The Bangalore desk pattern
IT work, two screens, and a two-wheeler commute keep the neck looking down. Trigger points in postural muscles, especially trapezius, are common.
Dr. Nitish Mandal
Looking down at screens feeds trapezius knots and neck-joint pain. A diagnostic block can confirm a knot. RF / PRF is for confirmed neck joints.

Looking down at screens feeds trapezius knots and cervical spondylitis. A diagnostic block can confirm a muscle knot. RF / PRF and medial branch blocks are used when the small neck joints are the source.
This article is from Dr. Nitish Mandal, Consultant Pain Physician in Bangalore, with clinics in Koramangala and J.P. Nagar. Reviewed by Dr. Nitish Mandal, MBBS, MD, FIPM, TIPM (Nashville).
Published 2025-09-01 · Updated 2026-09-22
IT work, two screens, and a two-wheeler commute keep the neck looking down. Trigger points in postural muscles, especially trapezius, are common.
A myofascial trigger point is a firm knot that is painful on pressure. If a small diagnostic block takes the pain away, that point was the source. When the small joints of the neck are the source, RF / PRF and medial branch blocks are used.
Avoid the looking-down that increases the pain. Keep moving in a range that is not painful. Absolute rest for weeks weakens supporting muscles.
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Dr. Nitish Mandal
Typically replies on WhatsApp
I have tried tablets and physiotherapy. What is different here?
Find the source of the pain, then treat that source with a clinic injection, block, or infusion. You are typically able to go home the same day.
Where are the clinics, and do I need an appointment?
Koramangala and J.P. Nagar. Prior appointment is preferred. You can book from this website.