PhysicalTherapy.com Phone: 866-782-6258


Understanding Tech Neck and Its Impact on Postural Health

Scott Cheatham, PhD, DPT, OCS, ATC, CSCS

June 15, 2025

Question

What is "Tech Neck", and how does it affect postural health?

Answer

Tech Neck, also known as Text Neck Syndrome (TNS), is a postural dysfunction caused by prolonged use of electronic devices such as smartphones, tablets, and computers. It is characterized by forward head posture, rounded shoulders, and excessive thoracic kyphosis. These postural deviations lead to muscle imbalances, increased stress on the cervical spine, and a higher risk of developing musculoskeletal pain and dysfunction. Research shows that excessive screen time—averaging nearly five hours per day for Americans—has significantly contributed to this condition.

Over time, the sustained forward head position places additional strain on the cervical spine, increasing the load from approximately 12 pounds in a neutral position to up to 60 pounds when the head is fully flexed. This excessive load can cause ligament stress, muscle tightness, and joint dysfunction, leading to symptoms such as neck pain, headaches, and even respiratory dysfunction due to altered diaphragm mechanics. Addressing Tech Neck requires a multifaceted approach, including ergonomic adjustments, posture correction exercises, and patient education to promote better habits and reduce strain on the cervical spine.

This Ask the Expert is an edited excerpt from the course, "Strategies for Correcting Postural Dysfunction: Tech Neck," presented by Scott Cheatham, PhD, DPT, OCS, ATC, CSCS.


scott cheatham

Scott Cheatham, PhD, DPT, OCS, ATC, CSCS

Dr. Scott Cheatham Ph.D. DPT, ATC, CSCS is a Full Professor and Associate Chair in the Department of Kinesiology at CSU Dominguez Hills in Carson, California. He is the owner of SportsPhysioRX, a sports and orthopedic physical therapy organization. Dr. Cheatham received his Doctor of Physical Therapy (DPT) and his Doctor of Philosophy (Ph.D.) in Physical Therapy. He is a Certified Athletic Trainer (ATC) and Certified Strength and Conditioning Specialist (CSCS). He also holds several fitness certifications and is a certified ergonomic specialist.  

Dr. Cheatham is a national presenter for various organizations and has authored over 200 peer reviewed publications, textbook chapters, conference/seminar presentations, and home study courses on the topics of sports medicine, orthopedics, and health & fitness. Dr. Cheatham is the co-editor-in-chief of the Journal of Fitness, Wellness, and Human Performance and serves on the editorial board of the Journal of Sport Rehabilitation.

Dr. Cheatham is an education and research consultant for various health and fitness organizations. His current clinical practice includes sports medicine, orthopedics, and sports-performance training services. 


Related Courses

Exertional Rhabdomyolysis: Management Strategies for the Physical Therapist
Presented by Scott Cheatham, PhD, DPT, OCS, ATC, CSCS
Recorded Webinar

Presenter

Scott Cheatham, PhD, DPT, OCS, ATC, CSCS
Course: #5168Level: Intermediate2 Hours
  'Love the presenter and how engaging he is as well as the information break down'   Read Reviews
Exertional Rhabdomyolysis (ER) is a serious medical condition resulting from the damage and breakdown of skeletal muscle fibers with leakage of muscle contents into the blood stream. ER can be caused by various conditions such as exercise overtraining and injury. The healthcare professional must be able to understand the medical condition, the clinical presentation, potential risk factors, and management strategies for patients who may be suffering with ER. This presentation is for the healthcare professional who desires an evidence-based update on this topic.

Overuse Injuries in Young Athletes: Recognition and Management Strategies
Presented by Scott Cheatham, PhD, DPT, OCS, ATC, CSCS
Recorded Webinar

Presenter

Scott Cheatham, PhD, DPT, OCS, ATC, CSCS
Course: #4429Level: Intermediate2 Hours
  'Really liked how the presenter kept us engaged'   Read Reviews
Overuse injuries have become more prevalent in youth athletes who participate in field and endurance sports. Early intervention by the healthcare provider may prevent such injuries from occurring and/or progressing. This presentation will discuss the latest evidence on overuse injuries including prevention, injury recognition, and management.

Advanced Concepts in HIIT and Circuit Training
Presented by Scott Cheatham, PhD, DPT, OCS, ATC, CSCS
Live WebinarWed, Oct 7, 2026 at 3:00 pm EDT
Wed, Oct 7, 2026 at 3:00 pm EDT

Presenter

Scott Cheatham, PhD, DPT, OCS, ATC, CSCS
Course: #5470Level: Advanced2 Hours
This presentation will discuss advanced concepts in high intensity interval training (HIIT) and circuit training as it applies to the healthcare professional. Exercise programming strategies for patients of all ages and fitness levels will be discussed including types of exercise, progression/regression, and patient/client monitoring. This presentation is for the healthcare professional who desires an evidence-based update of advanced HIIT and circuit training concepts.

Advanced Concepts in Sports Performance Training
Presented by Scott Cheatham, PhD, DPT, OCS, ATC, CSCS
Live WebinarThu, Oct 22, 2026 at 12:00 pm EDT
Thu, Oct 22, 2026 at 12:00 pm EDT

Presenter

Scott Cheatham, PhD, DPT, OCS, ATC, CSCS
Course: #5471Level: Advanced2 Hours
This presentation will discuss current concepts in sports performance training as it applies to healthcare professionals. Presentation topics include advanced resistance training, plyometrics, speed-agility-quickness, balance training, and integrated programming strategies for athletes of all ages. This presentation is for the healthcare provider who desires an evidence-based update of advanced sports performance training concepts.

Strategies For Correcting Postural Dysfunction: Tech Neck
Presented by Scott Cheatham, PhD, DPT, OCS, ATC, CSCS
Recorded Webinar

Presenter

Scott Cheatham, PhD, DPT, OCS, ATC, CSCS
Course: #5011Level: Intermediate2 Hours
  'Clear explanation and EBR'   Read Reviews
Poor posture, such as tech neck, has reached epidemic proportions, which can result in dysfunction and injury. Healthcare professionals have a unique role in educating patients about the hazards of poor posture. This presentation will discuss the current evidence and management strategies for tech neck as it applies to healthcare professionals.