Effective Solutions for Trapezius Muscle Pain and Stiffness Relief

Q: Effective Solutions for Trapezius Muscle Pain and Stiffness Relief

Hello Ms. <br>Huang： Regarding your question, I will respond on two levels. <br>First, in terms of symptom management. <br>Your approach to the trapezius muscle is appropriate. <br>However, due to the severe pain associated with muscle contraction, the Spray and Stretch technique

Trapezius muscle pain

Hello Doctor: Four years ago, I visited a rehabilitation specialist due to neck stiffness.
The doctor diagnosed me with fibrositis of the left and right trapezius muscles and I underwent physical therapy for about a year.
However, there was only slight improvement in my symptoms, so I did not continue with rehabilitation afterward.
In recent years, I have been seeing a traditional Chinese medicine practitioner for acupuncture, cupping, and bloodletting to alleviate the stiffness, but the relief only lasts for a few days.
In the past few months, I have experienced severe pain and swelling in both trapezius muscles, which causes significant pain and tightness when turning my head, and even leads to headaches.
I regularly use heat therapy and perform stretching exercises, but there has been little effect.
I would like to ask the doctor if there are any better methods available.
I have tried many approaches without success, and my condition seems to be worsening, which is quite distressing.
Thank you.

Miss Huang, 20~29 year old female. Ask Date: 2021/01/13

Dr. Lin Ruixiang reply Rehabilitation

Hello Ms.
Huang: Regarding your question, I will respond on two levels.
First, in terms of symptom management.
Your approach to the trapezius muscle is appropriate.
However, due to the severe pain associated with muscle contraction, the Spray and Stretch technique (https://www.youtube.com/watch?v=dTvEp0Uh7R0) may be more suitable.
The challenge is that this technique cannot be performed independently.
I have found another video that demonstrates a self-executed technique (https://www.youtube.com/watch?v=WFrrsaaJhZ4) which I hope will be helpful to you.

Additionally, to explore the cause of your pain, it can primarily be categorized into structural and chemical factors.
From a structural perspective, the main causes are threefold: muscle, bone, and nerve.
Sometimes these three aspects can influence each other.
Focusing solely on the muscular aspect may not lead to complete improvement.
Manual therapy is needed to adjust the bones and nerves, particularly in the upper cervical region.

Regarding chemical causes, conditions such as fibromyalgia and autoimmune diseases should be considered.
Given your age, the likelihood of these is low, so they can be regarded as secondary considerations.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2021/01/13

More Info

Trapezius muscle pain and stiffness can be quite debilitating, especially when it affects your daily activities and overall quality of life. Given your history of neck stiffness and the treatments you've already tried, it sounds like you're dealing with a complex issue that may require a multifaceted approach. Here are some effective solutions and considerations for managing trapezius muscle pain and stiffness.

1. Physical Therapy
While you've previously undergone physical therapy with limited success, it may be beneficial to revisit this option with a specialized therapist. A physical therapist can provide a tailored program that includes manual therapy, specific stretching, and strengthening exercises aimed at improving flexibility and reducing muscle tension. Techniques such as myofascial release or trigger point therapy may also be employed to target specific areas of tightness in the trapezius muscle.

2. Dry Needling
Since you've had some experience with acupuncture, you might consider dry needling, which is a technique that involves inserting thin needles into trigger points in the muscle. This can help release tight bands of muscle and alleviate pain. It's different from acupuncture in that it specifically targets muscle knots and may provide more immediate relief.

3. Chiropractic Care
Chiropractic adjustments may help relieve tension in the neck and upper back, which can contribute to trapezius pain. A chiropractor can assess your spinal alignment and make adjustments that may alleviate pressure on the trapezius muscle.

4. Massage Therapy
Regular massage therapy can be very effective for muscle pain and stiffness. A licensed massage therapist can focus on the trapezius and surrounding muscles, helping to release tension and improve circulation. Techniques such as deep tissue massage or trigger point therapy can be particularly beneficial.

5. Heat and Cold Therapy
You mentioned using heat, which can help relax tight muscles. However, alternating between heat and cold therapy may provide better results. Cold therapy can reduce inflammation and numb sharp pain, while heat can increase blood flow and relax tight muscles. Consider using a cold pack for 15-20 minutes followed by heat for a similar duration.

6. Ergonomic Adjustments
Evaluate your workspace and daily activities for ergonomic improvements. Poor posture, especially during prolonged periods of sitting or computer use, can exacerbate trapezius pain. Ensure your workstation is set up to promote good posture, with your monitor at eye level and your chair providing adequate support.

7. Medication
Over-the-counter pain relievers such as NSAIDs (e.g., ibuprofen) can help reduce inflammation and pain. If your pain is severe, your doctor may prescribe muscle relaxants or other medications to help manage your symptoms.

8. Lifestyle Modifications
Incorporating regular physical activity, such as walking or swimming, can help improve overall muscle tone and flexibility. Additionally, practicing stress management techniques such as yoga or mindfulness can help reduce muscle tension related to stress.

9. Consider Alternative Therapies
If traditional methods have not provided relief, you might explore alternative therapies such as acupuncture, biofeedback, or even cognitive-behavioral therapy (CBT) to address any underlying stress or anxiety contributing to your muscle tension.

10. Consult a Specialist
If your symptoms persist despite trying various treatments, consider consulting a pain management specialist or a neurologist who can evaluate for any underlying conditions that may be contributing to your pain.

Conclusion
Managing trapezius muscle pain and stiffness often requires a combination of treatments tailored to your specific needs. Since you've already tried several methods, it may be beneficial to revisit some of them with a fresh perspective or seek out new therapies. Always consult with your healthcare provider before starting any new treatment to ensure it aligns with your overall health plan. Remember, persistence is key, and finding the right combination of therapies can lead to significant improvement in your symptoms.

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