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Physical therapy and medication for trapezius strain due to injury - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2581 Questions
Doctor :   hi
User :   hello
Doctor :   how can I help you?
User :   r u bone
User :   specialist
User :   muscle problem i have
User :   can u help me
Doctor :   I am a general practitioner but can help you in your query
User :   how to connect
User :   muscle specialist
Doctor :   i will transfer to the orthopaedician if needed
User :   k
Doctor :   plz proceed with your query
User :   so now
User :   or later
User :   k
User :   i am 27 year i met an accident in month of april
User :   in that accidnet my left shoulder got damage
User :   and i was suggested bed rest
User :   later it was k
Doctor :   ok
User :   now last 1 month i have problem in my right shoulder
User :   due to which my right hand also affected
User :   and has pain
Doctor :   ok
User :   i was told by doctor trapezius muscle strains
Doctor :   was there any fracture?
User :   no
Doctor :   ok
User :   now last 1 month again i m bed rest
User :   and i was given phsotherapy
Doctor :   ok
User :   massage that is 15 days
Doctor :   ok
User :   and i am suggested hot water bag
User :   to keep
Doctor :   ok
User :   whn ever pain
User :   my problem is i have pain
User :   and its too much time
Doctor :   ok
User :   its better then before
User :   but now wht to do
User :   can u help
Doctor :   i can understand your concern
Doctor :   i will help you in this
Doctor :   normally a muscle injury will take too much of time to heal
User :   k
Doctor :   ususally it is somewhat between 6 months to even 2 years
Doctor :   muscle and tendon injuries are the worst then the fractures
Doctor :   fractures will heal in few weeks
Doctor :   but these injuries will continue like this for many months
Doctor :   and once recovered fully
Doctor :   there will be something that you can feel in some particular actions that you will perform
Doctor :   I mean that you will never feel like befoe
Doctor :   so my suggestion to you is to take as much rest as possible for the particular muscle involved
Doctor :   identify the movements which cause the pain to you or you can also identify particular postures in which there is minimum pain and you feel comfortable
Doctor :   be in your conscious and practice those postures only for several months and if you have severe pain than you can take some pain killers
User :   well point is left hand was injured but it 100 percent k and i have got mri and ctscan but that also no problem
User :   so
User :   how come right shoulder
User :   and can u tell should massage need to continue
Doctor :   I can understand that
Doctor :   are you massaging in some particular manner , I mean as suggested by the doctor or the Physio?
User :   i go hospital
User :   and therapist do
User :   but now he say
Doctor :   ok
User :   no need to come
Doctor :   ok
User :   and can do little at home
User :   but as per him also i should be fine in 15days
Doctor :   yes you can continue it in a light manner at home
Doctor :   if there is a muscle injury then it will take time
Doctor :   no one can do magic in it
User :   how u judge muscle injury as outside not affected its just the pain
Doctor :   you told that it is the diagnosis made by the doctor?
User :   yeah
User :   it is
Doctor :   on that basis I am prescibing you
User :   and wht should i increase in diet wht things i can do exercise to get rid of the probleam
User :   is still bed rest needed
User :   as i dont do any work
User :   as doctor said
Doctor :   plz be patient and try to understand me
User :   k
Doctor :   you can eat a good proteinaceous diet
User :   k
Doctor :   it will help you
User :   k
Doctor :   regarding the rest
Doctor :   you dont need a complete bed rest
Doctor :   i am asking you to avoid the injured trapezius muscle to work
Doctor :   which will work in some particular actions of your left hand
User :   k
Doctor :   so consciously allow your left hand top rest as much as possible
Doctor :   do most of the works from the right hand
User :   i have problem in right hand
User :   right shoulder
Doctor :   but you told that left trapezius is sprainedn and there is pain?
Doctor :   plz correct me if i am wrong
User :   i said left hand was injured but that became fine later have problem in right hand
User :   so have problem in right hand right shoulder
Doctor :   ok
Doctor :   i am sorry
Doctor :   the same is applicable for the right hand
User :   k
Doctor :   if you are right handed avoid atleast lifting something heavy by right hand for few days
Doctor :   is there any particular movements of the right hand which leads to pain
Doctor :   ?
