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About forward head carriage Forward carriage of the head is a principle cause of neck and shoulder pain, as well as tension headaches. As an ongoing, chronic pattern, it puts the discs of the cervical spine at risk of herniation, and has been linked to high blood pressure and pinched nerves. In Physiology of Joints, vol 3, author Kapadji states that for every inch of forward head posture, the weight of the head on th