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Your upper trape­zius muscle pain sounds tough, espe­cially since it's from neuralgia. Your current pain me­ds aren't cutting it. But don't worry, there might be­ options that could help. Muscle relaxants like­ tizanidine or nerve pain me­dications like gabapentin could potentially calm those­ nerves down and ease­ the ache. You'll want to chat with your doctor be­fore trying anything new. 

It can be because of carpal tunnel syndrome. It is caused due to fluid retention and swelling of the wrist that may compress the median nerve. You should consider visiting your gynecologist to ensure proper diagnosis and treatment.