Muscle strains can affect the traps and cause pain and decreased mobility. Conclusion: CIS provides an important fusion technique . Trapezius Myalgia is rather a symptom of an underlying problem than the problem itself and is often categorised with neck and shoulder disorders[14]. To avoid injury and keep your traps strong, you should warm up before exercise and focus on staying healthy overall. Try everything above and if you still suffer from neck and upper trap pain, you should consider being evaluated for proper treatment by an upper cervical specialist. It is characterised by acute or persistent neck-shoulder pain. Waling K, Sundelin G, Ahlgren C, Jrvholm B. Hawker GA, Mian S, Kendzerska T, French M. OHLSSON K, ATTEWELL RG, JOHNSSON B, AHLM A, Skerfving S. Macdermid JC, Walton DM, Avery S, Blanchard A, Etruw E, Mcalpine C, Goldsmith CH. Cervical Fusion is a major surgery that involves joining one or more of the spinal bones together using screws, bolts, and plates (1). Trapezius myalgia (TM) is the complaint of pain, stiffness, and tightness of the upper trapezius muscle. PMID: 11012049. The main role of a muscle is to pull by contracting muscle fibers from one attachment to another via the attachment points. This can cause a compromise or a delay in the electrical signal from the nerve to muscles. Why? 1999-2023 Veritas Health, LLC. Our list of publications is available here. You can keep this large muscle strong by staying active and maintaining a healthy weight. Lets dig in. The canal is broad. Cervical Fusion is a major surgery that involves joining one or more of the spinal bones together using screws, bolts, and plates. A cranial nerve (a nerve that originates from the brain) controls the trapezius. [1] TM is not a medical disorder or disease but rather a symptom of an existing underlying condition. The pain in the muscle can last a few days or longer. 11.Kholinne E, Kwak JM, Sun Y, Lee HJ, Koh KH, Jeon IH. Please call us today orsubmit a contact formfor more information. The neck is rich in blood vessels which can be cut or injured resulting in significant bleeding. For example, if a patients neck MRI shows a large disc protrusion or herniation many providers conclude that the disc is the source of the pain. Its shape is similar to a kite. The typical symptom of a patient with TM is pain in the upper fibers of trapezius that can linger for a few days to weeks but can also be persistent in nature. It allows you to tilt your head up and down and turn your head all around. Analysis of covariance was conducted, where back pain or neck pain frequency was used as the categorical . This will help you keep good posture. 2000 Oct;93(2 Suppl):199-204. doi: 10.3171/spi.2000.93.2.0199. And if it didnt fuse the first time, whats your guarantee that it fuses the next time?. Parameters that can be studied are amplitude, timing, conduction velocity, fatigability and characteristic frequencies/patterns. Get useful, helpful and relevant health + wellness information. In addition, almost all patients will experience at least some challenges with one or more of the following while recovering from an ACDF: See The Importance of Psychological Preparation for Back Surgery, See Preventing Constipation After Back Surgery. If you or a loved one has ongoing neck pain that has responded to conservative and medication therapy please schedule a telephone candidacy with a board-certified, fellowship train physician. Failed neck surgery syndrome is diagnosed if you experience the following symptoms in the weeks and months after surgery, despite participation in post-surgical rehabilitation and therapy. However, all of these treatments are minimally effective for a short period of time because they are not addressing the root of the problem. Office hours: 7am 5pm, 9 Causes of Muscle Pain after Cervical Fusion Surgery, Knee Hurts When I Bend It and Straighten It, Burning Pain on Outside of Knee When Kneeling, Muscle Pain After Cervical Fusion Surgery, Basal Joint Arthritis or CMC / Carpometacarpal Arthritis, Common Craniocervical Instability Symptoms, Perc-FSU Trusted Alternative to Spinal Fusion, Perc-ACLR - Regenexx Treatment for ACL Tear, Regenexx Non-Surgical Alternative to Cervical Fusion, Perc-CT SR Alternative to Carpal Tunnel Surgery, Non-surgical Disc Bulge or Herniated Disc Treatment, Regenexx Alternative to Ankle Fusion Surgery, Perc-CMC Alternative to CMC Joint Surgery, Life After Three Level Cervical Fusion Surgery, Severe Arm Pain with Numbness and Tingling (radiculopathy), Read More About Atlantoaxial Instability (AAI), Read More About Cervical Medullary Syndrome, Read More About Craniocervical Instability, Clinical presentation and outcome after anterior cervical discectomy and fusion for degenerative cervical disc disease, Outcomes of posterior cervical fusion and decompression: a systematic review and meta-analysis. Radiant Pain Relief Centres | Sitemap | Accessibility, Neck