Pain in the muscles of the lower shoulder blade area?
Hello Dr.
Li, about 20 years ago during my university years, I had to use a bulky CRT monitor that was positioned diagonally to the right to save desk space.
As a result, for about a semester, I consistently tilted my head to the right while my body did not fully rotate in sync.
Since then, whenever I maintain the same posture for too long (such as during long motorcycle rides), I experience significant pain in the back muscles near the lower part of my neck on the left side (likely the upper trapezius muscle).
The pain only alleviates after I change my posture.
I would like to ask if this issue could be a long-term consequence of my poor posture for several months? Is it likely that I will have difficulty recovering in the future? Thank you for your response, doctor.
Awei, 30~39 year old female. Ask Date: 2022/09/21
Dr. Li Yanheng reply Rehabilitation
It is recommended to undergo ultrasound and X-ray examinations in the rehabilitation department to determine if there is any nerve compression.
Reply Date: 2022/09/21
More Info
Chronic back pain, particularly when linked to poor posture, can significantly impact muscle health and overall quality of life. Your experience of discomfort in the upper trapezius muscle, particularly after maintaining a static posture for extended periods, is a common issue that many individuals face, especially those who have developed habits of poor ergonomics over time.
The symptoms you describe, including pain in the upper trapezius region near the neck, are indeed consistent with the long-term effects of poor posture. When you consistently hold your head in a tilted position, as you did while using a CRT monitor, it places undue stress on the muscles and ligaments of the neck and upper back. This can lead to muscle imbalances, where certain muscles become overactive and tight (like the upper trapezius), while others become weak and underactive. Over time, this can result in chronic pain, tension, and even headaches.
Research indicates that prolonged poor posture can lead to structural changes in the spine and surrounding musculature. For instance, the cervical spine may develop a forward head posture, which can exacerbate muscle strain and lead to discomfort. Additionally, the upper trapezius muscle, which is responsible for shoulder elevation and neck movement, can become overworked and fatigued, leading to pain and discomfort.
To address your concerns about whether this issue is a permanent consequence of your past posture, it is important to understand that while chronic pain can be persistent, it is often manageable with the right interventions. Here are several strategies that may help alleviate your symptoms and improve your muscle health:
1. Postural Awareness: Being mindful of your posture throughout the day is crucial. Ensure that your workstation is ergonomically set up, with your computer screen at eye level and your chair providing adequate support. Regularly check in with your posture and make adjustments as needed.
2. Stretching and Strengthening Exercises: Incorporating exercises that target the upper back, neck, and shoulder muscles can help alleviate tension and strengthen underactive muscles. Stretching the upper trapezius and strengthening the lower trapezius and rhomboids can help restore balance to your musculature.
3. Regular Movement: Avoid staying in one position for too long. Set a timer to remind yourself to take breaks every 30-60 minutes. During these breaks, stand up, stretch, and move around to promote blood flow and reduce muscle stiffness.
4. Physical Therapy: Consulting with a physical therapist can provide you with a tailored exercise program and manual therapy techniques to address your specific issues. They can also help you learn proper body mechanics and posture correction strategies.
5. Mindfulness and Relaxation Techniques: Stress can exacerbate muscle tension. Techniques such as deep breathing, yoga, or meditation can help reduce stress and promote relaxation, which may alleviate some of the muscle tension you experience.
6. Heat and Cold Therapy: Applying heat can help relax tight muscles, while cold therapy can reduce inflammation. Alternating between the two may provide relief from pain.
7. Consideration of Other Factors: If your pain persists despite these interventions, it may be worthwhile to explore other potential contributing factors, such as underlying spinal issues, nerve compression, or other musculoskeletal conditions. Imaging studies like MRI or X-rays may be necessary to rule out structural problems.
In conclusion, while your history of poor posture may have contributed to your current discomfort, it does not mean that you cannot improve your condition. With a proactive approach that includes awareness of posture, targeted exercises, and possibly professional guidance, you can work towards alleviating your pain and enhancing your muscle health. Remember, recovery is often a gradual process, and consistency in your efforts will yield the best results.
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