Muscle Diseases Dysfunction

The sternohyoid muscle is one of the strap muscles in the front of your neck. Although it is not as well known as some other muscles, problems related to it can cause pain and discomfort. In this guide, we will discuss its anatomy, review different types of diseases or dysfunctions that affect it, list possible causes and symptoms, and outline a wide range of diagnostic tests and treatment options. We will also provide guidance on when you should see a doctor and answer some common questions.


Anatomy of the Sternohyoid Muscle

Understanding the basic anatomy of the sternohyoid muscle is important when discussing its diseases.

Structure and Location

  • Location:
    The sternohyoid is one of the infrahyoid muscles. It is found in the front part of the neck, running vertically from the sternum (breastbone) upward toward the hyoid bone.

Origin and Insertion

  • Origin:
    The muscle originates from the upper part of the manubrium (the top portion of the sternum) and sometimes the adjacent clavicle.

  • Insertion:
    It inserts onto the lower border of the hyoid bone, which is a small U-shaped bone in the neck that supports the tongue.

Blood Supply

  • Primary Blood Vessels:
    The sternohyoid muscle receives blood from branches of the superior thyroid artery and, in some cases, collateral branches from nearby vessels. Good blood flow is crucial for muscle health and healing.

Nerve Supply

  • Innervation:
    The muscle is mainly innervated by the ansa cervicalis, a loop of nerves in the neck that also supplies several other infrahyoid muscles.

Functions of the Sternohyoid Muscle

In healthy individuals, the sternohyoid muscle plays several roles:

  1. Depressing the Hyoid Bone: Helps lower the hyoid bone during swallowing.

  2. Stabilizing the Hyoid: Contributes to the stability of the hyoid bone, assisting in proper swallowing mechanics.

  3. Supporting Speech: By controlling the position of the hyoid bone, it indirectly helps in speech production.

  4. Assisting in Breathing: It contributes to the regulation of airway patency by maintaining the position of neck structures.

  5. Facilitating Neck Movements: Plays a minor role in controlling neck posture and movements.

  6. Working in Coordination: Works together with other infrahyoid muscles to coordinate actions during swallowing and speaking.


Sternohyoid Muscle Diseases and Dysfunction

Although there are no “diseases” exclusive only to the sternohyoid muscle, it can be involved in several musculoskeletal conditions. Problems may arise due to injury, overuse, or as part of a broader neck disorder.

Types of Conditions Involving the Sternohyoid Muscle

  1. Myofascial Pain Syndrome:
    Pain and tenderness in the muscle with trigger points that can refer pain to other areas.

  2. Muscle Strain or Overuse Injury:
    Overexertion during physical activity or improper posture can lead to muscle strain.

  3. Inflammatory Myopathy:
    Inflammation of the muscle tissue which can be part of a larger systemic disorder.

  4. Post-Surgical Adhesions:
    Scar tissue following neck surgery may involve the sternohyoid muscle.

  5. Anatomical Variants:
    Sometimes, differences in the muscle’s structure or attachments can predispose to dysfunction.

  6. Referred Pain:
    Neck pain from other sources (such as cervical spine issues) may be felt in the sternohyoid region.


Causes of Sternohyoid Muscle Problems

Below is a list of 20 potential causes or risk factors that might lead to sternohyoid muscle dysfunction or discomfort:

  1. Repetitive Strain:
    Repeated overuse during activities such as long hours at a desk.

  2. Poor Posture:
    Slouching or improper head alignment.

  3. Trauma:
    Direct injury or blunt force to the neck.

  4. Accidents:
    Car accidents or falls impacting the neck.

  5. Surgical Procedures:
    Neck surgeries that involve dissection or retraction.

  6. Inflammatory Conditions:
    Disorders such as polymyositis.

  7. Infections:
    Bacterial or viral infections that spread to muscle tissue.

  8. Autoimmune Disorders:
    Conditions where the body attacks its own tissues.

  9. Stress:
    Emotional or physical stress causing muscle tension.

  10. Overexertion:
    Excessive physical exercise involving neck muscles.

  11. Occupational Hazards:
    Jobs that require prolonged neck extension or repetitive motions.

  12. Degenerative Changes:
    Age-related muscle wear.

  13. Anatomical Anomalies:
    Congenital differences in muscle structure.

  14. Nutritional Deficiencies:
    Lack of vitamins or minerals affecting muscle health.

  15. Poor Ergonomics:
    Inadequate workstation setup.

  16. Cold Exposure:
    Prolonged exposure to cold environments causing muscle tightness.

  17. Myofascial Trigger Points:
    Formation of painful spots within the muscle.

  18. Nerve Compression:
    Issues that compress the ansa cervicalis.

  19. Hormonal Imbalances:
    Changes that affect muscle metabolism.

  20. Systemic Illness:
    Diseases like diabetes that may predispose to muscle problems.


Symptoms of Sternohyoid Muscle Involvement

Here are 20 symptoms that can occur when the sternohyoid muscle is affected:

