Adam McCluskey’s Routine for Neck and Shoulder Pain

Adam McCluskey’s Routine for Neck and Shoulder Pain

By Adam McCluskey, PT

As a physical therapist who specializes in shoulder and neck pain, I've seen countless patients struggling with discomfort after long days at their desks. If you're experiencing tightness in your upper traps, pain between your shoulder blades, or frequent tension headaches, you're not alone. Most of us spend hours leaning forward toward our computers, training our bodies into positions that create muscle imbalances.

There's a solution that doesn't require perfect posture every minute. I've developed a comprehensive approach using Chirp XR Wheels that addresses both sides of this problem—releasing tension in tight muscles while retraining your body to maintain better alignment. In this guide, I'll show you exactly how to use the 10" and 4" XR Wheels for immediate relief and long-term improvement.

The Desk Worker's Dilemma: Understanding Why We Hurt

When we sit at a desk for hours, our bodies drift into problematic positions. The computer draws us forward as we concentrate. Our shoulders roll forward in an "anterior tilt," shortening the muscles in the front while lengthening those in the back. Our head protrudes forward, creating neck tension that compounds these issues.

This forward head posture particularly affects the muscles at the base of your skull. These small but powerful suboccipital muscles become chronically shortened, triggering tension headaches and referring pain to other areas, like the head, the shoulders, and the upper back. Meanwhile, your upper trapezius muscles—running from your shoulder blades to your neck—become overworked supporting your head in this unnatural position. This creates that familiar knot of tension at the top of your shoulders.

These muscle imbalances cause several problems:

  • Headaches originating from tight suboccipital muscles

  • Shoulder pain from constant upper trap tension

  • Limited neck mobility leading to compensation patterns

What's important to understand is that these issues are interconnected—neck pain can come from shoulder problems and vice versa—which is why a comprehensive approach is necessary.

The Two-Part Solution to Long-Term Relief

When treating neck and shoulder pain, I emphasize two essential components:

  1. Release muscle tension and improve joint mobility. This means targeting tight areas like the suboccipital muscles and upper traps, helping them relax and lengthen. We also need to restore movement to stiff joints. Chirp XR Wheels excel here, applying targeted pressure to release tension while gently mobilizing restricted joints.

  2. Retrain your body to maintain better positioning. If we only release tension without changing how we typically move, the pain will quickly return. That's why I include specific exercises that strengthen the muscles needed for proper alignment. This dual approach creates both immediate comfort and long-term improvement, making it easier for your body to adopt healthier postures naturally.

Step 1: Releasing Tension with Chirp XR Wheels

Exercise 1: Using the 10" XR Wheel for Upper Back

Let's start with the 10" XR Wheel for your upper back and shoulders:

  1. Start: Place the wheel on the floor against the middle of your back while sitting

  2. Hand placement: Interlock your fingers behind your neck with elbows close together over your face

  3. Position: Gently lean back onto the wheel and roll it up between your shoulder blades, while keeping your hips level to the ground

  4. Movement: Slowly roll back and forth along your upper spine

  5. Time: Spend one and half to two minutes rolling, paying attention to especially tight spots

This motion extends your thoracic spine in the opposite direction of your typical desk slouch. It opens your chest and allows your shoulder blades to roll back into a better position. The 5-inch width of the Chirp XR Wheel fits perfectly between your shoulder blades, and the acupressure texture provides deeper release to tight muscles even while the “spinal canal” protects your spine.

Exercise 2: Using the 4" XR Wheel for Neck Tension

Next, use the 4" XR Wheel for tension at the base of your skull:

  1. Position: Lie on your back with the 4” XR Wheel under your neck and the angled nodules of the Wheel positioned against your suboccipital muscles—right where your skull meets your neck

  2. Movement: Perform gentle chin tucks by slightly drawing your chin toward your chest, then releasing

  3. Time: Spend one and half to two minutes tucking your chin, paying attention to especially tight spots and taking breaks, if needed

The angled nodules mimic the precise pressure a therapist applies during manual treatment. This creates a “traction effect: the nodules maintain pressure on tight suboccipital muscles while the chin tucks gently stretch them. This movement also trains the typically weak muscles in the front of your neck.

