You know it, ladder work can be the worst on us, picking Apples, cherries and Plums as a young boy/man till 15, electrician from age 19 to 23 I had my close calls and over reached just to spook me bad !! But now That I think about it, thats when I started seeing a Cyropractor (thats my way of spelling it) being right handed and working off a ladder making up boxes full of wire or hanging lights all day it twisted me up. Yep, from our neck to our feet, I believe ladder work is hard on everyone