Managing Trapezius Muscle Pain from Long Hours of Riding - Rehabilitation

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Trapezius muscle neck and shoulder pain?


I recently started working part-time delivering food on a motorcycle for 2-4 hours at a time.
A few days ago, I began experiencing soreness in my trapezius muscle (similar to post-exercise muscle soreness).
I initially thought it would improve after a few days, but the pain has been getting worse.
I am unable to continue riding, and raising my arms is very painful.
When lying down and trying to get up, my shoulders cannot relax downwards due to the intense soreness.
I also experience localized pain in my upper back while riding.
What can I do to improve this condition, and will resting for a while help? How can I prevent this from happening in the future?

Ms. Chen, 20~29 year old female. Ask Date: 2022/09/14

Dr. Li Yanheng reply Rehabilitation


It is recommended to rest, stretch, and apply heat.
If symptoms do not improve, it is advised to visit a rehabilitation clinic for consultation.

Reply Date: 2022/09/14

More Info


Managing trapezius muscle pain, especially from long hours of riding, is a common issue faced by many individuals who engage in repetitive upper body activities. The trapezius muscle, which extends from the back of the neck down to the middle of the back and out to the shoulders, plays a crucial role in shoulder and neck movement. When subjected to prolonged strain, such as during long hours of riding a motorcycle, it can lead to muscle fatigue, soreness, and even pain.


Understanding the Pain
The pain you are experiencing in the trapezius area is likely due to muscle overuse and strain. When you ride for extended periods, especially if your posture is not optimal, the trapezius muscle can become tense and fatigued. This can lead to a condition known as myofascial pain syndrome, where trigger points develop in the muscle, causing localized pain and discomfort. Symptoms such as difficulty lifting your arms, pain when lying down, and discomfort during movement are all indicative of muscle strain.


Immediate Management
1. Rest and Recovery: The first step in managing your trapezius pain is to allow your body to rest. Taking a break from riding for a few days can help reduce inflammation and give your muscles time to recover. During this period, avoid activities that exacerbate the pain.

2. Ice Therapy: Applying ice to the affected area for 15-20 minutes several times a day can help reduce inflammation and numb the pain. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin.

3. Gentle Stretching: Once the acute pain subsides, gentle stretching of the neck and shoulder muscles can help alleviate tension. Simple stretches, such as tilting your head to one side and holding for 15-30 seconds, can be beneficial.
4. Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. However, consult with a healthcare provider before starting any medication.

5. Physical Therapy: If the pain persists, consider seeking the help of a physical therapist. They can provide targeted exercises to strengthen the trapezius and surrounding muscles, improve posture, and enhance flexibility.


Long-Term Prevention
1. Posture Awareness: Maintaining good posture while riding is crucial. Ensure that your back is straight, shoulders are relaxed, and your arms are not overly extended. Adjust your seat and handlebars to promote a more ergonomic riding position.

2. Regular Breaks: During long rides, take regular breaks to stretch and move around. This can help prevent muscle stiffness and fatigue.

3. Strengthening Exercises: Incorporate exercises that strengthen the trapezius and upper back muscles into your routine. Exercises such as shoulder shrugs, rows, and shoulder blade squeezes can help build endurance in these muscles.

4. Ergonomic Adjustments: If you are riding for work, consider investing in ergonomic gear that supports your posture. A well-fitted seat and handlebar can make a significant difference in comfort.

5. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can also play a role in muscle recovery and overall health. Ensure you are consuming enough protein and nutrients to support muscle repair.


Conclusion
In summary, managing trapezius muscle pain from long hours of riding involves a combination of rest, ice therapy, gentle stretching, and possibly physical therapy. Long-term prevention strategies, such as maintaining good posture, taking regular breaks, and strengthening exercises, are essential to avoid recurrence. If your symptoms persist or worsen, it is advisable to consult a healthcare professional for a thorough evaluation and tailored treatment plan.

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