Why One Shoulder Sits Higher Than the Other (and How to Fix It)

If you’ve ever looked in the mirror and noticed one shoulder sitting higher than the other, you’re not alone, and it’s more common than you think. While it may seem like just a posture issue, uneven shoulders can signal underlying imbalances in your spine, muscles, or movement patterns.

Common Causes of Uneven Shoulders

• Spinal misalignment. A tilted or rotated spine (especially in the upper back or neck) can pull one shoulder higher.

• Muscle imbalance. Overuse of one side, from carrying bags, sports, or dominant hand use, creates uneven tension.

• Poor posture. Rounded shoulders or forward head position shifts muscle load unevenly.

• Leg length difference. Even a slight imbalance in leg length can cause the shoulders to appear uneven.

• Old injuries. Shoulder, collarbone, or back injuries can lead to compensations over time.

How Chiropractic Care Helps
Chiropractors identify and correct the root cause, often in the spine or pelvis, to bring the body back into balance. Adjustments restore symmetry, relax tight muscles, and help retrain posture naturally.

Other Tips for Balance

• Stretch both shoulders daily.

• Strengthen postural muscles (especially upper back and core).

• Avoid always carrying bags on one side.

• Be mindful of your workstation ergonomics.

“Uneven shoulders are usually a reflection of what’s happening deeper, in your spine or pelvis. Once alignment is restored, the imbalance corrects itself.” — Dr. Michael Atunzu