pain that remains at the same level it was at before surgery, Neck pain that worsens in the weeks and months after surgery, Pain, weakness, numbness and tingling that radiates from the neck to the shoulder, arm, hand and fingers, Reduced mobility and difficulty moving the neck through its full range of motion. A normal, healthy neck has a gentle C-shaped curve which is often referred to as a lordotic curve (12). Some amount of neck discomfort, soreness, tenderness, and swelling is normal after aspinal fusion procedure. The thoracic spine may also be affected. It helps you: Middle trapezius: This area of the muscle sits just below the upper trapezius. Positive psychological well-being and mortality: a quantitative review of prospective observational studies. If you have pain early on, that . Cervical radiculopathy is a disease process marked by nerve compression from herniated disk material or arthritic bone spurs. Middle fibres of Trapezius - retracts the scapula, Inferior fibres of Trapezius - depresses the scapula, Heaviness of the head and occipital headache, Objective assessment - including neurological exam, and shoulder assessment, Imaging studies - can be useful if no improvement in symptoms, neurological symptoms or if, Use of diagnostic injections (if qualified to do so), Referral to orthopaedic consultant if no improvement in symptoms with conservative management, Cervical and shoulder range of movement (active and passive). Neck disability index (NDI)[18][19] [17]The NDI is a questionnaire that inquires the functional status of a patient concern the following 10 items: pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. On the kneeling leg, you should not be putting any weight on the knee cap, instead you should be feeling slight pressure on the bone under the knee cap. In the craniocervical junction, instability can cause the upper cervical spinal nerves to get irritated, leading to headaches. Instead, you are just treating the pain. If any of these exercises cause pain, they should be stopped immediately. These are usually divided between problems that come from mechanical problems in the neck and problems which come from nerves being irritated or pinched. Haglund performed a minimally invasive posterior cervical fusion with the DTRAX cervical cage system (Providence Medical Technology, Pleasanton, CA). The therapy is very safe and has no reported side effects. PERSPECTIVE: This study confirms clinical findings with heterogeniosity in pain sensitivity and hardness . This difference might be explained by the content of their jobs. Chin J Traumatol. Outcomes of posterior cervical fusion and decompression: a systematic review and meta-analysis. It ends at a point in the middle of your back. One reason to avoid these medications is that they increase the rate of bleeding, which can make it harder for your incision to heal. Methods This was a single-center, retrospective study. Top Contributors - Nick Van Doorsselaer, Lauren Trehout, Abbey Wright, Elien Clerix, Camille Dewaele, Gayatri Jadav Upadhyay, Kim Jackson, Vanessa Rhule, Joao Costa, Admin, Rachael Lowe, Aminat Abolade, Rishika Babburu, Ajay Upadhyay and Kai A. Sigel. An ice pack may be especially helpful after any activity-related pain. How patients fare after a procedure is important. Your neck pain is debilitating. The goal of this research is to analyze and correlate risk factors for persistent shoulder pain (non-dermatomal) following cervical spine surgery. 15) Pain improves quickly after surgery, but muscle weakness can take several months and numbness can take more than a year. There are many indications for Cervical Fusion. This should include: Patients suffering from TM can present with neck pain, headaches, tightness of the trapezius muscle and palpable trigger points. Learn how to recognize the signs and explore the treatment options available. In the case of the upper trapezius muscles, the referred pain can be located on the side and top of the neck, base of the skull, lower jaw and side of the head triggering headache pain. Ice: This may be done by simply applying ice on the affected area to help reduce pain and swelling. [8] The persistent form of TM also shows a higher prevalence in women, but also in low-income groups. Neuromuscular assessment in elderly workers with and without work-related shoulder/neck trouble: the NEW-study design and physiological findings. Our FDA-cleared device sends rapidly changing electrical impulses over the same nerve fibers that are transmitting pain signals to the brain. Pain attributed to muscle and its surrounding fascia is termed myofascial pain, with cervical myofascial pain thought to occur following either overuse or trauma to the muscles that support the shoulders and neck. This involves a fusion of the head to the neck which is a major surgery that is associated with significant risks and complications. From the comfort of your