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Since your MRI has ruled out any mass lesion and the symptoms started after rowing with improper form, this does sound more like trapezius muscle overuse with trigger points/muscle spasm rather than a dangerous swelling. Muscle knots and localized tightness in the upper trapezius are quite common after repetitive strain or faulty exercise mechanics. Dry needling can be helpful in selected cases for reducing trigger points, muscle tightness and pain, especially when done by a trained physiotherapist. Many patients experience relief in stiffness and improved mobility after a few sessions. However, it should usually be combined with posture correction, stretching, scapular strengthening and correction of rowing technique rather than relying on dry needling alone. If the area is actively inflamed, very swollen, red, hot or highly tender, reassessment may be needed before proceeding.

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Yes, it’s absolutely fine to get it done. Does your physiotherapist plan to combine dry needling with specific stretching or strengthening exercises to prevent the knots from returning?

Hi According to your chief complaints and MRI report ruling out any mass lesion suggest inflammation of the trapezius muscle due to overuse. Dry needling should only be considered after pain and swelling reduction. Otherwise it can worsen the pain.

Greetings from Rid of Pain Physiotherapy If your upper trapezius is stiff, then it can be due to imbalance in the group of muscles and postural imbalance. So clinically the whole shoulder girdle and neck need to look after.  Then the exercises plan will help to resolve the whole story.dry needling is good for the trigger point as your physio has adviced. Give some time to solve all the issues

Hey there! I have to check your MRI and visual assessment.  Kindly book online session with me. Regards Your physio

trapezius muscle spasm/trigger points from overuse. Yes, dry needling can help in releasing knots, but it should be part of a complete rehab plan, not the only treatment. Also focus on: ✔️ Posture correction & ergonomic changes ✔️ Stretching (upper traps/levator scapula) ✔️ Scapular & upper back strengthening ✔️ Heat therapy for stiffness

Yes dry needling is the best therapy .I do give once pain resolve along with checking nutrion profile .dry needling plus physiotherapy exercise will gives you long term relief

Please consult online for proper assessment and treatment plan accordingly, until then you can start with moist heat to be given at that trapezius and upper back followed by volini spray

Your symptoms suggest trapezius muscle spasm with trigger points (knots) due to overuse and wrong exercise form. MRI ruling out any mass is a good sign. Regarding dry needling: It can be helpful for trigger point release if done by a skilled therapist My advice: • First focus on posture correction and proper exercise therapy • Start scapular strengthening and stretching • Use heat therapy for stiffness • Avoid overloading the upper trapezius again Dry needling can be considered Do not rely only on passive treatment. Long-term relief depends on muscle balance and correction of movement pattern If you want, I can guide you with a structured plan to resolve this properly Dr Rajesh Pal, PT, PhD

Greetings ma'am, in the specific case please mention your occupation as it would be helpful for any therapist to make a good clinical diagnosis, secondly dry needling has been seen less effective if the not specific fibers if muscles have inflamed, moreover the rowing exercises may have contributed to your pain if there is no history of injury .

Hi, first you need to check whether it is swelling or fibrous tissue nodules. If it is swelling, it’s better to avoid dry needling and focus on reducing inflammation first. However, if it is a simple nodule formation, then you can go ahead with dry needling.

Consult in person for proper assessment to get proper treatment Till then rest icing twice a day will help regulate the pain

Yes advisable to go for needling...but first you should just ice and rest...let the swelling sybside then go for prooer rehab sessions

Hi please take an online consultation for best diagnosis and treatment

Hi please consult online for better treatment and diagnosis