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Posture is the position your body settles into when you are not thinking about it, at a desk, on your feet all day, or halfway through a run. A posture analysis at our Bromley clinic looks at those habitual positions in detail, so that asymmetries and restrictions can be identified before they become the ache you notice every morning. It takes ten minutes, it is free, and it is often the clearest starting point for anyone unsure why the same niggle keeps returning.

What a posture analysis involves

Every posture analysis in Bromley covers four positions: sitting, lying, walking and standing. Looking at all four gives a far fuller picture, because the way a body organises itself in a chair is rarely how it organises itself on the move. Across those positions your therapist identifies anatomical asymmetries, joint restrictions, patterns that may be contributing to musculoskeletal pain, and the general discomfort people put up with for years.

Photographs are taken as part of the analysis. They give you and your therapist a fixed reference point, so that when you return after a period of treatment or an exercise programme, change can be compared rather than guessed at. Posture correction is slow work, and images from that first visit make small progress visible.

The standing assessment and the plumb line

In standing, the therapist observes the body through three planes: front, back and side. The front and back views show how the shoulders, pelvis, knees and feet sit in relation to one another, and whether one side carries the body differently from the other.

From the side, a plumb line is taken through five landmarks. The ear, the mid-point of the shoulder, the waist, the knee and the ankle. In an ideal posture, those five points fall along that single vertical line. Almost nobody is perfect, and a small deviation is no cause for alarm; what matters is where the line breaks and what that says about how load travels through the spine, hips and legs. For most people, this is the moment the posture assessment stops being abstract.

Weight distribution and the 5lb difference

We also measure weight distribution, how much pressure you put through each side of your body while simply standing still. Most assume they are even; many are not. A difference of more than 5lb between left and right is treated as significant, because that extra load does not disappear once you move: it is carried by joint capsules, ligaments and muscles every time you stand, walk or run, and across thousands of repetitions it tends to show up somewhere.

Identifying that imbalance is the useful part. Once you know which side has been working harder, the rest of the assessment falls into place, and so does the ache living in one hip, one shoulder or one side of your lower back.

Postural patterns we commonly recognise
  • Sway-back posture. The pelvis sits forward of where you would expect it, producing a forward pelvic rotation and a long, slumped line through the trunk.
  • Kyphosis, lordosis posture, excessive curvature through both the upper and the lower back, frequently with the head carried forward of the shoulders.
  • Flat back posture. The opposite picture, in which the natural curves of the upper and lower back are reduced and the spine loses some of its ability to absorb load.
  • Handedness posture, one hand and shoulder sitting noticeably lower than the other, related to spinal alignment and the side you habitually favour.

These are patterns rather than labels, and most people show elements of more than one. Naming them gives us a shared vocabulary for what we can see, and a sensible place to start.

Desk posture, bags and back pain from sitting
Two habits come up again and again at our Bromley clinic. The first is long hours at a desk. The second is carrying a single-strap bag on the same shoulder, day after day. Neither feels dramatic at the time, and that is precisely why they matter: sustained positions change the length, tone and strength of the muscles supporting the spine, and they do it through the whole spine, not only the part that hurts. It is why poor desk posture and back pain from sitting so often arrive with a stiff neck, and why working on the painful area alone can feel like chasing the problem around your body. Poor posture is commonly linked with back pain, neck pain, shoulder pain and headaches. If more than one of those sounds familiar, the analysis is where we begin, because it shows how they relate.
What happens after your analysis
A posture analysis is an assessment, not a treatment, and it commits you to nothing. If hands-on work would help, we will explain what we have seen and why. That might be sports massage to address the muscular consequences of an asymmetry, spinal manipulation where joint restriction is limiting movement, or a progressive exercise plan to build strength where the body has been doing too little. Often it is a combination, and the balance shifts as you do. People come to us across Bromley for very different reasons, so no two plans look the same. The ten-minute posture analysis is free. If you would rather go straight to a full initial consultation, which allows time for a detailed history, a fuller assessment and treatment in the same visit, that is £35.

Book a posture analysis in Bromley

To arrange your free posture analysis, call the clinic on 07896 257328 and we will find a time to suit you. You will find SMSM Therapy at Carlton Chambers, 5 Station Road, Bromley BR2 0EY. The entrance is the red side gate to the right of the building, a three-minute walk from Shortlands station. Our full list of treatments and fees is on the prices page, and with a rating of 4.8 from 166 Google reviews, you will be in good hands with Dharam, Atlanta or Dwaine.