  1. Neck Pain:
    Localized discomfort or pain in the front of the neck.

  2. Muscle Stiffness:
    Reduced flexibility or tightness.

  3. Swallowing Difficulties:
    Pain or trouble when swallowing.

  4. Sore Throat:
    Persistent soreness not due to infection.

  5. Limited Range of Motion:
    Difficulty moving the neck.

  6. Tenderness on Touch:
    Pain when pressing on the muscle.

  7. Headache:
    Referred pain leading to headaches.

  8. Referred Pain to Jaw:
    Pain that may radiate to the jaw area.

  9. Difficulty Speaking:
    Changes in speech clarity due to muscle tension.

  10. Fatigue:
    General muscle weakness or tiredness.

  11. Postural Imbalance:
    Abnormal head or neck posture.

  12. Muscle Spasms:
    Sudden, involuntary contractions.

  13. Cramping:
    Periodic muscle cramps.

  14. Radiating Pain:
    Pain that spreads to the shoulder or upper chest.

  15. Neck Stiffness in the Morning:
    Stiffness noticed after waking up.

  16. Pain with Movement:
    Increased discomfort during physical activities.

  17. Bruising or Swelling:
    In cases of trauma.

  18. Visible Muscle Tightness:
    Feeling or seeing a knot in the muscle.

  19. Difficulty in Neck Rotation:
    Reduced ability to turn the head.

  20. Sensory Changes:
    Occasional numbness or tingling if nerves are involved.


Diagnostic Tests for Sternohyoid Muscle Conditions

A doctor may use a variety of tests to diagnose issues related to the sternohyoid muscle. Here are 20 diagnostic approaches:

  1. Medical History Evaluation:
    Detailed review of symptoms and previous injuries.

  2. Physical Examination:
    Inspection and palpation of the neck muscles.

  3. Ultrasound Imaging:
    To visualize soft tissues and detect abnormalities.

  4. Magnetic Resonance Imaging (MRI):
    High-detail images of the neck muscles.

  5. Computed Tomography (CT) Scan:
    For detailed cross-sectional images.

  6. X-Rays:
    To rule out bony abnormalities.

  7. Electromyography (EMG):
    Tests the electrical activity of the muscle.

  8. Nerve Conduction Studies:
    To assess nerve function.

  9. Blood Tests:
    Checking for signs of inflammation or infection.

  10. Muscle Biopsy:
    In rare cases, a sample of muscle tissue may be examined.

  11. Trigger Point Injections:
    Diagnostic injections to see if pain is relieved.

  12. Palpation of Trigger Points:
    Manual assessment for localized muscle pain.

  13. Range of Motion Tests:
    Measuring neck movement.

  14. Posture Analysis:
    Assessment of head and neck alignment.

  15. Pain Provocation Tests:
    Specific maneuvers to reproduce symptoms.

  16. Thermography:
    Detecting abnormal heat patterns in the muscle.

  17. Functional Movement Screening:
    Observing movements to detect dysfunction.

  18. Surface Electromyography (sEMG):
    A noninvasive method to measure muscle activity.

  19. Dynamic Imaging Studies:
    To evaluate muscle movement during activity.

  20. Ultrasound Elastography:
    Assessing tissue stiffness and elasticity.


Non-Pharmacological Treatments

Many people benefit from non-drug therapies and lifestyle changes. Here are 30 non-pharmacological treatments that may help with sternohyoid muscle conditions:

  1. Rest:
    Allow the muscle time to heal.

  2. Ice Therapy:
    Applying ice packs to reduce swelling.

  3. Heat Therapy:
    Warm compresses to relax tight muscles.

  4. Massage Therapy:
    Targeted massage to relieve trigger points.

  5. Physical Therapy:
    Professional exercises and stretches.

  6. Posture Correction:
    Ergonomic adjustments and training.

  7. Stretching Exercises:
    Gentle neck stretches to improve flexibility.

  8. Strengthening Exercises:
    To support neck muscles.

  9. Trigger Point Release Techniques:
    Self-massage or therapist-assisted.

  10. Myofascial Release:
    Techniques to relieve muscle tightness.

  11. Yoga:
    Poses that improve neck alignment and flexibility.

  12. Pilates:
    Core strengthening to support posture.

  13. Acupuncture:
    Insertion of fine needles to relieve pain.

  14. Chiropractic Care:
    Manual adjustments to improve alignment.

  15. TENS (Transcutaneous Electrical Nerve Stimulation):
    Electrical stimulation to reduce pain.

  16. Ultrasound Therapy:
    Using sound waves for muscle healing.

  17. Postural Braces:
    Neck support devices to maintain proper alignment.

  18. Ergonomic Workspace Adjustments:
    Changing desk, chair, or monitor settings.

  19. Relaxation Techniques:
    Deep breathing and meditation.

  20. Cognitive Behavioral Therapy (CBT):
    For chronic pain management.

  21. Biofeedback:
    Techniques to gain control over muscle tension.

  22. Hydrotherapy:
    Water-based exercises and treatments.

  23. Progressive Muscle Relaxation:
    A technique to reduce overall muscle tension.

  24. Self-Care Education:
    Learning about proper neck care.

  25. Support Groups:
    Peer support for chronic pain.

  26. Manual Lymphatic Drainage:
    To reduce swelling and improve circulation.

  27. Activity Modification:
    Avoiding activities that strain the neck.

  28. Mindfulness Meditation:
    Reducing stress-related muscle tension.

  29. Ergonomic Pillows:
    Using supportive pillows during sleep.

  30. Lifestyle Changes:
    Diet, hydration, and overall healthy habits.


Pharmacological Treatments

In some cases, doctors may recommend medications to help with inflammation, pain, or muscle spasms. Here are 20 drugs or classes of drugs that might be used:

  1. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs):
    Ibuprofen, naproxen.

  2. Acetaminophen:
    For mild pain relief.

  3. Muscle Relaxants:
    Such as cyclobenzaprine or methocarbamol.

  4. Corticosteroids:
    To reduce severe inflammation.

  5. Anticonvulsants:
    Gabapentin for neuropathic pain.

  6. Tricyclic Antidepressants:
    For chronic pain management.

  7. Selective Serotonin Reuptake Inhibitors (SSRIs):
    Sometimes used for pain modulation.

  8. Opioids:
    For severe, short-term pain (used cautiously).

  9. Topical Analgesics:
    Creams or patches containing lidocaine.

  10. Capsaicin Cream:
    To reduce localized pain.

  11. Benzodiazepines:
    Short-term use for muscle spasm relief.

  12. COX-2 Inhibitors:
    Such as celecoxib.

  13. Anti-inflammatory Nutritional Supplements:
    Omega-3 fatty acids (in supplement form).

  14. Antispasmodic Agents:
    Drugs that help reduce muscle spasm.

  15. Gabapentinoids:
    For nerve-related pain.

  16. Topical NSAIDs:
    Applied directly to the neck area.

  17. Combination Analgesics:
    Medications that mix acetaminophen with another agent.

  18. Local Anesthetic Injections:
    Sometimes used diagnostically.

  19. Botulinum Toxin Injections:
    For severe myofascial trigger points.

  20. Antihistamines:
    Occasionally used for muscle relaxation in specific contexts.


Surgical Treatments

Surgical intervention is rarely needed for isolated sternohyoid muscle problems but may be considered if other underlying conditions exist. Here are 10 potential surgical options:

  1. Myotomy:
    Surgical cutting of a portion of the muscle to relieve tension.

  2. Release of Adhesions:
    Removal of scar tissue that restricts movement.

  3. Decompression Surgery:
    To relieve pressure on nerves that may affect the muscle.

  4. Neurolysis:
    Freeing up compressed nerve tissue.

  5. Muscle Repair:
    Repairing a torn or damaged portion of the muscle.

  6. Scar Revision Surgery:
    For post-surgical adhesions or abnormal scar tissue.

  7. Endoscopic Procedures:
    Minimally invasive surgeries for neck issues.

  8. Excision of Myofascial Trigger Points:
    Rarely performed to relieve chronic pain.

  9. Spinal Decompression Surgery:
    When cervical spine issues indirectly affect the muscle.

  10. Combined Procedures:
    Surgeries that address multiple neck structures simultaneously.

Prevention Strategies

Prevention is always better than treatment. Here are 10 strategies to help prevent sternohyoid muscle problems:

  1. Maintain Good Posture:
    Practice proper ergonomics at work and at home.

  2. Regular Exercise:
    Strengthen neck and shoulder muscles.

  3. Stretching Routines:
    Daily neck stretches can improve flexibility.

  4. Avoid Repetitive Strain:
    Take breaks during long periods of work.

  5. Ergonomic Adjustments:
    Use supportive chairs, desks, and pillows.

  6. Healthy Diet:
    Maintain proper nutrition to support muscle health.

  7. Stay Hydrated:
    Water is important for muscle function.

  8. Stress Management:
    Practice relaxation techniques to reduce muscle tension.

  9. Warm-Up and Cool-Down:
    Before and after physical activities.

  10. Regular Medical Checkups:
    Early detection of issues can prevent worsening.


When to See a Doctor

It is important to seek medical advice if you experience any of the following:

  • Persistent or worsening neck pain.

  • Difficulty swallowing or speaking.

  • Noticeable muscle weakness or numbness.

  • Limited neck mobility.

  • Swelling, bruising, or severe tenderness in the neck.

