AccueilPathologies Myofascial syndrome Guide to pain of myofascial origin Head and neck pain Head and neck muscles Myofascial syndrome of the head and neck splenius

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Myofascial syndrome of the head and neck splenius MEDECIN

29 October 2017 By web-sigle Comments are Off

Anatomical reminder

It is composed of an upper part, the splenius muscle of the head, and a lower part, the splenius muscle of the neck:
anatomie splénius de la tête
anatomie splénius du cou

Splénius de la tête et du cou

They lie directly under the trapezius muscle.

1- semi-spinous of the head.
2- Splenius of the head.
3- Splenius of the neck.
4- Middle scalene.
5- Posterior scalene.
6- Elevator of the scapula.

The innervation is done constantly by the roots C2 to C4 and sometimes by C1 and C5 in addition.
Both muscles are used for rotation and extension of the head and neck.

Myofascial Syndrome

Patients presenting with a myofascial syndrome of the splenius of the head (in yellow on the underlying diagram) present pain referred to the vertex (in red on the underlying diagram):

Douleurs chroniques syndrome myofascial du splénius
Douleurs chroniques syndrome myofascial du splénius

Patients with myofascial syndrome (in yellow) of the splenius of the neck have pain (in red) in the neck, skull and eye:

Douleurs chroniques syndrome myofascial du splénius
Douleurs chroniques syndrome myofascial du splénius

syndrome myofascial du splénius du cou

Syndrome myofascial du splénius du cou

Positions of overexertion with the head forward or in rotation may be responsible. Typically this is a person working at a desk in front of a computer head leaning forward and facing the screen on the side.

Treatment

The treatment is essentially done by stretching with the head bent forward and in rotation.
Prevention is the best treatment, verification of vision and possible glasses, correction of body asymmetry. Wearing cold protection around the neck is also recommended.

Post operative chronic pain