Hi, I don t know your age which could be an important factor to what is going on nor do I know the work you do but if I use your description of things as they stand then, certainly postures of the head and neck can have a large impact on neck pain and soreness. In an individual who is above let s say 45-50 years of age, arthritic changes in the neck could always start taking over causing similar pictures of neck and shoulder pain radiating into the scalp muscles creating muscle tension headaches. Then, treatment is toward the cause which if postural means you have to analyze the correct way to maintain the head and neck in line and to take frequent from any job where the neck must be either held still or turned to unnatural/uncomfortable positions. Also, neck exercises to be done during off hours to strengthen muscles and give them more stamina. I do not recommend chiropractic manipulation of the neck for any purpose due to the high risk of damage to blood vessels that are easily injured by whiplash-like movements. Changing pillow to something where the head is brought in straighter alignment with the shoulders and body while asleep is also a better way to sleep than with a high pillow. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist