For chronic neck and back pain, passive treatments like heat, TENS or ultrasound may provide temporary relief, but they generally shouldn’t be the main focus of long-term management. A progressive exercise program, movement retraining and gradually improving strength and tolerance are usually more important for lasting improvement.

For chronic neck, mid-back and lower-back pain related to prolonged sitting and poor posture, passive modalities such as heat, TENS or ultrasound may help temporarily reduce pain and muscle spasm, but they should generally not be the mainstay of long-term rehabilitation. A progressive, individualized exercise program is usually more important for long-term improvement. Treatment should focus on mobility, postural control, strengthening of the deep neck, scapular and core muscles, flexibility, and gradually improving tolerance to sitting and daily activities. Passive modalities can certainly be used when clinically indicated, particularly during painful phases, but ideally as an adjunct to active rehabilitation rather than a replacement for it.

Hi I have seen your photo and come to know about what you are suffering .it's a functional assymitry . I can definitely solve your case .I treat this type of case .

Your concern is valid. For posture-related neck, mid- and low-back pain, passive modalities like TENS, heat or ultrasound may provide temporary relief, but progressive exercise, posture correction and strengthening are more important for long-term improvement.

Both side traps muscle is spasm and lt scapula is retracted more . You may check after sitting long upper back must be stiff and after few days it starts spreading sorrunding part, If this. Type of problem Then you should work on your thoraxic mobility , manual therapy not modalitis (20%) of whole protocol is recommended, and start offload the pressure by guided exercises and release Trust the therapist after Their assessment

Hey, you don't need to rely on modalities, you need to focus on your postural correction exercises before we have to assess your posture according to that I'll suggest some ergonomic changes and exercises which will help you to come back to the painfree Lifestyle.

Hey there! Passive modalities are used to reduce acute pain . I respect the physiotherapist. After passive modalities you can now focus on movement science and exercise therapy. Vitamin check is also required as you are 19. Kindly book online session with me I will guide you what course of action you can follow. Your physio

Hi please take an online consultation for best diagnosis and treatment

There is no machine needed in your problem just correct your posture, strengthen your back muscle and avoid bad posture positioning start some physical activity.

Hi, No machine treatment are required. Exercise treatment is the only best thing

There is nothing to worry, posture correction core strengthening exercises are needed as there is no severity Changing to proper posture will help you regain balance reduced pain and muscle strength.

first of all, i would suggest focusing more on active rehabilitation rather than relying mainly on passive modalities. since your pain has been present for a long time is related to prolonged sitting and poor posture ,a gradual and progressive exercise program can be more helpful for long term pain relief and functional improvememt .

Correct posture

As you have mentioned your pain in not that severe, so we can start with some strengthening exercises, posture correction, some postural correction exercises that you can do between your sitting hours, gradual stretching.

As per your age, this seems because of the poor posture. Correction of posture advised to control the pain, moist heat preferred, followed by gentle stretching of the upper back and neck, and then strengthening exercises.