What is Trapezius Myalgia?

Trapezius myalgia is a condition characterized by chronic pain, tightness, and fatigue in the trapezius muscle,
which spans the upper back, shoulders, and neck. This condition is commonly caused by poor posture, prolonged sitting,
stress, repetitive movements, or muscle overuse. Trapezius myalgia often leads to neck stiffness, shoulder discomfort,
and tension headaches.

Symptoms

• Aching or burning pain in the upper back, shoulders, or neck
• Muscle tightness or knots (trigger points)
• Stiffness when turning or tilting the head
• Fatigue in the shoulders during work or daily activities
• Tension headaches or pressure around the head
• Pain aggravated by stress or prolonged sitting

Causes of Trapezius Myalgia

• Poor posture, especially forward head and rounded shoulders
• Prolonged computer or desk work
• Repetitive lifting or overhead activities
• Stress and anxiety leading to muscle tension
• Weak shoulder and upper back muscles
• Improper ergonomic setup at work

Diagnosis

Diagnosis includes an assessment of posture, muscle tightness, trigger points, and shoulder mechanics.
Imaging is usually not required unless other conditions need to be ruled out.

Treatment & Rehabilitation Approach

At AwaHope, treatment focuses on relieving muscle tension, improving posture, strengthening supportive muscles,
and preventing recurrence through ergonomic and movement retraining.

Treatment Methods

1. Manual Therapy

• Deep soft tissue release for tight trapezius fibers
• Trigger point therapy to reduce referred pain
• Myofascial release to restore muscle elasticity

2. Dry Needling

Effective for releasing trigger points and reducing chronic tension in the trapezius muscle.

3. BTL TECAR Therapy

Provides deep thermal stimulation that promotes muscle relaxation, increases circulation, and improves healing.

4. BTL Ultrasound Therapy

Reduces stiffness and enhances soft tissue flexibility in the neck and shoulder region.

5. BTL Electrotherapy

Helps relieve pain, decrease muscle spasms, and improve neuromuscular activation.

6. Posture Correction & Strengthening Exercises

Programs typically include:

• Strengthening the upper back and scapular stabilizers
• Stretching tight neck and chest muscles
• Training to correct forward head posture
• Ergonomic adjustments for workplace and daily activities

7. Stretching & Mobility Training

• Neck and shoulder mobility exercises
• Thoracic spine mobility to improve posture

8. Heat & Cold Therapy

• Heat therapy to relax tight muscles
• Cold therapy to manage pain during flare-ups

Recovery & Expectations

Most patients experience significant relief with physiotherapy, especially when combining manual therapy,
targeted strengthening, and posture correction. Long-term improvement depends on consistent exercise and ergonomic habits.

In Our Centre…

At AwaHope, we use a comprehensive approach involving manual therapy, advanced electrotherapy technologies,
and individualized posture training to treat trapezius myalgia effectively. Our goal is to relieve pain, restore comfort,
and help patients maintain healthy posture and shoulder function in daily life.