Trapezius Strain

If you are experiencing trapezius strain, please Schedule an appointment with one of our orthopedic surgeons as soon as possible.

What is a Trapezius Strain?Diagram of the Trapezius muscle.

The trapezius muscle is a large, triangular-shaped muscle that spans the upper back, neck, and shoulders. It plays a crucial role in supporting the head, moving the shoulder blades, and stabilizing the spine during various activities. A trapezius strain occurs when this muscle is overstretched or torn, often leading to pain, stiffness, and reduced mobility.

Common Causes of Trapezius Strain

Trapezius strains can develop gradually or occur suddenly due to:

  • Overuse or repetitive motion – Common in athletes, manual laborers, or individuals with physically demanding jobs.

  • Poor posture – Prolonged slouching at a desk or improper ergonomics can place excess stress on the upper back and neck.

  • Sudden trauma – Lifting heavy objects, abrupt movements, or whiplash from a car accident may cause muscle tearing.

  • Stress or tension – Emotional stress often leads to involuntary tightening of the neck and shoulder muscles, increasing strain risk.

Understanding the root cause is essential for effective treatment and prevention of future injury.

Symptoms of a Trapezius Strain

Signs of a trapezius strain can range from mild discomfort to significant pain that interferes with daily life. Common symptoms include:

  • Dull, aching pain in the neck, shoulders, or upper back

  • Muscle spasms or tightness

  • Swelling or tenderness over the affected area

  • Limited range of motion in the neck or shoulders

  • Headaches originating from the base of the skull

  • Pain that worsens with movement or prolonged activity

If these symptoms persist or worsen over time, it’s important to seek medical evaluation to avoid further complications.

Diagnosis and Evaluation

Surgeons begin with a thorough physical exam and a detailed review of your symptoms, activity history, and lifestyle. Diagnostic imaging, such as X-rays or MRI, may be recommended to rule out other conditions like cervical disc injuries or shoulder joint issues.

Treatment Options

Treatment for trapezius strain focuses on relieving pain, restoring function, and preventing recurrence. Depending on the severity, options may include:

  • Rest and activity modification – Avoiding movements that aggravate the muscle allows healing.

  • Physical therapy – Tailored exercises to strengthen the surrounding muscles, improve flexibility, and promote proper posture.

  • Medications – Over-the-counter pain relievers or anti-inflammatory medications may reduce discomfort.

  • Ice and heat therapy – Applying ice in the acute phase and heat in later stages helps reduce swelling and promote relaxation.

  • Manual therapy – Massage or chiropractic care may assist in reducing muscle tension and improving circulation.

In rare cases involving severe tears, further intervention may be necessary.

When to Seek Help

If you’re experiencing persistent upper back or neck pain, especially after an injury or period of overuse, don’t ignore the symptoms. Early diagnosis and proper treatment can prevent long-term discomfort and improve your quality of life.

 

If you would like to speak to a Orthopedic Surgeon, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.