Turtle Neck Syndrome -The 21st Century Syndrome Naheed Sajad, Tania Ali, Masooma, Aqsa Rani, Wafa Panezai Department of Biotechnology, Faculty of Life Sciences, SBK Women's University Quetta Text Neck Syndrome (TNS) is also called as “Turtle Neck Syndrome” or “Turtle Neck posture”, the most common type of musculoskeletal disorder that limit carrying out many daily activities. TNS is the expression used to report the neck pain caused due to continuous looking down at smartphones, tablets other electronic devices for longer period of time. (Nawaz et al., 2020). It has been reported that TNS is a major public health issue that is repeated pain, injury, and stress occurred due to excessive watching or texting on electronic gadgets for prolonged period of time with no awareness of correct neck flexion, exercise and break-away. (Neupane et al., 2017). Worldwide the frequency of neck pain ranges from 16.7% to 75.1%. Neck pain causes soreness in upper extremities and has long term effect. This study helped to find awareness about TNS and prevalence of TNS among random population and also aimed to find out association of TNS with other factors. This was an observational study with the sample size of 300. The study used paper-based questionnaires and as well as an online questionnaire using Google Forms. Statistical analysis was done using SPSS version 23.0. Chi-square test was used to determine the association between posture, neck flexion angle and duration of phone usage with neck pain, shoulder pain, headache and arm numbness. Among the participants 42.3% of the participants were aware of TNS. There was significant correlation between neck pain and body posture with ?2= 23.454a(p<0.05), neck pain and duration of mobilephone usage with ?2=13.517a (p<0.05), headache and duration of phone usage with ?2=31.110a(p<0.05, shoulder pain and duration of phone usage with ?2= 31.110a(p<0.05). The finding of thisstudy would serve as a foundation for future research to reduce neck pain caused by cell phone. It is recommended that larger sample size would help in better understanding of prevalence and symptoms of TNS.