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"Coat hanger" pain

Discussion in 'Pain and Inflammation' started by soti, Jun 22, 2017.

  1. soti

    soti Senior Member

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    Pain in neck/shoulders (hence "coathanger") associated with orthostatic/POTS symptoms. Trigger point massage makes it worse. I.e. a physical therapist once successfully released the muscles but 5 minutes later they seized up again worse than before. Anyone had this and found a way to work with it? Doing strengthening exercises for instance? I would think massage has got to be in there somewhere but I'm stumped.
     
  2. junkcrap50

    junkcrap50 Senior Member

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    Hi, I have the very same problems with neck/shoulder trigger points and tightness. Well, actually I have muscle tightness and knots all over, but it's only painful in my neck area. I, however, do not have any issues with trigger point massage. It works well for me, but is only temporary. It lasts usually only a month if done by a professional massage therapist or a couple a weeks if done by a family member.

    Last week the pain got unbearable and massage by a family member didn't work, so I"m finally going to see a pain specialist for trigger point injections (covered by insurance). They inject lidocaine into the trigger point to have it release and relax. It's not a permanent fix, but it is supposed to be long lasting. I believe a permanent fix is strengthening exercises to improve posture. But I haven't been able to do those, because any exercise in the "coat hanger" area just seizes my muscles up more and makes them more tight. So I'm hoping the trigger point injections allows the muscles to relax enough that I can do some posture exercises. I'm going to combine the trigger point injections with some professional massage therapy too. (Depending on the pain clinic and your insurance plan, massage therapy may also be covered by insurance.)

    Other options for trigger points injections is dry needling. It's like localized accupuncture in the knots which release the tension in the knots. But I'd rather have the local anesthetic to force the muscle to relax.

    Some interesting information as to why people with CFS get pain and knots in the coat hanger area is that the coat hanger area has the most muscle units per blood vessels than any area in the body. So, one theory is that it's not getting enough blood flow and oxygenation. I personally believe that the coat hanger area gets its own localized PEM because those muscle groups are always in use and under strain, especially with how much computer work everyone does.

    Hopefully this helps.
     
  3. bertiedog

    bertiedog Senior Member

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    South East England, UK
    I get this quite severely from time to time, the last time was nearly 2 weeks ago after days of severe migraines.

    What has helped is 2 treatments, one week apart from a good Acupuncturist who has been trained by the Chinese method. I had the pain for 7 days before the last treatment this past Monday and it took it away completely and I haven't been bothered by it since I am very glad to say.

    The first treatment on the 2nd day of the pain only helped it slightly but I noticed it stopped my neck muscles from going into spasms which has happened in the past so I believe I did get some help.

    My neck muscles are always very tight and massage seems to help with that a bit but they don't trouble me until I get this sort of attacks of severe neck pain from time to time.

    Pam
     
  4. soti

    soti Senior Member

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    I thought it was because the neck was trying to pump blood up to the brain? Don't know.

    It sounds like the right PT or acupuncturist might be helpful.
     
  5. Mrs Sowester

    Mrs Sowester Senior Member

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    Ibuprofen gel and a V-shaped pillow have really helped me. I also bought new feather pillows which stopped neck pain waking me up from sleeping quite so often.
     

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