![]() Position equipment within easy reach and visibility to reduce repeated twisting of your neck or torso.Improperly maintained equipment can cause you to use unnecessary pressure and extra time when performing certain procedures. When possible, use chair arms to support your upper arm or forearm when doing fine, precision work with your hands.Position the patient’s head at a level that gives you access to the oral cavity while being able to hold your shoulders in a relaxed, neutral position (rather than a hunched up position) and you are able to hold your elbows at about a ninety degree or less flexion.Use magnification, such as loupes, and adequate lighting to bring your field of vision closer and decrease the extent to which your neck is held forward and flexed down.The following may decrease cumulative trauma and may reduce the amount of your upper back pain: Repetitive motions and stressful postures, over time, may lead to the development of or aggravation of soft tissue damage or degenerative changes in the spinal column. The common causes of upper back pain stem from inflammation and micro-tears in the muscles, tendons and ligaments of the upper back or from arthritis, herniated disks, vertebral stenosis, or misalignments in the thoracic or cervical spine. Because the ribs are attached to the thoracic spine, you may also feel pain when taking a deep breath. ![]() It can also be experienced as radiating pain in your arms, numbness, tingling or weakness in your arms, headache, or pain in your jaw or occipital area. You may experience upper back pain as localized tightness, throbbing, aching or sharp pain in the thoracic area of your back or in your neck.
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