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Our user asked: "during the summer i was lifting a trash barrel up onto my shoulder weight was about 170lbs i struggled to do it but did it with a lot of asertion and twisting ever since right shoulder has not felt right at first no pain just didnt feel right i had to keep working which involves heavy lifting pain in shoulder is very sore some days and feels good other days i was just starting to feel better then yesterday i opened a jar of peppers was a struggle twisting motion today pain is extreme i can still move shoulder and lift weights i just had it xrayed was told trap strain what should my next course of action be can you tell me some exercises to help or should i go for an mri is it usual for pain to last for so long 6 months now thanks"
Ask a PT Response: "An x-ray is utilized to determine if there are fractures or any bony abnormalities or alignment issues. It would not be able to determine if you have sustained an upper trapezius strain. Given what you describe I would not be very prone to vaguely give you a physical therapy diagnosis of upper trapezius strain. Having difficulty with opening a jar requires forearm pronation/supination and could involve injury to the biceps long head which assists with elbow flex/forearm supination/shoulder flexion. Injury to the biceps long head can present with pain at the anterior aspect of the shoulder with activities such as reaching, lifting and opening doors/jars etc. My recommendation for you would be to consult with a PT so that he or she can conduct an evaluation to determine what may be the cause of your pain and develop a plan of care specific to you based on the findings. Good luck."
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