User :   no
User :   i mean
User :   for ex
User :   if sometime i make chapati and all
User :   have pain
Doctor :   ok
User :   at present if i sit on chair for long time have pain
Doctor :   ok
User :   at back shoulder
User :   wht else
Doctor :   these are the things that only you can identify
Doctor :   you should avoid doing these acts
User :   yeah as i was on bed resr
Doctor :   no need for bed rest
Doctor :   you can roam around
User :   mainly i m giving v much rest and avoiding work with right hand
Doctor :   and do whatever you are comfortable with
Doctor :   good
User :   but my shoulder back pain
Doctor :   continu the same for few more months
User :   and sometime little swelling comes
Doctor :   this is due to the injury
User :   yes
Doctor :   due to the work the injury aggravates
User :   actually i dont know as i was injured left side as doctor say whn left hand was on rest i use right hand so the problem occur
Doctor :   ok
User :   as whole burden went on right hand
Doctor :   now you allow your right hand to take rest and take burden on the left hand
User :   if i do
User :   then
User :   later left hand wont affect
User :   r u there
Doctor :   yes
Doctor :   now the left hand is healed
Doctor :   dont worry the same problem will not occur
User :   k
User :   lastly can u guide me some exercise and can i use trademill can i go jim
Doctor :   plz avoid exercise as this will involve the vigorous movement of the hand and will aggravate your injury
User :   trademil
Doctor :   once the injury is healed you can start on exercise
User :   k
User :   lastly pls guide me right posture for sleep and pillow
Doctor :   yes'
Doctor :   if possible you should always keep your right hand free from the weight
Doctor :   ideal posture will be sleeping on your back
Doctor :   you can use pillow
User :   as per u its not serious problem
User :   but the pain as linger irritate a lot
User :   r u thr
Doctor :   yes i am here
Doctor :   yes
User :   i ask u
User :   some ?
Doctor :   you can take some pain killers for that
Doctor :   Like SUMO
User :   i m in china now
User :   not in india
Doctor :   ok
User :   combiflame
User :   i have
Doctor :   then you can ask for a combination of PARACETAMOL+NIMESULIDE
User :   is that available in china
Doctor :   this is not the trade name
User :   how many meddicne in a day for how many days pls provide complete information
User :   r u thr
Doctor :   ok
Doctor :   you can take maximum of three per day\
Doctor :   but should be taken after food only
User :   for how many days
User :   1 month
User :   15 days
Doctor :   that should be taken only if you have pain
User :   k
User :   lastly can i know ur name
User :   next time would be easy to consult
Doctor :   I am Dr AAAAAAA
Doctor :   Plz fill the feed back form
User :   lastly wht u suggest and advice
Doctor :   I will suggest you avoid working heavy with your right hand and take precaution from the postures in which you face pain
Doctor :   If pain is intolerable than you can take medication
User :   wht abt hot water bag is it good
User :   and massage
Doctor :   this routine you should follow strictly for few months
Doctor :   that your are already doing
Doctor :   \continue with them
User :   k
Doctor :   massage is good
User :   so as u i will be fine in few months
Doctor :   yes, if you will take these precautions
User :   walk badminton swimming can do
Doctor :   that i mentioned
Doctor :   these will again involve the forceful movement of the right hand
Doctor :   and may aggavate your injury
Doctor :   more is the time taken to heal less complete will be the recovery
User :   i feel good when i sleep straight its ok
Doctor :   yes
Doctor :   it is good
User :   and my doctor told me can do neck exercise
Doctor :   yes
Doctor :   that you can do
User :   and lastly i work on computer so can i use for many hur a day
User :   how many hour a day
Doctor :   yes you can use but take frequent breaks in between say 2-3 minutes after every 15-20 minutes
Doctor :   and while typing your right hand should be fully supported
User :   supported means
Doctor :   means it should rest on table
User :   k
User :   can u provide ur number
User :   if possible
Doctor :   you can contact us over chat we have introduced a phone line for calls but it is a paid service.
User :   and from china also
User :   can connect
Doctor :   yes
User :   well u have my number
User :   as will be india in few days
Doctor :   but you will need to pay first using your credit card
User :   for wht
User :   have to pay
Doctor :   then your call can be transferred to the doctor
User :   lastly can i sit on chair for long time as i go for some classes and v require 2 hours
User :   kk
Doctor :   I told you it is a paid service
Doctor :   yes you can sit
User :   but have pain
User :   thn how to rest
User :   by exercise
Doctor :   the pain that you are facing is due to the injury bit ince you will rest your hand then the injury will heal and by that time you can take pain killers
Doctor :   slowly pain will disappear
Doctor :   but still you will need to follow the same routine
Doctor :   as the injury may come back
User :   but sir more then hand now my shoulder and right back has problem
Doctor :   i can understand
Doctor :   Actually
Doctor :   the trapezius muscle is placed at the shoulders and the back
Doctor :   but its main action is to move hands
Doctor :   so if hands will not move
Doctor :   it will be in resting condition
Doctor :   and the healing will be faster
User :   k
User :   as i am talking to u from few minutes and now agin pain started
Doctor :   Trapezius is a shoulder and back muscle
User :   i am sitting on chair
Doctor :   ok
User :   that i suffer
Doctor :   you will need to take frequent rest
User :   k
User :   thanku mr AAAAAAA
User :   for ur advice and suggestion
Doctor :   Is there anything else that I can help you?
User :   well this much is enough
User :   thanku
User :   hope my problem sort out fast
Doctor :   Thanks for consulting HealthCareMagic. Bye for now. Refer your friends to our service.
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