Physiotherapy for Neck and Shoulder Pain

Mid-life Shoulder & Neck Load: From Office Work to Weekend Projects

Whether you’re in your 30s, 40s, 50s, or beyond, chances are your shoulders and neck have started reminding you that they exist… especially after a long week at work or a busy weekend of sport, hobbies, DIY projects, or gardening.

I often hear my clients say things like: “After a week of sitting or repetitive work, I feel stiff and sore… and weekend activities make it flare up”.

Sound familiar?

This is what I often refer to as a “poor load balance.” It happens when our activity levels, posture, and recovery don’t quite match what our body needs. The result? Tightness, stiffness, or even sharp pain that settles with rest — only to return again once the cycle repeats.

Understanding your Tissue Load

Your shoulders and neck are incredible systems, designed for both mobility and control. But when their balance is thrown off, symptoms like pain or stiffness can start to appear.

Think of it this way: if you suddenly went out and ran 20 kilometres without any preparation, how would your body feel afterwards? Sore, tight, maybe even injured…  because your tissues weren’t conditioned for that level of load.

The same idea applies to your everyday activities. If you’ve been sitting at a desk all week, your tissues have adapted to that position. Then, over the weekend, you decide to garden, paint, or take on a big DIY project. That sudden increase in load is like an untrained long run for your shoulders and neck… and can easily cause a “flare-up” or what we call a “load spike”, where extra stress is put onto tissues that aren’t used to it.

physiotherapy for neck and shoulder pain helps tissue load.
Your tissue adapts to the position it is mostly in

How to Manage Load Effectively

Managing shoulder and neck load isn’t just about avoiding pain or taking a break… in fact, only resting won’t help you get better. The goal is to help your tissues adapt and become stronger and more resilient over time.

Our bodies are incredibly smart. They’re constantly responding to how much you move, how long you stay in one position, and how much stress you place on them. So, the aim isn’t to stop moving, it’s to find balance and gradually build tolerance to the movements and activities you do throughout the week, especially before tackling bigger tasks on the weekend.

Here are a few key ways to manage load more effectively:

1. Avoid sudden load spikes

  • Instead of going from zero to full effort on weekends, include small bursts of activity during the week.
  • Think “gradual exposure” — slowly increase your activity levels so your tissues have time to adapt.


2. Break up long periods in one posture

  • Even the “best” posture can cause stiffness or discomfort if you hold it too long.
  • Try to change your position, stand up, or stretch every 30–40 minutes.


3. Be mindful of stress and breathing

  • Stress can cause tension and tightness through your neck and shoulders.
  • Practice deep breathing, take short walks, or try mindfulness to help your body (and mind) relax.
regular stretching helps ease tissue load - physiotherapy for neck shoulder pain
Be sure to stretch every 30-40 minutes

Building Your Tissue Capacity

The most important step in preventing shoulder and neck problems is building your tissue capacity.

This involves strengthening key muscles, improving joint mobility, and building endurance form the foundation for recovery and long-term performance.

Ultimately, the goal isn’t just to avoid pain or manage load forever, it’s to return to the activities you love, confidently and without fear.

By balancing your load to reduce symptoms and creating opportunities to build your tissue capacity, you’re investing in lasting resilience and helping prevent future flare-ups.

A great place to start is with gentle thoracic (upper back) mobility exercises such as:

  1. Prayer stretch
  2. Open book stretch
  3. Thread the needle stretch

Not sure how to do these? Check out our video on social media where we demonstrate each movement!

Seeking Physiotherapy for Neck and Shoulder Pain

If your stiffness or pain persists, or you’re unsure why it’s happening, a physiotherapist can help by:

  • Assessing which structures are irritated
  • Identifying why those areas are being overloaded
  • Recognising movement or postural habits that may be contributing
  • Providing manual therapy to ease symptoms
  • Designing a personalised strengthening and mobility plan to rebuild your tissue capacity safely


The earlier you address the cause, the easier it is to break the pain cycle and get back to your normal activities.

Small, consistent changes now can make a big difference to how your body feels and performs for years to come.