Understanding Upper Cross Syndrome
As a chiropractor, I often treat patients with chronic neck pain, headaches, and upper back pain. Many of these cases involve postural distortions, particularly Upper Cross Syndrome[1]. Addressing these issues is essential for achieving a stable recovery. To help patients, we need innovative strategies. Patients must understand their conditions and how self-care can aid their recovery.
What is Upper Cross Syndrome?
Upper Cross Syndrome is a common postural distortion. It includes a combination of:
- Head Forward Posture
- Increased Thoracic Curvature (Kyphosis)
- Rounded Shoulders
These issues create muscle imbalances that can lead to significant pain. Relying on pain relievers like ibuprofen is not a long-term solution. Ibuprofen is not vitamin I. Persistent use of analgesics can be excessive.
One major challenge in treating Upper Cross Syndrome is thoracic kyphosis. Successful treatment requires improving mobility and achieving lasting motion. However, adjusting the thoracic area can be difficult, as these joints are challenging to retrain.
The Cross-Bench Pullover Exercise
One effective exercise for this condition is the Cross-Bench Pullover. Here’s how to perform it:
Setup
- Lie face-up on a bench, positioning your body perpendicularly.
- Use a solid dumbbell (do not use adjustable weights).
- Grasp the dumbbell with both hands, controlling one end of the weight.
- Your upper back should be supported on the bench, while your head and hips hang off the sides.
Movement
- Keep your elbows slightly bent.
- Slowly lower the weight behind your head while inhaling deeply. This helps expand your rib cage and drop your hips to maximize thoracic extension.
Return
- Lift the weight back to the starting position.
- Focus on your shoulder movement, allowing your clavicles and shoulder blades to move freely.
- Your elbows should remain stable, only ensuring the weight clears your face.
Repetitions
Start with a set scheme of 12 reps for 3 to 4 sets. Begin with lighter weights to master control and technique. Gradually increase resistance to enhance your stretch and rib cage expansion. Always prioritize control and avoid pushing to failure.
Why the Cross-Bench Pullover is Beneficial
The Cross-Bench Pullover is an excellent movement that complement the more popular training movements. It also had a hidden bonus- it engages the long head of triceps better than any other movement I’ve seen and is gets results toning the back of the arms. Don’t tell anybody, it’s our secret.
[1] Upper-crossed syndrome. Physiopedia. (n.d.). https://www.physio-pedia.com/Upper-Crossed_Syndrome