misalignment of the C1 and C2 vertebrae can affect overall posture.

  • We assess posture, leg length discrepancies, and head rotation responses to determine the best upper cervical treatment approach.

2. Chiropractic Adjustment

  • Spinal adjustments help restore proper alignment of the spine and nervous system.

  • We focus on balancing the spine, pelvis, and shoulder girdle for optimal posture correction.

3. Intramuscular Stimulation (IMS) Therapy

  • Thin needles are inserted into tight muscles to release chronic tension and trigger points.

  • This method is particularly beneficial for tight chest muscles (pectoralis major and minor) and overactive upper back muscles.

4. Nerve Block & Perineural Injection Therapy

  • For patients experiencing significant pain, selective cervical nerve blocks, suprascapular nerve blocks, or scapular nerve injections may help reduce inflammation and discomfort.

5. Myofascial Release Therapy

  • We target contracted and adhesed fascia to promote mobility and circulation.

  • Commonly treated muscle groups include pectoralis major/minor, trapezius, levator scapulae, and rhomboids.

📋 Treatment Protocol (Customized Based on Patient Needs)

StepEvaluation/TreatmentPurpose
1Postural Assessment + Upper Cervical EvaluationIdentify root cause and major contributing factors
2Prone Leg Check + Head Rotation TestDetermine if C1 or C2 misalignment is present
3Upper Cervical Adjustment (C1 or C2)Restore spinal-head balance
4Myofascial Release + IMS (Pectoralis, Levator Scapulae, etc.)Reduce muscle tension
5Nerve Injection Therapy (if needed)Pain relief and inflammation control
6Postural Exercises & Home Stretching GuidancePrevent recurrence and improve daily posture

⚠️ This protocol serves as a general guideline.
Treatment approaches may vary depending on individual conditions, and results can differ for each patient.

💬 Final Thoughts

Round shoulder is not just a cosmetic issue—it can lead to chronic pain, movement restrictions, fatigue, and even neurological symptoms over time.

Small adjustments in posture and movement can make a big difference in overall health.
At  Son Rehabilitation Medicine & Chiropractic Clinic, we are dedicated to helping our patients restore balance and improve their quality of life through professional, evidence-based treatments.

👍Consultation and Appointment Information

Son PMR & Chiropractic Clinic( 2nd floor, 229-1 Gucheonmyun-Ro, Gangdongu, Seoul, South Korea) 

by  Dr Son MD & DC 
Contact: 02-482-8875 in Seoul( +82-2-482-8875)


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