Your Body Almanac

Heavy smartphone use

Head down, thumbs busy, screen inches from your face for hours a day.

A phone is light, but holding your head bent over it for hours is not. Heavy use loads your neck, works the tendons at the base of your thumb, dries and tires your eyes, and pushes bedtime later. Most of the fixes are small changes in how and when you hold it.

What it takes and what to do

01

What it takes: Neck strain from looking down

Your head weighs about as much as a bowling ball. When you tilt it forward to look at a phone in your lap, the muscles at the back of your neck work much harder to hold it. Hours of this a day are linked to neck and upper back pain, sometimes called "text neck".

What to do about Neck strain from looking down

Bring your phone up to eye levelDailyLift your phone or tablet toward eye level instead of dropping your head to look down at it. Do chin tucksDailyGlide your head straight back to counter the forward-head posture that screens and desks encourage. Stretch the sides of your neckDailySlow side tilts to loosen neck and upper-shoulder muscles that tense up at desks. Extend your upper back over a chairDailyGently bend your mid-back backwards over a chair to counter hours of rounding forward.
02

What it takes: Thumb and wrist tendon pain

Scrolling and typing with one thumb while gripping the phone in the same hand repeatedly loads the tendons along the thumb side of your wrist. Pain there, especially when you make a fist or turn your wrist, can be De Quervain's tenosynovitis.

What to do about Thumb and wrist tendon pain

Do tendon glides for your handsDailyMove your fingers through five positions to help the tendons slide smoothly through the wrist. Stretch your wrists and forearmsDailyGentle wrist flexor and extensor stretches for hands that type, grip or tap all day. Vary your grip and postureDailySwitch hands, tasks and positions so the same muscles and tendons are not loaded for hours.
03

What it takes: Tired, dry eyes

Reading small text up close for long periods makes your focusing muscles work hard, and you blink less while you concentrate. Dry, gritty eyes, blurry vision and headaches can follow.

What to do about Tired, dry eyes

Follow the 20-20-20 ruleDailyEvery 20 minutes at a screen, look at something 20 feet away for 20 seconds. Get a comprehensive eye examYearlySee an optometrist or ophthalmologist every one to two years, and every year once you are 65 or at higher risk.
04

What it takes: Later, lighter sleep

Scrolling in bed keeps your mind engaged and pushes bedtime later, and bright screens in the evening can delay the release of melatonin, your body's sleep signal. The result is often less sleep than you meant to get.

What to do about Later, lighter sleep

Set a screen curfewDailyTurn off phones, laptops and TV at least 30 minutes before bed, and longer if you can. Keep a consistent sleep scheduleDailyGo to bed and get up at the same times every day, weekends included, and aim for at least 7 hours.
05

What it takes: Loud earbuds

Long listening at high volume through earbuds can damage the hair cells in your inner ear, and that damage is permanent. Ringing or muffled hearing after listening is an early warning.

What to do about Loud earbuds

Protect your hearing from loud noiseAs neededWear earplugs or earmuffs around loud noise, turn the volume down and step away when you can. Get your hearing checkedYearlyAsk about a hearing test at your yearly checkup, especially if you work around noise or notice signs of hearing loss.

When to see a professional

See a doctor or physical therapist for neck pain that spreads into an arm, numbness or tingling in your hand, thumb or wrist pain that lasts more than a few weeks, or ringing in your ears that does not fade.