"Text Neck"—the belief that cervical flexion during smartphone use causes chronic neck pain—lacks scientific support. Research indicates no significant association between habitual smartphone posture and the development of neck pain; instead, insufficient physical activity and poor sleep quality serve as more reliable predictors of persistent symptoms. Chronic pain management requires a biopsychosocial approach, such as Cognitive Functional Therapy, which prioritizes patient-centered care, graded exposure to feared movements, and the restoration of function over biomechanical posture correction. Physiotherapist and researcher Ney Meziat emphasizes that the spine is resilient and anti-fragile, suggesting that clinicians should move away from labeling specific postures as inherently dangerous. Successful treatment involves identifying individual limitations, fostering self-efficacy, and helping patients return to valued activities, even if complete symptom resolution remains a complex, non-linear process influenced by various life factors.
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