• What is a Dowager’s Hump

A Dowager’s Hump, commonly seen in modern society, is a condition where the lower cervical spine (C7 vertebra) protrudes outward, creating a noticeable bump. This condition is particularly prevalent among individuals with poor posture or those who spend long hours engaged in desk work. Key causes include:

  • Poor Posture:
  • Prolonged use of smartphones or other devices (text neck).
  • Forward head posture (turtle neck).
  • Muscle and Fascia Strain: Poor posture causes surrounding muscles and fascia to pull toward the protruding area, leading to inflammation and hardening.
  • Other Contributing Factors: Aging, osteoporosis, fat accumulation, or developmental abnormalities.
  • Symptoms of a Dowager’s Hump
  • Early Signs: Deep horizontal lines or creases on the back of the neck, often a precursor to the hump.
  • Mild Cases: General neck and shoulder discomfort, particularly in the Upper trapezius area.
  • Severe Cases: Arm Pain or Weakness: Compression of cervical nerves. Causes numbness or weakness in the arms.
  • Cervicogenic Headaches: Tension in neck muscles or fascia leads to headaches, dizziness, nausea, or insomnia.
  • Can a Dowager’s Hump Be Corrected?

Yes, it can often be improved or even eliminated with appropriate treatment. There are two main approaches: medical intervention and posture correction exercises.

  • Medical Treatment
  •  
  • Physical Therapy
  • Heat Therapy: Reduces pain and inflammation.
  • Cervical Traction: Relieves pressure on the cervical spine.
  • Shockwave Therapy: Loosens tight fascia and muscles.
  • Prolotherapy: Strengthens tissue through controlled inflammation and repair.

  • Medications
    • Anti-inflammatory Painkillers: To reduce inflammation.
    • Muscle Relaxants: Relieve muscle tension.
  • Posture Improvements
  • Avoid Long Hours Looking Down:
  • Hold your phone higher or use a stand.
  • Optimize Workstation
  • Use a monitor stand so your screen is at eye level.
  • Proper Sitting Posture
  • Sit with your back straight, using lumbar support if needed.
  • Stretch Regularly:
  • Take breaks every 30 minutes to stretch your neck and shoulders.
  • Corrective Exercises
  • Wall Chin Tucks:
  • Stand against a wall, relax your shoulders, and tuck your chin inward.
  • Hold for 10 seconds, repeat 3–5 times, and do 2–3 sets daily.
  • Towel Stretch:
  • Hold a towel overhead, lower it behind your shoulders, and squeeze your
  • shoulder blades together.
  • Repeat 10–20 times, keeping your body upright and abs tight.