  • Pain that interferes with daily activities or sleep.

  • A history of trauma or recent surgery in the neck area.

  • Signs of systemic illness, such as fever and unexplained weight loss.

  • Chronic headaches associated with neck stiffness.

  • Unexplained muscle spasms or cramping.

  • Any sudden changes in neck or head function.


Frequently Asked Questions (FAQs)

FAQ 1: What is the sternohyoid muscle, and where is it located?

The sternohyoid muscle is a thin, strap-like muscle in the front of the neck. It starts at the upper sternum and attaches to the hyoid bone, helping to depress and stabilize the hyoid during swallowing and speaking.

FAQ 2: What functions does the sternohyoid muscle serve?

It mainly helps lower the hyoid bone, supports swallowing, contributes to speech clarity, aids in breathing, helps control neck movements, and works with other neck muscles for coordinated actions.

FAQ 3: Can the sternohyoid muscle be injured?

Yes, like other muscles, it can be injured by overuse, poor posture, trauma, or inflammation.

FAQ 4: What causes sternohyoid muscle pain?

Common causes include repetitive strain, poor ergonomics, stress, muscle overuse, trauma, and underlying inflammatory or systemic conditions.

FAQ 5: How is sternohyoid muscle pain diagnosed?

Diagnosis typically involves a thorough history, physical examination, and may include imaging tests like ultrasound, MRI, or CT scans, as well as nerve conduction studies.

FAQ 6: What are some common symptoms of sternohyoid muscle issues?

Symptoms can include neck pain, muscle stiffness, difficulty swallowing, tenderness, headaches, muscle spasms, and reduced range of motion.

FAQ 7: Are there non-drug treatments available?

Yes. Options such as physical therapy, massage, stretching, ergonomic improvements, and relaxation techniques can help manage symptoms.

FAQ 8: What medications are used to treat sternohyoid muscle pain?

Doctors may recommend NSAIDs, muscle relaxants, corticosteroids, or topical analgesics among others, depending on the severity of your symptoms.

FAQ 9: When might surgery be necessary?

Surgery is usually considered when there is significant structural damage, severe adhesions, or nerve compression that does not improve with conservative treatment.

FAQ 10: What can I do at home to relieve pain?

Home treatments include applying ice or heat, gentle stretching, maintaining good posture, and taking over-the-counter pain relievers as advised by a healthcare provider.

FAQ 11: How can I prevent sternohyoid muscle problems?

Preventative measures include regular exercise, proper ergonomics, stress management, adequate hydration, and avoiding repetitive neck strain.

FAQ 12: Is the sternohyoid muscle affected by systemic conditions?

Yes, conditions such as inflammatory myopathies or autoimmune diseases can affect the muscle, along with nutritional deficiencies and hormonal imbalances.

FAQ 13: What role does physical therapy play in treatment?

Physical therapy helps by teaching exercises to stretch and strengthen neck muscles, improving posture, and reducing pain through targeted techniques.

FAQ 14: Are there any risks with using drugs or surgeries for treatment?

All treatments have potential risks. Medications may cause side effects, and surgery carries risks such as infection, nerve damage, or scarring. Always discuss options with your doctor.

FAQ 15: When should I consult a specialist?

If your symptoms persist or worsen despite self-care, or if you experience swallowing difficulties, severe pain, or neurological symptoms, it is important to see a doctor, preferably a specialist in musculoskeletal or ENT (ear, nose, and throat) medicine.


Conclusion

Understanding the sternohyoid muscle and its role in neck function can help you better recognize symptoms of dysfunction and take steps toward treatment. Whether you experience pain, stiffness, or other symptoms, the combination of proper diagnosis, a range of treatment options, and preventive measures can make a significant difference in your quality of life. Always remember to consult healthcare professionals when symptoms persist or worsen, and use self-care strategies as a supportive measure.

 

Authors Information

 

Disclaimer: Each person’s journey is unique, treatment plan, life style, food habit, hormonal condition, immune system, chronic disease condition, geological location, weather and previous medical  history is also unique. So always seek the best advice from a qualified medical professional or health care provider before trying any treatments to ensure to find out the best plan for you. This guide is for general information and educational purposes only. Regular check-ups and awareness can help to manage and prevent complications associated with these diseases conditions. If you or someone are suffering from this disease condition bookmark this website or share with someone who might find it useful! Boost your knowledge and stay ahead in your health journey. We always try to ensure that the content is regularly updated to reflect the latest medical research and treatment options. Thank you for giving your valuable time to read the article.

 

References

 

To Get Daily Health Newsletter

We don’t spam! Read our privacy policy for more info.

Download Mobile Apps
Follow us on Social Media
© 2012 - 2025; All rights reserved by authors. Powered by Mediarx International LTD, a subsidiary company of Rx Foundation.
RxHarun
Logo