Having experienced and then overcome the chronic pain that poor posture caused me, I tend to think that everyone with poor posture will eventually develop some form of musculo-skeletal pain problem from it. But like a former smoker who rails against smoking, I tend to be over zealous. I can’t help but see examples of poor posture; like the tall slender preteen in line at the grocery store with her father. From the looks of her uniform, she’s just come from playing a sport like soccer, so she’s not a couch potato, but her high thoracic hunch and rounded shoulders is a mirror image of her father’s posture. I get to wondering how bad his neck pain is, and how bad hers will be in the future. Or there’s the checker, a young woman with the long, rounded swayback, exceedingly curled-in shoulders and a caved-in chest. I have this desire to snap their photos and show them what I see. I want to ask them, don’t you know your posture is ugly, and you’re messing your body up? But of course, it’s not my place to say anything. I know what comes of butting in. And really, these people don’t look like they’re in pain. (What does a person in pain look like? When I was in the midst of my pain-filled days, could you see the pain in my eyes?) In fact some studies have been done (I have to find the references) that found that many people with poor posture don’t have spinal pain. But on the other hand those with back and neck pain, often do have poor posture. So there’s a question of what comes first, the injury, whether acute or repetitive, that “caused” the pain or the poor posture? But as I’ve said before, my posture was bad from the beginning. It was only after a bad neck strain at age 21 that my neck pain began and never went away. So it would be easy to say that the bad neck strain and accelerated arthritic deterioration seen in my MRIs were the cause of my worsening neck pain. If I hadn’t overcome that neck pain by improving my posture and strengthening shoulder blade stabilizers, I wouldn’t have known that the root cause was poor posture, and not the spinal arthritis.