Neck pain that builds through the day and eases on weekends is almost always a workstation problem, not a structural one.
The most common cause is a monitor positioned too high. When your screen is above eye level, you extend your neck upward for hours at a time. The muscles at the base of the skull and across the upper shoulders hold this position all day. By the afternoon they are fatigued. By the end of the week they are inflamed.
The pain pattern is recognisable: tension at the base of the skull, aching across the ridge between neck and shoulders, occasional headaches starting at the back of the head, stiffness worst on Monday morning after a screen-heavy week.
When text is hard to read at a comfortable distance, you lean your head forward. For every 2.5cm the head moves forward of the shoulder line, the effective load on the cervical spine increases by approximately 5kg. At 10cm forward -- common in desk workers -- that is an extra 20kg of sustained load throughout the day.
Armrests set above elbow height force your shoulders upward continuously. This loads the upper trapezius in a shortened, contracted position. The result is the same aching pattern as a monitor set too high, but the fix is different.
Quick test: Cover the bottom half of your screen. If your neck feels more comfortable viewing only the top half, your monitor is too low. If covering the top half feels better, it is too high.
The top of your monitor should be at or very slightly below your eye level when sitting in your normal working posture. This places the centre of the screen below eye level, which is correct.
| Problem | Symptom | Fix |
|---|---|---|
| Monitor too high | Neck extension, base of skull tension | Lower monitor or raise chair |
| Monitor too far | Forward head posture, upper neck pain | Move monitor 10-15cm closer |
| Monitor too close | Eye strain, top of neck tension | Move monitor back to arm's length |
| Armrests too high | Shoulder elevation, trapezius pain | Lower armrests or remove them |
| Chair too low | Looking up at screen, chin jutting | Raise chair height |
Use our calculator for exact measurements based on your height and setup.