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Can Poor Breathing Cause Neck and Low Back Pain?

  • Writer: Julia Cole
    Julia Cole
  • May 4
  • 2 min read

Breathing is something we do automatically, so it’s easy to overlook.

But if you’re dealing with ongoing neck tension or low back discomfort, the way you breathe may be playing a bigger role than you think.

How Breathing Affects the Body

Your diaphragm is the primary muscle responsible for breathing, but it also plays a key role in core stability.

When the diaphragm works properly, it helps create pressure within the core that supports the spine.

This system works alongside:

  • deep abdominal muscles

  • pelvic floor

  • spinal stabilizers

Together, they provide a stable foundation for movement.

What Happens With Poor Breathing Mechanics?

Many people develop breathing patterns that rely more on the chest and neck instead of the diaphragm.

This often looks like:

  • shoulders lifting when breathing

  • chest expanding more than the rib cage

  • ribs flaring upward

  • low back arching

When this happens, the diaphragm becomes less effective, and the body compensates.

Why This Leads to Neck and Back Tension

When the diaphragm isn’t doing its job, other muscles step in to help.

This often includes:

  • neck muscles

  • upper traps

  • low back muscles

Over time, this can lead to:

  • persistent neck tension

  • upper back tightness

  • low back discomfort

  • reduced core stability

Instead of the core supporting movement, the body relies on tension-based stability.

The Importance of Rib and Pelvis Position

For the diaphragm to work effectively, the rib cage needs to be stacked over the pelvis.

When the ribs flare upward and the low back arches:

  • the diaphragm loses efficiency

  • core stability decreases

  • compensation increases

In a stacked position:

  • breathing becomes more efficient

  • core muscles work better

  • the spine is better supported

How to Improve Your Breathing

A simple way to start is by practicing breathing in a supported position.

Try this:

  • Lie on your back with knees bent

  • Gently bring your ribs down so they are stacked over your pelvis

  • Inhale through your nose and allow your rib cage and abdomen to expand

  • Keep your shoulders relaxed

  • Exhale slowly without letting your ribs flare

The goal is 360-degree expansion through the rib cage, not just lifting the chest.

Why This Matters for Pain and Performance

Improving breathing mechanics can help:

  • reduce neck and shoulder tension

  • decrease low back strain

  • improve posture

  • enhance core stability

  • support better movement patterns

For active individuals, this also improves:

  • lifting mechanics

  • force production

  • overall performance

Local Support in Victoria, BC

If you’re experiencing ongoing neck or low back tension and want to improve your movement and stability, working with an Athletic Therapist in Victoria, BC can help identify contributing factors and guide your recovery.

FAQs

Can breathing really cause pain?

Yes. Poor breathing mechanics can lead to compensation patterns that increase tension and strain on the body.

How do I know if I’m breathing incorrectly?

Signs include chest-dominant breathing, shoulder elevation, and difficulty relaxing during breathing.

How long does it take to improve breathing?

With consistent practice, many people notice improvements in a few weeks.

Final Thoughts

Breathing is more than just getting air in and out—it plays a critical role in how your body stabilizes and moves.

When breathing mechanics improve, the body can rely less on tension and more on efficient support.

It’s a simple change that can have a meaningful impact on both pain and performance.


 
 
Athletic Therapy in Victoria BC

©2025 by Proactive Therapy.

Based in Victoria, BC.

Practicing out of Recharge Physiotherapy (previously know as The Athlete Centre) and Third Space (Esquimalt location). 

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