Trapezius Strain Flashcards
Define trapezius strain
Tenderness and pain involving the trapezius muscle due to overstretching or overuse
A trapezius strain can either have a ____ cause or a ____ cause
traumatic
chronic
What are the 3 types of chronic causes?
- Overload of the muscle (repetitive lifting)
- Poor positioning
- Skeletal variations (scoliosis, leg length discrepancy, etc.)
What are the symptoms of a trapezius strain?
Deep aching discomfort, tightness or spasm in the region of the trapezius
Where does an upper trapezius strain refer pain to?
behind the ear, temple, and occipital areas
Where does a middle trapezius strain refer pain to?
the intrascapular region
Where does a lower trapezius strain refer pain to?
the mastoid area
What type of symptoms may be experienced in the shoulder girdle?
- Paresthesias
- Heaviness
- Fatigue
What 3 things should be done during the physical examination of a trapezius strain?
- postural observation
- cervical AROM
- palpation of the cervical and shoulder girdle regions
What may a trapezius strain limit functionally?
- activities of daily living
- vocational activities
- recreational activities
What type of special imaging can be performed to diagnose a trapezius strain?
There is no need for special imaging techniques a clinical diagnosis based on history and examination are sufficient
What should the initial treatment protocol be for a patient with a trapezius strain?
- Patient education about proper positioning and posture
- Encouragement to return to usual activities as soon as possible
- Identify and correct precipitating and perpetuating factors
- Ice and moist heat
- Stretching exercises
- Medications (acetaminophen, NSAIDS, Muscle relaxants, Low dose tricyclic antidepressants)
What type of rehabilitation regimen has been proven to be beneficial when treating trapezius strains?
Early mobilization with active treatment is superior
If previous rehabilitation methods do not work, what can be done?
Trigger point injections
What are a few other potential complications associated with a trapezius strain?
- muscle atrophy, loss of flexibility and endurance due to disuse
- personal and occupational disabilities
