Thursday, 18 September 2014

TRAPEZITIS

TRAPEZITIS

Trapezitis is an inflammatory pain arising from the trapezius muscle causing a severe neck spasm                This muscle lies at the back of the neck and helps in shrugging movement of the shoulders along with upward movement of the head. Unlike torticollis, the pain and stiffness due to trapezitis, is episodic and lasts for 3-5 days at a time. Bad posture is frequently incriminated as the cause for trapezitis. Watching television or working on a computer with an awkward posture, or even the use of a thick pillow can cause frequent episodes of neck spasm. The pain of trapezitis can be felt more during extension of the neck backwards as in looking upwards. The trapezius muscle at the back of the neck becomes hard and stiff and a light massage to this area tends to relieve the pain.
It may lead to localized pain,radiating pain towards shoulder and sometimes headache as an indirect consequence.The best way to avoid this pain is taking rest between long working hours and following a relaxation routine of 2-3 minutes after every 45-60 minutes of work.

In case of severe inflammation, CRYOTHERAPY AND ELECTROTHERAPY MODALITIES WORK.

The treatment of trapezitis is conservative and consists of analgesics and muscle relaxants during the painful episode of neck spasm. This should be coupled with complete rest to the muscle which is ensured with a soft cervical collar. Neck muscle strengthening exercises and good posture habits should be followed after complete relief from pain to prevent further episodes of trapezitis.


Sometimes after frequent painful episodes a person develops certain trigger points at the back of the neck which tend to remain painful even after the acute episode. Such trigger points are to be identified correctly and are to be treated with local steroid injections. 2-3 injections seperated by an interval of 15 days generally suffice for cure of trigger points in trapezitis.


The soft cervical collar  is an excellent orthosis for pain relief in TRAPEZITIS