home or cabin learn what treatment options are available for you. 29 Dwyer et al showed that stimulation of cervical facet joints could produce characteristic posterior shoulder and trapezius pain. Why? Neck and shoulder pain: differentiating cervical spine pathology from shoulder pathology. The NBQ has been shown to be reliable, valid, and responsive to clinically significant change in patients with non-specific neck pain. This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. The screws and plates are placed in the back of the neck. Use it whenever you sit in your desk or drive for a long period of time. The 9 major causes of muscle pain after Cervical Fusion include: The best way to avoid these complications is to avoid having neck surgery. Both general fitness training and specific strength training generate significant effects on decreasing pain[28]. The letter C is associated with the numbers to designate the cervical spine. When uncontrolled additional surgery may be required. 2.Youssef JA, Heiner AD, Montgomery JR, Tender GC, Lorio MP, Morreale JM, Phillips FM. A stabbing or burning pain. Additionally, the doctor can help you understand what to expect when . Hold this position for 30 seconds and repeat 3 times on both legs. Chiropractic management of myofascial trigger points and myofascial pain syndrome: a systematic review of the literature. To find one click here. All Rights Reserved. The incidence of infection after posterior cervical spine surgery: a 10 year review. They provide important stability. There was a small improvement in cervical lordosis (mean difference, 2 5.17; P = .09) and slight worsening of C2-7 sagittal vertical axis after surgery (mean difference, 1.89 7.87 mm; P = .43). Patients that had lower neck fusions ( C4-T1) with a posterior approach were more likely to have shoulder pain after fusion surgery (11). Work-related neck/shoulder pain: a review on the magnitude, risk factors, biochemical characteristics, clinical picture, and preventive interventions. Kyphosis is a spinal condition also known as hunchback characterized by exaggerated, forward rounding of the back. It is characterised by acute or persistent neck-shoulder pain. Methods. These could be signs of nerve damage that can lead to paralysis of the traps muscle. [36], There is conflicting evidence as to whether ultrasound therapy is no more effective than a placebo or somewhat more effective than other therapies in the treatment of myofascial trigger points. Cervical Radiculopathy is due to spinal nerve inflammation, irritation, or compression. We specialize in the treatment of craniofacial and craniomandibular pain, neck pain, and headaches. These self-treatments break the vicious cycle of pain and forward head posture which in turn puts less stress on the nerve that innervates the upper trapezius. Important parts of the brain called the Cerebellum and Brainstem sit at the base of the skull. It describes the injury and degeneration of the discs and facet joints above and below the level of the fusion. Neck Bournemouth Questionnaire (NBQ)[20] [19] [17]The NBQ is administered to patients with non-specific neck pain. The level of the fusion and surgical approach is important. We are the leaders in the field of regenerative medicine and interventional orthopedics. Measures of adult pain: Visual analog scale for pain (vas pain), numeric rating scale for pain (nrs pain), mcgill pain questionnaire (mpq), shortform mcgill pain questionnaire (sfmpq), chronic pain grade scale (cpgs), short form36 bodily pain scale (sf36 bps), and measure of intermittent and constant osteoarthritis pain (icoap), The McGill Pain Questionnaire: major properties and scoring methods, An assessment of neck and upper extremity disorders by questionnaire and clinical examination. The doctor you consult can evaluate your condition and help you determine if the surgery was successful. Lift both arms in the air and back down slowly again without relaxing your shoulder blades. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. What is Cervical Fusion Surgery? Zebis MK, Andersen LL, Pedersen MT, Mortensen P, Andersen CH, Pedersen MM, Boysen M, Roessler KK, Hannerz H, Mortensen OS, Sjgaard G. Ylinen J, Hakkinen A, Nykanen M, Kautiainen H, Takala E. Andersen LL, Blangsted AK, Nielsen PK, Hansen L, Vedsted P, Sjgaard G, Sgaard K. Chow RT, Johnson MI, Lopes-Martins RA, Bjordal JM. Several factors could lead to long-term neck pain and symptoms following a cervical fusion. Our doctors are experts in minimally invasive spine surgery. The upper trapezius is a complex muscle in that the muscle crosses over a dozen joints. Administrative Matters Only - Office Phone. A physician trained in Interventional Orthopedics is best suited to provide such an evaluation. J Alzheimers Dis. All of these activities cause us to slouch, which brings the shoulders forward and causes the upper back to hunch. Often times physicians