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Muscle knots and spasms

Hi, i am having painful muscle knots and spasms in neck, shoulders and upperback. I tried many orthopedics, but no response. Got physiotherapy done too for 3 months, i have stopped all activities due to this. And find no solution, i have no injury also
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Dr. Anuradha Sharma (PT)
Clinical Physiotherapist 9 yrs exp Noida

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Posture correction must. Avoid pillow. Use cervical collar
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Dr. Vishwas Virmani (PT)
Physiotherapist 20 yrs exp Noida

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Hot Fomentation. Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side.. Warm up and cool down is a must. Hot fomentation.
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Dr. Biju Nirmal Jacob (PT)
Physiotherapist 16 yrs exp Bangalore

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May be the pain due to muscle trigger point activities, do myofascial therapy, or dry needling. Postural exercises are helpful Heat fermentations Neck and upper back stretching exercises
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Dr. Akhilesh Rathi
Orthopedic Surgeon 11 yrs exp Delhi
Get ur vit d ,uric acid and homocystine levels tested.
Next Steps
get the above tests and review
Health Tips
continue exercises learned with physio
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