No mistaking: Hi. A pulled muscle and a buffalo hump are completely unrelated. A buffalo hump is an unusual fat deposit on the upper back just below the neck that is usually a manifestation of excess of the hormone, cortisol. A pulled muscle has no fat deposition or mass associated with it. And buffalo humps are centered midline, but the muscles, erector spinae, are laterally offset from midline. Unrelated.
Answered 9/28/2016
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