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Postural changes not only include the spine but can originate from the lower limbs which have an impact higher up. Poor postural control leads to the strain on the surrounding ligaments, muscles, tendons and nerves and blood vessels. If sustained, structures become overloaded and irritated, leading to pain. We are aware of this and know that any treatment must start with addressing posture. Posture is assessed both when you sit and stand but also in a functional way, such as walking and running to make sure all muscles are working in the correct manner and one is not inhibiting the other.