Step 2: Retraining for Better Posture

Exercise 1: The "Field Goal" Position

After releasing tension, retrain your muscles to maintain better positioning:

  1. Starting position: Keep the 10" XR Wheel between your shoulder blades with hips level to the ground

  2. Arm position: Extend arms out to your side with your elbows bent at 90° (like a referee's "field goal" signal)

  3. Movement: Draw elbows and thumbs backward toward the ground while keeping your back supported and then return them to the starting position

  4. Perform 2 sets of 15 repetitions, focusing on quality rather than speed

This movement activates the muscles in your upper back that typically weaken with desk work. The wheel prevents lower back arching while ensuring upper spine mobilization. You should feel the muscles between your shoulder blades engaging. 

Exercise 2: The "Open Book"

This exercise adds an essential rotational component:

  1. Starting position: Lie on the ground on your side with head supported on a pillow or yoga block and your knees bent comfortably—one leg on top of the other

  2. Setup: Extend both arms straight to one side at shoulder height—one on top of the other—with palms together 

  3. Movement: Keep your lower arm stable on the ground while opening the top arm upward and then outward toward the ground on the other side of your body

  4. Head movement: Allow your head to rotate with your arm toward the other side of your body, keeping it supported

  5. Return: Then return your swinging arm back to its original position

  6. Perform 15 repetitions on each side, then repeat for a second set

This rotation stretches your chest while activating upper back and spine muscles. It provides a different plane of motion, ensuring comprehensive mobility. This thorough approach ensures balanced development on both sides of your body.

Creating a Sustainable Routine

For optimal results, perform this entire routine with the Chirp XR Wheels twice daily—once in the morning and then again in the evening before bed. The morning session sets your body up for success before your day begins. The evening session resets after hours of potential strain, helping your body recover before sleep. This consistent reinforcement gradually trains your body to maintain better positioning. Remember: consistency trumps duration—5-10 minutes twice daily yields better results than occasional longer sessions.

Between these dedicated sessions, practice postural mindfulness without obsessing over perfection. Rather than forcing your shoulders back in an exaggerated military stance—which creates its own tensions—focus on a simple cue: sitting tall. Imagine a gentle rope pulling upward from the top of your head, lengthening your spine naturally. This single cue aligns your body optimally without requiring constant muscular effort.

Don't beat yourself up when you catch yourself slouching. If you've been hunched over for a few minutes while focusing on work, it's not catastrophic. What matters is building awareness and gradually increasing time in healthier positions

What to Expect

You should experience some immediate benefit after each session as muscles relax and joints mobilize. However, lasting change develops gradually:

  • Week 1: It becomes easier to sit tall without strain; tension develops more slowly during desk work

  • Weeks 2-3: Many report significant reductions in headache frequency and upper trap tension

  • Long-term: What once required conscious effort becomes your body's new normal

Remember that healing isn't perfectly linear—you might have days with more discomfort, particularly after stress or poor sleep. The key is maintaining your twice-daily routine regardless of how you feel on any given day. With patience and consistency, better posture and movement patterns develop naturally as your muscle balance improves.

=============

Adam McCluskey is a licensed physical therapist specializing in shoulder and neck rehabilitation. His journey in this field began with a kinesiology degree from UNC-Greensboro, where he focused on exercise science with a sports medicine concentration. After graduation, he worked in fitness and personal training while deciding if physical therapy was his calling. During this time, I noticed something interesting—he was particularly drawn to clients with injuries. When gym-goers would tell me they couldn't perform certain exercises due to shoulder limitations, he found himself fascinated with understanding why and helping them work through these restrictions. This passion for solving movement problems led him to pursue his doctorate in physical therapy at Chapman University in Irvine, California. Since 2017, Adam has been running his own practice, where he has gradually focused more specifically on shoulder mechanics and the interconnections between the upper back, shoulder, and neck. Adam is passionate about not just treating symptoms but educating patients on why problems occur and how they can take an active role in their recovery through effective home routines and mindful movement patterns.