When you hit the ceiling years ago and your body knows

For decades I've leaned over the same chair in the same hunched position, and now my neck and shoulders carry the shape of the work. I hit the ceiling of this job years ago, and there was never really a rung above it to reach for. So here I am, my body slowly wearing out, doing the exact thing I was doing twenty years back with no way up and no way to ease the ache.