Managing Neck and Shoulder Pain from Prolonged Computer Use - Neurology

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Soreness Inquiry


Hello Dr.
Yeh, I would like to ask you about experiencing soreness in my neck, back, and hands after long hours of computer use.
I have a previous injury in my left shoulder that has been bothering me again.
I have been taking a different sleep aid at night.
If the soreness becomes severe, is it okay to take Suloril 100mg and Mephenoxalone 200mg/tablet during the day for pain relief? Also, does Mephenoxalone help relax muscles without causing drowsiness? Thank you for your response!

Taiyang, 30~39 year old female. Ask Date: 2006/03/16

Dr. Ye Boshou reply Neurology


Mephenoxalone is a muscle relaxant, and some individuals may still experience drowsiness.
For daytime pain, sulril can be used.
Additionally, it is recommended not to maintain a fixed posture for too long; generally, it is advisable to get up and move around every 30 to 45 minutes.

Reply Date: 2006/03/16

More Info


Managing neck and shoulder pain from prolonged computer use is a common concern, especially in today's digital age where many people spend hours in front of screens. Your symptoms of neck and shoulder discomfort, particularly if you have a history of shoulder injuries, can be exacerbated by poor posture, repetitive strain, and lack of movement. Here are some strategies to help alleviate your pain and discomfort.


Understanding the Pain
First, it's essential to understand that prolonged computer use can lead to a condition often referred to as "tech neck," which is characterized by neck pain and stiffness due to poor posture. This can also lead to muscle tension in the shoulders and upper back. Symptoms can include:
- Muscle soreness or tightness
- Headaches
- Tingling or numbness in the arms or hands
- Reduced range of motion in the neck

Medication Considerations
Regarding your question about medications like Suloril (which is a brand name for a muscle relaxant) and Mephenoxalone, it's important to note that while these can provide temporary relief from muscle tension and pain, they should be used judiciously. Mephenoxalone is indeed a muscle relaxant that can help alleviate muscle spasms without causing significant sedation in some individuals, but it may still induce drowsiness in others. Therefore, it’s crucial to monitor how your body reacts, especially if you plan to use it during the day.


Practical Strategies for Relief
1. Ergonomic Setup: Ensure that your workstation is ergonomically friendly. Your computer screen should be at eye level, and your chair should support your lower back. Your feet should rest flat on the floor, and your arms should be at a 90-degree angle when typing.

2. Regular Breaks: Implement the 30-30 rule: every 30 minutes, take a 30-second break to stand, stretch, and move around. This helps reduce muscle tension and improves circulation.

3. Stretching and Strengthening Exercises: Incorporate neck and shoulder stretches into your daily routine. Simple exercises like neck tilts, shoulder rolls, and chin tucks can help alleviate tension. Strengthening exercises for the upper back can also improve posture and reduce strain.

4. Heat Therapy: Applying heat to the affected areas can help relax tight muscles. Consider using a warm compress or heating pad for 15-20 minutes at a time.

5. Mindfulness and Relaxation Techniques: Stress can exacerbate muscle tension. Techniques such as deep breathing, meditation, or yoga can help reduce stress and promote relaxation.

6. Physical Therapy: If your symptoms persist, consider consulting a physical therapist. They can provide personalized exercises and treatments to address your specific issues.

7. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can also support muscle health and recovery.


When to Seek Medical Attention
If your pain persists despite these interventions, or if you experience symptoms like numbness, weakness, or severe pain, it’s essential to seek medical attention. A healthcare professional can evaluate your condition and may recommend imaging studies, such as an MRI, to rule out any underlying issues.

In summary, managing neck and shoulder pain from prolonged computer use involves a combination of ergonomic adjustments, regular movement, stretching, and possibly medication. Always listen to your body and consult with a healthcare professional if your symptoms do not improve. Taking proactive steps can significantly enhance your comfort and productivity while working at a computer.

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