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Activation of trigger points may be caused by a number of factors, including acute or chronic muscle overload, activation by other trigger points (key/satellite, primary/secondary), disease, psychological distress (via systemic inflammation), homeostatic imbalances, direct trauma to the region, collision trauma (such as a car crash which stresses many muscles and causes instant trigger points ...
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While neck pain is the second most common cause of disability and cost $100 billion [2], the NIH budgets only $10 million to the study of neck pain [3]. One of the most common neck pains is between the neck and the shoulder. This is technically over the supraspinatus muscle and not in the neck, but it is still called “neck” pain.
Antispasmodic medicines (immediate benefit) Nifedipine, in small doses (2x 5 mg per day, 10 mg per day in slow release or as much as the blood pressure allows it), can be prescribed in an attempt to provide a first relief, by blocking the esophageal spasms that may be involved and reduce the reflux going up to the throat.
Fiddler's neck is an occupational disease that affects violin and viola players. [ 1 ] It is a cutaneous condition usually characterized by redness, thickening, and inflammation on the left side of the neck below the angle of the jaw where the instrument is held. [ 1 ]
These cases result in immediate onset (usually) painless swelling of the face and neck; crepitus (crunching sound) typical of subcutaneous emphysema is often present and the subcutaneous air will be visible on X-ray. [24] One of the main causes of subcutaneous emphysema, along with pneumothorax, is an improperly functioning chest tube. [2]
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