Conversation: The conversation between human and AI assistant.
[|Human|] I am a competitive outrigger canoe paddler. I am 60 years old. I had a SLAP tear repair and subacromial release last march. I did PT for 16 weeks to strengthen the shoulder and build up muscles in my back. I am paddling again (I do long distance, open ocean racing in 6 person canoes). I now have horrible neck pain...left side, and horrible pain around my left scapula. I m told that my levator scapula and my scalenes are in a constant state of spasm. What you you recommend I do???
[|AI|]  Hello, Giving rest to the muscles is the best thing you can do for now. You have given stress to this muscle for years and now due to over usage of the muscle and your aging process, it may not take as much stress as it used to take before. You need to continue with the exercises of the muscles for strengthening them for probably all your life. If the 16 weeks program helped you, continue with that only. For relief from pain, you can take combination of Diclofenac, Paracetamol and Chlorzoxazone (Dan-MR or Hifenac-MR) twice a day for 5 days. You can also topically apply Diclofenac gel or spray to find relief. Some professional massage sessions can help too to relax muscles. Heat application through hot water bag or electronic belt will improve blood circulation in the area and relieve spasm. I hope this information helps. Thank you for choosing Chat Doctor. Best,