Assessment of your real working posture
Observation of how you sit, where the screen, keyboard and arms sit at your actual desk, to identify what is repeatedly loading the neck and shoulders.
Office Syndrome Physiotherapy at Home
Neck, shoulder and upper back pain from long hours at a screen tends to return whenever the working setup stays the same. A home visit means your actual desk — the one you use every day — is what gets assessed.
Why office syndrome keeps coming back
Office syndrome is not one condition but a group of symptoms produced by holding a position for long periods while repeatedly loading the same muscles. The result is tightness through the neck, shoulders and shoulder blades, while the muscles that should be supporting them do less and less.
What makes it persist is an unchanged workstation. Screen height, keyboard distance, chair height and where the arms rest all determine which muscle groups carry the load all day.
Working in your home means the setup is assessed directly rather than described from memory, so the adjustments can be made the same day.
Symptoms clients commonly describe
These symptoms usually track with working posture and how long you spend at a screen without a break.
- Pain or tightness in the neck, shoulders and shoulder blades, worst in the afternoon and evening
- Headaches associated with tension in the neck and base of the skull
- Numbness or fatigue spreading down the arm or into the hand
- Limited shoulder movement, or a catching feeling when reaching for things
- Upper back pain between the shoulder blades during long spells at the desk
- Symptoms that ease at weekends and return once work resumes
How assessment and care work
Care addresses both the symptoms and the setup that produced them, to reduce how often they return.
Muscle and range of movement examination
Assessment of tightness through the neck, shoulders and shoulder blades, the strength of the muscles that stabilise the shoulder blade, and neck and shoulder range of movement.
Managing tightness and tender points
Physiotherapy techniques matched to the assessment findings, reducing tightness before strength work begins.
Training the supporting muscles
Work on the under-used muscle groups so they take load back from the ones that have become overtight.
Workstation and break adjustments
Recommendations for screen height, chair, keyboard position and a realistic rhythm for changing position through the working day.
Short exercises for the working day
A set of exercises brief enough to be done reliably, even on busy days.
What each visit includes
Each visit runs approximately 60 minutes and covers the following.
- Assessment of working posture at your real desk
- Examination of the neck, shoulders and shoulder blades
- Supervised management of tightness with the physical therapist
- Recommendations for screen height, chair and equipment position
- A short exercise set designed for the working day
- Review and adjustment of the plan at the next visit
Common questions about office syndrome
Do I need to take time off work?
Usually not. The plan is designed to run alongside your normal work, by changing the setup and adding more frequent position changes through the day.
Massage or physiotherapy for neck and shoulder pain?
Massage can feel relieving in the short term. Physiotherapy assesses the underlying movement and strength factors and builds a plan aimed at reducing how often the symptoms return.
What should I prepare for the assessment?
Please leave your desk set up exactly as you actually use it, including the chair, screen and everyday equipment, so the assessment reflects real daily use.
I work from home on a laptop only — can that be adjusted?
Yes. The therapist will advise on raising the screen, using a separate keyboard and supporting the arms, working first with whatever you already have in the house.
Ready when you are
Appointments are available 24 hours a day, seven days a week, subject to availability and initial screening. Please book at least one hour in advance.
Health & safety notice
Information on this website is intended to describe the service. It is not a diagnosis or individual medical advice. Acceptance of a case depends on screening and assessment. In an emergency, or if symptoms are severe, contact emergency medical services or attend a hospital immediately.
PIMOTION is not an emergency service. Thailand emergency medical services: 1669