
- TrPs in other muscles, such as the semispinalis cervicis, suboccipitals, levator scapulae, sternocleidomastoid, upper trapezuis, temporalis, and deep masseter.
- C2 articular dysfunction.
- Whiplash injury.

- Working at a desk with the head turned to one side and projected forward.
- Bird watching through binoculars while seated in a poor position that causes the neck to protrude forward.
- Falling asleep with the head in a bent position as with the head on the armrest of a sofa with no pillow.
- Cold draft.
- Motor vehicle accident especially if the head and neck are rotated upon impact.
- Pulling or lifting excessive weight.

- A person should take proper measures to sustain erect posture and keeping the head and neck straight.
- Have walking cane properly fitted to avoid stress on neck musculature.
- Maintain strict ergonomics if majority of time is spent at the work station.
- When working out, care should be taken when pulling excessive weight.
- Use a scarf to keep the neck warm in cold climates or in places prone to drafts, including airplanes.
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References :
Simons DG, Travell JG, Simons LS, Myofascial Pain and Dysfunction: The Trigger Point Manual, vol 1, 2nd Ed. Baltimore: Williams and Wilkins, 1999.
Travell JG, Simons DG, Myofascial Pain and Dysfunction, vol 2. Baltimore: Williams & Wilkins, 1992.
This information is not intended to diagnose, treat, or cure any disease.
A proper diagnosis should be sought from a licensed health care provider. |