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Not healing pain in upper trapezius & bi
Pain in the upper trapezius followed by biceps and triceps and constant muscle knots that don't heal since 13 years. Have done physiotherapy twice yet the pain persists. The damage is constant and does not heal
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hi, Pain may be due to activities beyond your physical capabilities, visit a Sports Physiotherapist for IASTM . Rest for 48hrs
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Check for CRP, CK, RF and Kidney Function Test
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Psoriasis may also cause symptoms
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Chronic pain in the upper trapezius, biceps, and triceps for 13 years, despite two rounds of physiotherapy, suggests a complex issue that may involve persistent muscle tension, posture problems, or possibly an underlying condition.
Next Steps
Gentle stretching and strengthening exercises tailored for your upper back and arms. Consistent posture correction, especially if you have a sedentary lifestyle. Heat therapy or self-massage to ease knots, but avoid overdoing it.
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The lack of healing might indicate a need for a different approach, so a detailed evaluation by the physiotherapist is key.
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I think-it could be due to your posture .You can join good Physiotherapist for posture correction and Supervised Training
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Add nerve radiating exercises. Eg. Pnf and do US for tissue healing and avoid contractions and if you're gym freak then avoid lifting heavy weights. Do consult with Physiotherapist nearby.
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Need to have a tharo check up then a personalised exercise can be given to you as per required, but your pain is treatable
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connect online consultation
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The complex of pain you are complaining about may arise from various reasons and conditions. It will require a proper assessment and diagnosis. Please consult a physiotherapist online/offline. It will require a long term treatment (consider 4-6 weeks intermittently) as the condition is chronic. Later you will have to continue exercises by yourself as long as possible.
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Perform relaxation exercises for upper back and shoulders. Use hot ferment for relaxation of muscles 
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Avoid lifting heavy weights and deep massages.
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Need to rule out the cause of pain have u taken xray of neck Need more information - working profession , married if so having kids ? Bmi is high ..
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start with streching & stretching exercises of upper back muscles & shoulder suggest for weight reduction , online weight reduction program service is available
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apply hot pack at trapezius area of pain for muscle to get relax
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You need proper assessment, consult in person or online for proper assessment to get proper treatment.
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Hi please take an online consultation for best diagnosis and treatment.
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To take care of your regular posture. I need more information and need to check some clinical movements.
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Avoid late night sleeping. Working posture. Drinking water. vitamin D.
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Rule out , if it's musculoskeletal or nerve related as you are saying multiple muscles
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consult physiotherapist
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Hi , It's one of the Medical conditions which comes under mechanical concept. In your case according to the information you have given it may be Myo - facial triggers which persist in the upper back and arm muscle which can give you these symptoms often along with that mechanical neck pain too. It requires proper assignment and examination to plan further treatment. And it won't just go off immediately . Try to meet a skilled PT to get a clear opinion and then you can plan the treatment as well If you can't find anyone,  there to help you .
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Rest well and try to get an appointment with Skilled PT to get it treated your root cause.
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I hope this message finds you well
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Proper assessment please consult online
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Maintain posture
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Please consult online. Watch your posture.
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Correction of posture
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Avoid heavy weight lifting
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.