How to Prevent Lower Trapezius Pain | Ivy Rehab

How to Prevent Lower Trapezius Pain

Most people go to the gym to train the big, sexy, beach muscles, but, you’re doing yourself a disservice if you aren’t training the lower trapezius muscle. I can guarantee that the biggest, strongest, and baddest looking guy at the gym will crumble if I were to test the strength of their lower trapezius muscle. The lower trap is not the sexiest muscle but it is an integral muscle for the function of the shoulder.

Let’s first talk about where it is in the body. The lower trapezius is located just below the upper trapezius, that one muscle that is always tense and has knots galore on your upper back. The lower trapezius is connected to the thoracic spine and the spine of the scapula (aka shoulder blade). This forgotten muscle has three important jobs for the proper functioning of the scapula. It helps with upward rotation of the scapula which is necessary to reach for things above your head. It also helps to depress and adduct the scapula. Proper scapula motion is integral for shoulder mobility.

When forgetting to train the lower trap, it can lead to muscle imbalance problems. The muscle imbalance in the upper extremity usually entails short and tight pec minor muscle and long and weak lower trap muscle. Over time if you leave the muscle balance untreated, you may develop shoulder pain and poor posture.

Causes of Lower Trapezius Pain

  • If you’re experiencing neck pain, you have likely strained or injured your trapezius muscle. Common causes of this muscle pain include:
  • Stress – If you have been experiencing frequent stress, it can cause your shoulder and neck muscles to tense up, causing discomfort.
  • Bad posture – Be aware of your posture. Hunching may cause increased stress on the trapezius, resulting in chronic neck pain.
  • Overuse – Exercise is great, but overuse of this muscle will result in trapezius muscle pain. Be aware of your daily activities and make sure you aren’t putting too much strain on the area.

However, there’s still hope. You can rid yourself of lower trapezius pain and get back to optimal health with these simple exercises. The first thing we can all do is to be more aware of your posture. Secondly, we should work to stretch tight chest muscles. Lastly, we should work to strengthen our weak lower trap muscle.

Next time you’re at the gym try these trapezius exercises:

  1. Doorway Pec Stretch: Stand between a doorway with arms above the shoulders to stretch the pec muscle. Make sure to put the weight through the legs and not through the arms.
  2. Wall Angels: Stand with your back and arms against the wall with your arms and elbows at 90 degrees like you are under arrest. Next slide your arms up and then back down the wall making sure to keep the back of your hands touching the wall.
  3. Prone Ys: Lie on your stomach and form a Y position with your arms and raise your arms up against gravity making sure to depress the scapula.

If you think you’re experiencing a trapezius strain, attempt these exercises immediately. If it gets worse, it may negatively affect your scapular motion. Scapular motion is what allows you to move and rotate your neck and shoulder blades. If you think your mobility is getting worse, it may be time to attempt other treatments or start physical therapy.

Additional Treatments:

Along with stretching, there are other various remedies to help with trapezius muscle pain.

  1. Apply Ice/Heat: Doing both these forms of therapy can reduce inflammation in the neck and shoulder blade. Apply ice or heat daily to minimize discomfort and promote healing.
  2. Dry needling: Dry needling requires inserting needles at trigger points that may be causing pain. A common physical therapy technique, this remedy usually rids patients of muscle knots.
  3. Taping: Taping is very common to treat a trapezius strain. Applying elastic tape to the affected area relieves pressure and reduces pain.

These are just a few initial exercises from our physical therapists to treat lower trapezius pain. Once you have established motor control of the lower trap muscle, you can work to begin strengthening the muscle. Working on your lower trap muscle will help you to prevent injury in the future as well as give you a more effective movement pattern in the shoulder. As a bonus, you’ll have the sexiest lower trap muscles this summer.

By Stephen Hanano, SPT, from Ivy Rehab, Hoboken, NJ

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