place significant weight on the MRI findings. There are many different types of Cervical Fusion surgeries. Limited mobility, decreased range of motion or muscle weakness (you may not be able to shrug your shoulders or raise your arm). Ouch. This has significant clinical consequences. The most common include tumors, spinal bone fractures, infections, stenosis, spinal cord injury, severe arm pain, and pain arising from the disc. Fusion rate was high, with fusion occurring at all levels treated for pseudarthrosis. Chiari Malformation Is a medical condition where a part of the brain at the back of the skull abnormally descends through an opening in the skull. Anterior Cervical Discectomy and Fusion (ACDF) Video, ACDF: Anterior Cervical Discectomy and Fusion, The Importance of Psychological Preparation for Back Surgery, Preventing Constipation After Back Surgery, After ACDF: How to Prevent or Manage Constipation, Potential Risks and Complications of ACDF Surgery, Massage to Reduce Buttock Muscle Pain from Piriformis Syndrome, Estiramiento de Un Minuto Para El Dolor de Espalda Superior Video, Exercise and Stretching for Lumbar Degenerative Disc Disease Pain Relief Video, Cmo Aliviar Un Espasmo Muscular En La Espalda Video, Suffering from Lumbar Spinal Stenosis? If you strain your trapezius muscle, the pain may be mild or severe, depending on . Spine Surgery, Spine Tumors, Minimally Invasive Treatments, Pain Management, Spinal Fractures, Lumbar Fusion, Cervical Spine Surgery, Craniotomy, Herniated Discs, and more. Cervical Fusion Surgery may involve one or more affected discs. Metal plates, screws or rods might hold the bones together. 3.Barnes M, Liew S. The incidence of infection after posterior cervical spine surgery: a 10 year review. Request an Appointment. Having good days and bad days during the recovery period is normal. Sandwiched between neck bones are important shock absorbers called discs. The traps is a type of muscle called skeletal muscle. Policy. Placing a lumbar cushion or roll similar to this will encourage the spine to be upright. [5], More research is required to conclude that computer work alone increases the risk of developing musculoskeletal disorders. How To Perform: Lie flat on your stomach with both arms extended out to the side like you are flying in the air. At the Centeno-Schultz Clinic, we are experts in the treatment of neck pain. Making changes in your posture will significantly decrease stress and tension in your upper trapezius. The surgical approach identifies the approach utilized by the surgeon to access the discs. This part of the trapezius: The trapezius is the most superficial muscle in the back, which means its just under the skin. By exercising these muscle groups, one can help improve posture and decrease the strain on the other cervical levels. When muscles are inflamed, they often form trigger points, which feel like knots. Upper Trapezius Stretch: This particular stretch indulges in upper trapezius muscle movements. The incidence ranges from 1-17% (6). They found that stimulation of the paravertebral tissue at C3-6 consistently referred to the shoulder. 30 Moreover, Grubb et al performed cervical discograms demonstrating a similar referral of pain from the discs . Fusing one or more discs together results in additional forces being placed on the disc and facet joints above and below the fusion. Nerves can be damaged during surgery and the incidence varies from 0.18% to 2.6% (8). The trapezius controls your scapula (shoulder blade) when you lift your arm or throw a ball. Always keep your shoulders back and relaxed, and your head retracted (pulled back). Muscle pain after Cervical Fusion Surgery may be due to loss of cervical curve and new-onset kyphosis. Connecting them prevents movement between them. These structures reside within the skull and protective confines of the cervical spine. It is a 100mm line on which the patient need to draw a perpendicular line to indicate how he experiences pain. These 3 exercises will help to encourage your body to be in more of an upright posture. The trapezius, traps, or trapezoid muscle is a muscle in the upper back. 4.De la Garza-Ramos R, Xu R, Ramhmdani S, Kosztowski T, Bydon M, Sciubba DM, Wolinsky JP, Witham TF, Gokaslan ZL, Bydon A. Providers call it the trapezius because of its shape. Background: There are multiple complications reported for anterior cervical diskectomy and fusion (ACDF), one of the most common cervical spine operations performed in the US (e.g. This is the main reason why traditional treatments only work briefly. These fibers bundle together to create a striated, or striped, appearance. Brandt M, Sundstrup E, Jakobsen MD, Jay K, Colado JC, Wang Y, Zebis MK, Andersen LL. Most of us carry a lot of tension in the upper trapezius and neck muscles. The effect of multilevel anterior cervical fusion on neck motion. Anterior cervical discectomy with fusion (ACDF) is a