A guy has done t bar rows in gym and got sprain in his upper back ie trapezium muscle what is the medicine
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Here is a complete guide to managing a trapezius muscle strain from T-bar rows:
Trapezius Muscle Sprain (Strain) - Treatment
Note: This is likely a muscle strain (overstretching/micro-tearing of muscle fibers), not a true "sprain" (which refers to ligament injury). The terms are often used interchangeably in common language.
Medications
1. NSAIDs (First-line - Reduce Pain + Inflammation)
| Drug | Dose | Frequency |
|---|---|---|
| Ibuprofen (Brufen, Advil) | 400-600 mg | Every 6-8 hours after food |
| Diclofenac (Voveran, Voltaren) | 50 mg | Twice or thrice daily after food |
| Naproxen (Naprosyn) | 500 mg | Twice daily |
| Aceclofenac | 100 mg | Twice daily |
Take NSAIDs with food to protect the stomach. Avoid if there is a history of gastric ulcer or kidney problems.
2. Muscle Relaxants (If significant muscle spasm is present)
| Drug | Dose | Notes |
|---|---|---|
| Thiocolchicoside (Myoril, Nucoxia MR) | 4-8 mg | Twice daily, causes drowsiness |
| Methocarbamol | 750-1500 mg | Three times daily |
| Cyclobenzaprine | 5-10 mg | Three times daily, causes drowsiness |
| Tizanidine (Sirdalud) | 2-4 mg | At night (very sedating) |
3. Topical (Apply directly to the affected area)
- Diclofenac gel (Voveran gel, Voltaren gel) - apply 2-3 times daily
- Combiflam gel or Ketoprofen gel
- Moov / Volini spray - available OTC in India, good for quick relief
4. Analgesic (if NSAIDs are not tolerated)
- Paracetamol (Crocin, Dolo 650) - 500-1000 mg every 6-8 hours for pain relief without anti-inflammatory effect
Non-Drug Management (Equally Important)
-
RICE protocol for the first 48-72 hours:
- Rest - stop gym, avoid T-bar rows and pulling movements
- Ice - ice pack for 15-20 min every 2-3 hours for the first 2 days
- Compression - light shoulder compression if needed
- Elevation - less relevant here, but keep posture upright
-
Heat - after 48-72 hours, switch to warm compress or heating pad to relax the muscle
-
Gentle stretching - after the acute pain settles (day 3-4), do gentle neck tilts and shoulder rolls
When to See a Doctor
Go to a doctor if:
- Pain is severe and not improving after 3-5 days
- There is numbness or tingling going down the arm (could indicate nerve compression)
- You hear/felt a "pop" at the time of injury (possible tear)
- Significant swelling or bruising is present
Recovery Timeline
- Mild strain - 5-7 days
- Moderate strain - 2-4 weeks
- Severe strain - 4-8 weeks
Return to gym: Start with light weights and proper warm-up. Avoid T-bar rows until fully pain-free.
Disclaimer: This information is for general guidance only. Please consult a doctor or physiotherapist for a proper diagnosis and personalized treatment plan.
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