One of the most difficult patterns of compensation to assess, ‘Uneven Shoulders’ is a complicated Strength or Muscle Imbalance occurring in many people without their knowledge. This pattern of compensation usually develops in an individual due to a previous injury and/or lifestyle factors, including simple habits such as carrying a bag on only one shoulder

Uneven shoulders are easily observed in a static posture assessment. However, the causes or the nature of the Strength/Muscle Imbalance involved in this compensation pattern is not as easily noticeable due to the complex nature of the movement of the Hips, Torso/Core, and Shoulders. In some individuals, the Upper Trapezius (Neck/Shoulder) Muscle may be tight and overactive, while in others it may be the Latissimus Dorsi (Back) or Pectoralis (Chest) or even the Quadratus Lumborum (Low Back) Muscles that are tight and overactive.

RX: Use soft tissue therapy and stretching techniques to systematically address all muscles in the body. Practice movement in training with the largest Range of Motion possible for the individual. Additionally, attempt to change simple Daily Life Activities, such as wearing a bag on the opposite shoulder and opening doors with the opposite (non-dominant) hand. The combination of mobility training with the change of Daily Life Activities will help eliminate the repetitive movements that create ‘Uneven Shoulders’ and have a negative effect on posture.