15 December 2023
Author: Louise Atwill of Bowen Body Therapy in Bristol
Neck pain is a very common issue that I see in my Bowen Therapy clinic. There are numerous causes, too many to list here, but some presentations can be attributed to a pinched nerve, injury (such as whiplash) or physical and emotional stress for example. However, a contributing culprit to neck pain for women, especially with larger breasts, can be a poorly fitting bra. With the ease of online shopping, many women have never had a professional fitting. Research conducted in 2010* found that 85% of women who chose their own bra were wearing the incorrect size.
The head is a hefty lump, weighing between 2.3-5 kg or 5-11 lb, supported by the structures of the neck. Believe it or not, wearing the wrong size bra can affect your posture which is likely to contribute to slouching. It follows therefore that neck and shoulder pain may well appear when the structures are under considerable, added pressure due to poor posture.
Consequently the straps and band of the bra should work together to distribute the weight evenly across your shoulders and back. This promotes better posture and reduces the risk of developing back and neck pain.
Tight bras can restrict your breathing. When the band is too snug, it can compress your ribcage making it difficult to take deep, full breaths. (The effects of poor breathing will be a topic for another day.)
Recommendations from a professional bra fitter:
At a new client’s first appointment, not only do I take time to listen to their medical history, I look for subtle, visible clues which may be contributing to their discomfort.
Clients with larger breasts who come to my Bowen clinic suffering with neck restriction, shoulder issues, back ache or a combination of all three often share a common trait. They wear painfully tight back and shoulder bra straps which dig deeply into their skin with their breast tissue spilling over the top and sides of the cup.
This is why a whole body, holistic approach is important, because it is these observations, alongside Bowen treatment that could provide long lasting change.
Using thumbs or fingers, gentle moves are applied to stress-loading areas of the body. The light touch stimulates the sensory nervous system which relays messages via the spinal cord to the brain. This ‘two-way’ conversation between the brain and sensory nervous system enables the body to detect imbalance, initiate realignment without force or manipulation. Bowen Therapy can also reduce muscle tension, improve circulation and aid relaxation.
When a client is suffering with a stiff, sore neck; upper back ache &/or shoulder restriction and sharp pain, my approach is to consider the body as a whole. I don’t just work on ‘parts’ of the body or the ‘bits’ that hurt. Each session is a full body treatment including tiny, at times incredibly powerful, moves at the base of the skull and down the neck. I advise an initial course of 3 appointments, each a week apart and for these clients, I would include the superb Bowen shoulder procedure too.
As well as a ‘hands-on’ physical therapy such as Bowen, I would gently advise they wear a correctly fitting bra. In addition, if they use a bag with a long strap, I would note its weight and which shoulder it hung from. As is frequently the case, I would recommend replacing it with a trendy backpack to spread the load more equally across the body and to relieve the weight on one shoulder.
In conclusion, I take a holistic approach at every session by incorporating the appropriate Bowen moves, and looking out for less obvious details which will often make a dramatic difference to the outcome.
* Optimising breast support in female patients through correct bra fit. A cross-sectional study.
Deirdre E McGhee1, Julie R Steele DOI: 10.1016/j.jsams.2010.03.003
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