Treatment for Strained Trapezius Muscle
For a strained trapezius muscle, the recommended treatment includes applying cold therapy for 20-30 minutes 3-4 times daily, using NSAIDs for pain relief, implementing early exercise therapy focusing on gentle range of motion, and avoiding activities that cause pain. 1
Initial Management
Pain Relief
Cold therapy (ice)
- Apply ice wrapped in a damp cloth for 20-30 minutes, 3-4 times daily 1
- Avoid direct ice contact with skin to prevent cold injury
- Most effective in the first 24-72 hours after injury
Pain medications
Activity Modification
- Avoid activities that cause pain 1
- Complete rest/immobilization is NOT recommended as it can lead to muscle atrophy 1
- Maintain gentle movement within pain-free range to promote healing
Rehabilitation Phase (After Acute Pain Subsides)
Exercise Therapy
- Begin exercise therapy as soon as pain allows to restore functionality 1
- Focus on:
- Gentle stretching of the trapezius muscle
- Gradual strengthening exercises, particularly of the lower trapezius 2
- Range of motion exercises for the neck and shoulders
Manual Therapy Options
- Manual joint mobilization can be beneficial when combined with exercise therapy 3
- Ischemic compression therapy may provide immediate pain relief for trigger points 4
- Options include:
- Low pressure (pain threshold) for 90 seconds
- Higher pressure (between pain threshold and tolerance) for 30 seconds
- Options include:
Heat Therapy
- After the acute phase (48-72 hours), switch from cold to heat therapy
- Apply heat for 15-20 minutes to increase blood flow and promote healing
Advanced Recovery Techniques
Muscle Energy Techniques
- Reciprocal inhibition techniques have shown significant improvement in neck pain, cervical movement, and functional activities 5
- Technique involves:
- Five-second contraction
- Five-second rest
- Followed by stretching with 10-60 second hold
- Five repetitions per session
Ergonomic Adjustments
- Evaluate and modify workstation setup to reduce strain on the trapezius
- Ensure proper posture during daily activities
- Consider assistive devices if needed for activities of daily living 1
When to Seek Further Medical Attention
- No improvement after 2-3 weeks of conservative treatment
- Severe or worsening pain
- Pain that radiates down the arm with numbness or tingling
- Significant weakness in the affected arm or shoulder
Prevention Strategies
- Proper warm-up before physical activity
- Regular stretching and strengthening exercises
- Attention to posture during daily activities
- Avoiding excessive fatigue during exercise or repetitive activities 6
The long-term outcome after muscle strain injury is usually excellent when appropriate treatment protocols are followed, with most patients experiencing full recovery and minimal complications 6.