Boda rider rubbing a stiff neck

The road into town

Helmet on, shoulders up near your ears.

The helmet goes on. Your shoulders creep up. Your neck holds your head still against the wind, all the way to town.

The people in these stories are illustrations, not real clients.

The moment

The helmet goes on and your shoulders creep up. Your neck holds your head still against the wind, past the matatu stage, past the market, all the way to town. At the end of the day you rub the back of your neck without noticing you are doing it.

What is usually going on

The muscles at the back of the neck and across the top of the shoulders work all the time to hold your head up. When you stay in one position for hours, with the head forward and the shoulders lifted, those muscles tire and tighten. The ache often arrives in the evening, not on the bike. Vibration from the road, a heavy helmet and gripping the handlebars all add to it. Drivers, tailors, mamas carrying loads on the back and anyone who looks down at a phone for long hours feel something similar.

Illustration of tense neck and shoulder muscles
The neck and shoulders. Illustration. Not a diagnosis.

What we do about it

We check how your neck and shoulder blades move and where the tension sits. We use hands-on treatment and, where it suits you, medical massage to ease the tight muscles. We also give you a few movements you can do at a stage or a stop, and a simple change to how you hold your shoulders.

One thing to try today

The chin tuck

  1. Sit or stand tall.
  2. Gently draw your chin straight back, as if making a double chin.
  3. Hold for three slow breaths.
  4. Do five.

Stop if you feel tingling down your arm or dizziness.

Line drawing of a chin tuck

This page is for general information and is not a substitute for personal medical advice.

Last reviewed: 2026-11-04. Written by the physiotherapy team at Aging Gracefully.

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