Cadence Chiropractic released seasonal guidance on October 22, 2026, to help Utah County residents preparing for holiday travel. The guidance covers long drives, lifting luggage, and the neck and shoulder tension that often builds during busy weeks of gatherings, shopping, and travel.
According to Dr. Marc Nelson, a chiropractor and co-founder of Cadence Chiropractic, many back and neck complaints during the holidays build gradually rather than stemming from a single event. He noted that long stretches in the car, awkward lifting from a trunk or overhead bin, and days of tense shoulders tend to add up over a busy week.
For drivers and passengers, the practice suggests planning a stop about every two hours to stand, walk, and stretch. Before leaving, drivers can adjust the seat so the lower back is supported, potentially using a small rolled towel if the seat lacks lumbar support. The headrest should be positioned behind the middle of the head rather than the neck.
Regarding packing and unloading, the practice recommends splitting belongings into two lighter bags instead of one heavy one, keeping loads close to the body, and turning with the feet rather than twisting at the waist. He suggested loading heavier items near the trunk opening so they do not have to be pulled across a deep cargo area. Additionally, children carrying backpacks on trips should keep them light enough to wear on both shoulders.
The timing of the guidance reflects holiday travel trends. AAA projected that 81.8 million people would travel at least 50 miles from home over the 2025 Thanksgiving period, with at least 73 million of them, nearly 90%, traveling by car. Many Utah County families make multi-hour drives to visit relatives in neighboring states or across Utah during these weeks.
Stress is also a factor during the season. In a 2023 poll conducted by The Harris Poll for the American Psychological Association, 89% of U.S. adults said concerns such as money, missing loved ones, or family conflict cause them stress during the holidays. That same survey found that 41% said their stress rises at that time of year compared with other points in the year.
The practice noted that tension-type headaches, which often feel like a dull, band-like pressure around the forehead or back of the head, are frequently associated with tight neck and shoulder muscles. To mitigate tension, the practice encourages keeping a regular sleep schedule, drinking water throughout the day, taking short stretching breaks, and holding phones at eye level.
The guidance advises expecting mothers to check with their prenatal care provider before long road trips and suggests that older adults may find extra stops make long drives more comfortable.
Certain symptoms require prompt medical attention. These include numbness or weakness in the arms or legs, loss of bladder or bowel control, a sudden severe headache, or pain following a car crash or fall. The guidance is intended as general information, and individuals with specific concerns should consult a qualified health care provider.
Cadence Chiropractic is a family chiropractic practice with offices in American Fork and Spanish Fork. Founded by Dr. Marc Nelson and Shelbe Nelson, the practice uses the Activator Technique, an instrument-assisted adjusting method, with a mission centered on patient education and prevention.