Constant pain in shoulders and spine especially when looking down for too long. what is the solution/ dignosis?

Neck,shoulder pain: If both shoulders are involved along with neck pain, an xray of the spine at the neck level to look for spurs in the vertebrae would be my first recommendation. Another possibility is chronic strain of the upper back musculature from chronically poor posture, exercise, lifting or other work related activities. Osteoarthritis or bilateral disc bulging would be less likely causes. See orthopedic spe