Dr. Peter Bryant Rapsing Grutas
General Medicine Physician
Does she have trigger points? Myofascial pain syndrome can cause referred pain to the shoulder area especially if the upper trapezius and the paracervical muscles are affected. In this case, I recommend HMP, TENS, US, cervical and bilateral shoulder range of motion exercises followed by gentle passive stretching (GPS), scapular clock exercises, ischemic compression therapy followed by GPS, myofascial release, PNF and calliet exercises. You may also consider trigger point injection using steroid or prolotherapy. I hope these helps.
03.Jun, 08:26pm