Ask a PT

156 Posts
 
Posted - 08/21/2007 :  18:20:12  Show Profile  Reply with Quote
Our user asked: "For four months now I have been experiencing mild to severe upper back pain. At first I tried massage, then some physical therapy. The PT identified the pain as Rhomboid strain and showed me some stretches and exercies. I have faithfully stretched and exercised for almost 2 months now, but am still suffering. Any lifting with the upper back or reaching in certain positions causes sharp pain. At other times it doesn't bother me at all. From every thing I've read this seems to be the norm. My question is; how long does the healing process take and is there more I can do to help, or are there things I definitely shouldn't do. This strain has really limited my activites and energy and I need some relief. thank you for any advice you may have for me."

Ask a PT Response: "A rhomboid strain can affect individuals differently. From my experience, relief from a true rhomboid strain can usually be obtained in 4-6 weeks with participation in physical therapy. If your symptoms continue to persist and you have participated in physical therapy than there may be other factors to consider. Pain in the rhomboid region can often be associated with injury to the cervical spine/discs. A screen of the cervical spine, special tests conducted by a PT or a MRI (in extreme cases) can be performed to rule this out. Biomechanical factors at the shoulder or scapulothoracic joint can contribute to your symptoms. Poor posture and work station ergonomics can be contributory factors as well. Since you continue to experience symptoms, you may want to consult with a physical therapist who has experience and skills in manual therapy. He or she may discover something your previous therapist may have missed or utilize a different treatment approach. As far as what you should or should not do, I usually tell my patients to let pain be their guide. If an activity eleicits pain than the patient should back off from it, and if it continues to elicit pain than the patient should stop the activity all together. It is also recommended that the patient avoid any extraneous lifting, pulling or carrying which could put additional strain on the rhomboid. Good luck with your rhomboid strain and thanks for using CyberPT."