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Matt Heafy from Trivium uses a two-shoulder strap of some sort. It attaches to the guitar in an ungainly manner, though.
That and I never emptied it.
EDIT Plus slouching in those plastic seats for hours each day.
All when my back was growing into shape!
Could be arthritis, depending on age (usually).
Height won't necessarily cause it but could speed up the process if bending a lot.