
Shoulder and Upper Back Pain
Shoulder and Upper Back Pain Treatment in Amsterdam – Physiotherapy & Acupuncture
Shoulder and upper back pain are increasingly common in people who work at a desk, use laptops or smartphones for long hours, or experience ongoing stress. Although pain is often felt around the shoulders or between the shoulder blades, the true cause is rarely limited to that area alone.
At Alter Physio & Acupuncture in Amsterdam, we treat shoulder and upper back pain through a whole-body, integrated approach. By combining physiotherapy and acupuncture, we address not only local muscle tension and stiffness, but also posture, breathing mechanics, spinal mobility, and nervous system balance.
Rather than focusing solely on where it hurts, we identify why tension accumulates in the shoulders and upper back — and create a treatment plan that supports long-term recovery, improved movement, and reduced recurrence.
Common Causes of Shoulder and Upper Back Pain
Shoulder and upper back pain often develop due to a combination of physical overload and nervous system factors, including:
- Prolonged desk work and forward shoulder posture
- Rounded upper back and limited thoracic spine mobility
- Excessive tension in the neck and shoulder muscles
- Poor scapular (shoulder blade) movement control
- Breathing dysfunction and rib cage stiffness
- Stress-related muscle guarding
- Reduced recovery due to nervous system overload
In many cases, the shoulders and upper back become tense because they compensate for lack of movement or stability elsewhere in the body.
Why Shoulder and Upper Back Pain Keeps Returning
Many people try massage, stretching, or posture correction, yet the pain comes back. This often happens because:
- Deep stabilizing muscles are not functioning properly
- Superficial muscles remain overactive
- The thoracic spine does not move efficiently
- Stress keeps the nervous system in a heightened state
- Breathing patterns continue to overload the upper body
Without addressing these deeper factors, pain relief is usually temporary.
Physiotherapy for Shoulder and Upper Back Pain
Physiotherapy focuses on restoring efficient movement and load distribution, including:
- Detailed posture and movement assessment
- Manual therapy for the thoracic spine, shoulders, and ribs
- Exercises to improve scapular control and shoulder stability
- Mobility training for the upper back and rib cage
- Functional retraining for daily activities and work posture
The goal is not just strength, but balanced coordination and reduced unnecessary tension.
Acupuncture for Shoulder and Upper Back Pain
Acupuncture supports recovery by regulating the nervous system and muscle tone, helping to:
- Reduce chronic muscle tension
- Improve circulation and tissue recovery
- Calm stress-related pain responses
- Support headaches or neck stiffness associated with shoulder tension
This is especially beneficial when pain is linked to stress, fatigue, or long-standing stiffness.
Who This Treatment Is For
Our shoulder and upper back pain treatment is suitable for people who:
- Experience tightness or pain in the shoulders or between the shoulder blades
- Work long hours at a desk or computer
- Feel stiffness or discomfort during or after work
- Have pain associated with stress or fatigue
- Want a long-term solution rather than short-term relief
We treat office workers, active individuals, and athletes alike.
What to Expect During Your Session
- Comprehensive assessment of posture, movement, breathing, and nervous system balance
- Hands-on treatment combining physiotherapy and acupuncture as appropriate
- Personalized exercises and posture guidance
- Clear explanation of contributing factors and recovery strategy
Every session is adapted to your body, lifestyle, and goals.
Our Treatment Philosophy
At Alter Physio, shoulder and upper back pain treatment is guided by three principles:
- Relieve pain efficiently
- Address the underlying cause
- Build long-term movement and nervous system resilience
This approach supports sustainable recovery and prevents recurring tension and pain.
Book Your Shoulder and Upper Back Pain Treatment in Amsterdam
If shoulder or upper back pain is limiting your comfort, focus, or performance, we are here to help.
👉 Book an appointment and start your recovery with an integrated physiotherapy and acupuncture approach.


