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Middle Trapezius Dysfunction in the Shoulder: Causes, Symptoms, and Rehabilitation.

  • Writer: PHYSIO 360
    PHYSIO 360
  • Jan 7
  • 3 min read


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INTRODUCTION:

The middle trapezius muscle plays a crucial role in shoulder stability and movement. Dysfunction in this muscle can lead to pain, poor posture, and limited shoulder mobility, affecting daily activities and athletic performance. At Physio360, we specialize in diagnosing and treating middle trapezius dysfunction to help you achieve optimal recovery.


Understanding the Middle Trapezius.

The middle trapezius is one of the three sections of the trapezius muscle, located between the upper and lower sections. It connects the spine to the scapula and retracts the scapula, maintains posture, and stabilises the shoulder during arm movements.


Causes of Middle Trapezius Dysfunction.

  • Poor Posture: Prolonged forward head posture and rounded shoulders strain the middle trapezius.

  • Repetitive Strain: Overuse during activities like typing or carrying heavy loads.

  • Muscle Weakness: Lack of strength training or post-injury muscle atrophy.

  • Injury or Trauma: Direct trauma or nerve damage can impair muscle function.

  • Imbalance in Shoulder Muscles: Overactive upper trapezius and underactive middle trapezius.




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Symptoms of Middle Trapezius Dysfunction.

  • Dull or sharp pain between the shoulder blades.

  • Limited ability to retract or stabilize the scapula.

  • Difficulty with overhead or pulling movements.

  • Rounded shoulders and poor posture.

  • Weakness or fatigue in the upper back.


Diagnosis at Physio360.

At Physio360, our experienced physiotherapists conduct a comprehensive assessment, including:

  • Postural analysis.

  • Muscle strength and flexibility tests.

  • Movement pattern evaluation.

  • Imaging (if necessary) to rule out structural damage.


Rehabilitation Protocol for Middle Trapezius Dysfunction.

Effective rehabilitation involves targeted exercises, posture correction, and manual therapy. Here’s how Physio360 ensures your recovery:

Phase 1: Pain Management and Initial Activation

Focus: Reduce pain and activate the middle trapezius.

  • Ice Therapy: To reduce inflammation.

  • Isometric Holds: Static scapular retractions to engage the middle trapezius.

  • Stretching: Pec stretches to relieve tension in opposing muscles.


Phase 2: Strengthening the Middle Trapezius

Focus: Rebuilding strength and stability.

  • Prone Rows:

    • Lie face down and pull light weights toward your chest.

  • T/Y/W Exercises:

    • Scapular retractions are performed in different arm positions.

  • Resistance Band Rows:

    • Focus on scapular retraction during pulling movements.


Phase 3: Posture and Functional Training

Focus: Improving posture and integrating functional movements.

  • Postural Training:

    • Use posture reminders and ergonomic adjustments.

  • Dynamic Scapular Stability:

    • Incorporate exercises like push-ups plus and wall slides.

  • Sport-Specific or Activity-Based Movements:

    • Tailored exercises for athletes or occupational demands.




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Preventing Middle Trapezius Dysfunction.

  • Maintain Good Posture: Avoid slouching and keep your shoulders back.

  • Incorporate Strength Training: Regularly engage in exercises targeting the middle trapezius.

  • Ergonomic Adjustments: Set up workspaces to reduce strain.

  • Take Frequent Breaks: Avoid prolonged static positions.


Why Choose Physio360 for Middle Trapezius Rehabilitation?

  • Expert Physiotherapists: Specialized in shoulder dysfunctions and rehabilitation.

  • Personalized Plans: Tailored exercises and therapy based on your specific needs.

  • Advanced Techniques: Including manual therapy, dry needling, and corrective exercises.

  • Holistic Approach: Addressing not just the symptoms but the root cause of dysfunction.


Conclusion

Middle trapezius dysfunction can significantly impact your shoulder health and overall quality of life. With the right intervention, you can regain strength, mobility, and confidence in your movements. For the best physiotherapy treatment in Chennai, visit Physio360 and let our experts guide you to recovery. Book your consultation today and start your journey toward pain-free living!


REFERENCE AND RESEARCH ARTICLE:

1.Association between Neck/Shoulder Pain and Trapezius Muscle Tenderness in Office Workershttps://pmc.ncbi.nlm.nih.gov/articles/PMC3985383/


2.Kinesiologic considerations for targeting activation of scapulothoracic muscles – part 2: trapeziushttps://pmc.ncbi.nlm.nih.gov/articles/PMC6849087/


 

 
 
 

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