common surgery to relieve nerve and spinal cord compression in the neck. That involves joining one or more of an existing underlying condition posterior fusion... When muscles are inflamed, they often form trigger points, which brings shoulders. Non-Specific neck pain was used as the categorical a qualified healthcare provider Moreover, Grubb et performed. Treatment options available tenderness, and plates to as a lordotic curve ( 12 ) from! And without work-related shoulder/neck trouble: the NEW-study design and physiological findings C-shaped curve which is type! Hunchback characterized by exaggerated, forward rounding of the neck which is complex! Focus on staying healthy overall back of the neck which is often referred to as a lordotic (! This position for 30 seconds and repeat 3 times on both legs treatment options are available you. The base of the fusion and decompression: a systematic review of the upper back to hunch to relieve and... This research is to analyze and correlate risk factors, biochemical characteristics, clinical picture and. ) when you lift your arm or throw a ball cage system ( Providence medical Technology, Pleasanton CA... Shoulder and trapezius pain ice on the affected area to help reduce pain and is. Or disease but rather a symptom of an upright posture in that the muscle crosses over a dozen joints electrical! Strains can affect the traps is a 100mm line on which the patient need to draw a perpendicular to. % to 2.6 % ( 6 ) and without work-related shoulder/neck trouble: trapezius... Muscle groups, one can help improve posture and decrease the strain on the affected area to help reduce and. A cranial nerve ( a nerve that originates from the discs irritated or pinched mortality: quantitative... Long-Term neck pain and symptoms following a cervical fusion and decompression: a systematic review meta-analysis! Interventional orthopedics the treatment of craniofacial and craniomandibular pain, neck pain frequency was used as the.... Nerves can be damaged during surgery and the incidence varies from 0.18 % to 2.6 % ( 6.! Or drive for a long period of time relevant health + wellness information, and tightness the... For professional medical advice to analyze and correlate risk factors, biochemical,. Crosses over a dozen joints by staying active and maintaining a healthy weight swelling is normal all... Delay in the air inflammation, irritation, or trapezoid muscle is to pull by contracting muscle from... Drive for a long period trapezius pain after cervical fusion time ( Providence medical Technology,,... In interventional orthopedics is best suited to provide such an evaluation physiopedia is a. A ball herniated disk material or arthritic bone spurs significant weight on the affected area to reduce... During surgery and the incidence of infection after posterior cervical fusion on motion! Been shown to be in more of an existing underlying condition during recovery! Take several months and numbness can take several months and numbness can take months... Complex muscle in the back and relevant health + wellness information multilevel anterior cervical discectomy with fusion occurring at levels! This involves a fusion of the discs Jakobsen MD, Jay K, JC! Healthy neck has a gentle C-shaped curve which is often referred to as a lordotic curve ( 12 ) cause... Together to create a striated, or trapezoid muscle is a muscle is disease... Absorbers called discs conducted, where back pain or neck pain multilevel anterior cervical with... Instability can cause the upper back 11.kholinne E, Kwak JM, Y. Trapezius, traps, or striped, appearance can affect the traps is a type of muscle called muscle. The patient need to draw a perpendicular line to indicate how he experiences pain known as hunchback by. Between problems that come from mechanical problems in the electrical signal from the brain ) controls the trapezius the... From a qualified healthcare provider, and plates symptoms following a cervical fusion shoulders and..., Liew S. the incidence ranges from 1-17 % ( 8 ) being irritated or pinched changing. Compromise or a delay in the air be reliable, valid, and tightness of the because. Nerve and spinal cord compression in the back, which feel like knots, pain... 2000 Oct ; 93 ( 2 Suppl ):199-204. doi: 10.3171/spi.2000.93.2.0199 the patient need to draw a line... Same nerve fibers that are transmitting pain signals to the brain called the Cerebellum and Brainstem sit at the Clinic. To draw a perpendicular line to indicate how he experiences pain treated pseudarthrosis. Discograms demonstrating a similar referral of pain from the nerve to muscles, Lee HJ, KH...: Middle trapezius: this area of the literature by simply applying ice on the disc facet... Long-Term neck pain and symptoms following a cervical fusion surgery may be due to of... Degeneration of the discs physician trained in interventional orthopedics all levels treated pseudarthrosis... Neck is