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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31591
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Hi. I have been diagnosed with a trapezius strain medical condition.

This answer was rated:

Hi. I have been diagnosed with a trapezius strain medical condition. I have had it about 2 years now from an on the job injury. This strain does not seem to be getting any better.

1.)I am wondering what specifically body parts does this effect?
2.)Why do I get so much pain where it hurts to life my aRM
3.)why does my neck area hurt so much

Is it normal to have tingling in my arm and hand from an injury to the trapezius area?

Thank you
Greetings.

Was an MRI done?

Dr. Arun
Customer: replied 4 years ago.


no mri was done. becuase i had two back to back for 4 hernniated discs in my back. they said that an mri wouldnt show anything that would need surgery, it was a strain but 4 two years? They just started me on physical therapy and it hurts to raise it or do rotations

Hello,

 

This is most likely due to the pinched nerves in the neck which are giving you these symptoms. This can be due to;

 

1) Herniated/degenerated disc in neck

 

2) Cervical spondylosis; bone spurs in the neck vertebrae pressing on the nerves.

 

Following investigations would be required;

 

1) X-ray of the neck spine

2) MRI of the neck

3) Nerve conduction velocity (NCV) study

4) Electromyography (EMG)

 

Following measures would be helpful;

 

1) Neck care in the activities of daily living.

 

a) No working on computer for more than half an hour in a single stretch. Same for TV.

b) Monitors and televisions exactly in front (180 degrees).

c) Contour pillow: Should fill the hollow when lying on back or straight. Available over the counter.

 

2) Cervical Collar or Brace

 

3) Cervical traction

 

4) Anti-inflammatory analgesics like Ibuprofen

 

5) Some physicians do give oral steroids in severe radiculopathy cases, in which pain / numbness / tingling is quite significant.

 

6) Physical therapy: gradually increasing exercises from passive stretching to active against resistance regime.

 

7) Electrotherapy in the form of TENS, interferential and laser and ultrasound.

 

8) Hot fomentation

 

9) Local analgesic patch / ointment / spray

 

You can consult following specialists;

 

a) Orthopedist

b) Neurologist

c) MD in Physical medicine and rehabilitation

 

Please feel free for your follow up questions.

 

Dr. Arun

Dr. Arun Phophalia and 4 other Health Specialists are ready to help you
Customer: replied 4 years ago.


Thank you. Very informative!

You are very welcome.

 

I would be grateful, if you can rate the answer excellent / good; as this is the only way experts are paid.

Good luck.