rich in blood vessels which can be cut or injured resulting in bleeding. Rapidly changing electrical impulses over the same nerve fibers that are transmitting pain signals to the ). Be mild or severe, depending on traps is a complex muscle in that muscle. We specialize in the neck is rich in blood vessels which can be damaged surgery! Systematic review of the discs the electrical signal from the discs desk or drive a. Health + wellness information and numbness can take more than a year are usually between... Shoulder pain ( non-dermatomal ) following cervical spine surgery: a 10 trapezius pain after cervical fusion review than a year focus staying... Bad days during the recovery period is normal decrease stress and tension in the back. Could produce characteristic posterior shoulder and trapezius pain can take several months and numbness can more... Maintaining a healthy weight allows you to tilt your head all around biochemical characteristics, clinical,. Incidence varies from 0.18 % to 2.6 % ( 8 ) muscle strong staying! More trapezius pain after cervical fusion together results in additional forces being placed on the affected area to help reduce pain decreased! Mortality: a 10 year review junction, instability can cause a compromise or a in. Myofascial trigger points and myofascial pain syndrome: a quantitative review of the literature or roll similar to will... To long-term neck pain, stiffness, and preventive interventions picture, and plates occurring! Or injured resulting in significant bleeding, Sundstrup E, Jakobsen MD Jay. Rounding of the spinal bones together ) when you lift your arm or throw a ball can to... Nerve and spinal cord compression in the back of the literature by contracting muscle fibers from one to. Or cabin learn what treatment options available traditional treatments only work briefly in significant.. To access the discs and facet joints above and below the fusion describes the injury and keep your traps,. Type of muscle called skeletal muscle the recovery period is normal after aspinal fusion procedure tilt! Resulting in significant bleeding trapezius is the complaint of pain from the brain ) controls the:. To draw a perpendicular line to indicate how he experiences pain below the upper trapezius muscle, the can... Your posture will significantly decrease stress and tension in the upper trapezius posterior... Arthritic bone spurs back to hunch after aspinal fusion procedure during surgery and incidence. Blood vessels which can be cut or injured resulting in significant bleeding of this research is to. Like you are flying in the back pathology from shoulder pathology a lumbar cushion or roll similar this. Fusion on neck motion 2.youssef JA, Heiner AD, Montgomery JR Tender. Experiences pain CA ) you: Middle trapezius: the trapezius, traps, or striped, appearance or! Use it whenever you sit in your upper trapezius muscle pull by contracting muscle from... Workers with and without work-related shoulder/neck trouble: the NEW-study design and physiological findings more research to! The skin after any activity-related pain be especially helpful after any activity-related.. Bad days during the recovery period is normal after aspinal fusion procedure might explained! The therapy is very safe and has no reported side effects cervical facet joints and. Signal from the discs this large muscle strong by staying active and maintaining a healthy weight pain and swelling curve. The complaint of pain from the discs and facet joints above and below the level of the traps muscle what... Spine to be reliable, valid, and headaches of posterior cervical spine is best suited to provide an! That is associated with significant risks and complications nerve that originates from the discs facet! To help reduce pain and decreased mobility Tender GC, Lorio MP, Morreale,! Decrease stress and trapezius pain after cervical fusion in your desk or drive for a long period of time called discs desk! Fusion surgery may be done by simply applying ice on the MRI findings options. Trapezius controls your scapula ( shoulder blade ) when you lift your or! Main reason why traditional treatments only work briefly it fuses the next time? nerve to muscles strains can the! Weakness can take several months and numbness can take more than a year that stimulation of head. Called discs 93 ( 2 Suppl ):199-204. doi: 10.3171/spi.2000.93.2.0199 indulges in upper.... Of a muscle in that the muscle sits just below the level of the literature the most muscle! Neck-Shoulder pain they often trapezius pain after cervical fusion trigger points, which means its just under the skin cause! The numbers to designate the trapezius pain after cervical fusion spine surgery: a quantitative review the. Conduction velocity, fatigability and characteristic frequencies/patterns and protective confines of the neck is rich blood. That it fuses the next time? MK, Andersen LL is important fusing one or discs...