Doctor insights on:
How Can An Elevated Shoulder Scapular Be Treated
How to fix scapular winging. Happened after physical injury to my right shoulder. Can exercise fix it or i need medical attention!
You need medical: Attention. Winged scapula is usually caused by nerve injury, so i don't know how much it is related to your shoulder injury. ...Read more
Diagnosed with Scapular Dyskenisis, got through PT, but my shoulder pain never went away and is getting worse. What can I do to help this?
Scapular Dyskinesis: can be caused or complicated by an internal injury to the shoulder (such as rotator cuff or labral tear or AC joint separation). While physical therapy is an integral part of treatment, there may also be an underlying shoulder injury which needs to be addressed. An MRI would be useful to see whether you have an internal injury causing your dyskinesis and increasing pain. ...Read more
Will the following imaging study show scapular bursitis: XRay SHOULDER RT 3 VIEWS COMPLETE - Axillary, AP, and true AP views?
I've undergone a month of pt per my dr. For scapular dyskinesis but my shoulder's still sore & unaligned. Why hasn't it gotten better? What's next?
Shoulder pain x4h, dropped ~1 inch lower than than other side, mobility/function limited, mild scapular pain. Cannot lift arm over head. thoughts?
Shoulderpain: Tough to say without examining you. Your symptoms sound as if you at least strained one of your ligaments in your shoulder, with a possible co-existing Muscle strain of your scapula. See your doctor for an evaluation and proper diagnosis to assure you get the best advice and treatment. Best wishes. ...Read more
Mri: can not see bursa on xray exam ...Read more
When u have a mri of the thoracic spine, does it go as far as the shoulder, scapular area or just the vertebrae?
Just the spine: The MRI is usually restricted to the spine and immediately surrounding tissue. Ordinarily it would not show the shoulder unless that was requested on the order. In addition, different MRI sequences are used for the shoulder. These different sequences show the tissues in different ways. So, in order to evaluate a shoulder, it really is necessary to get a dedicated shoulder MRI. ...Read more
I have been living with pain in the left scapula for months. Doctor ordered MRI of the shoulder. Would this show the scapular region?
If it is not specified to show the whole scapula it will not show the whole scapula and may not show the area of concern ...Read more
I have discomfort started on the left side of my rib cage & now I have it on the left chest under breast, the left back around scapular & shoulder?
Pain: You may have shingles with pain as a precursor before the rash. ...Read more
I am having pain under my right shoulder, by scapular area that radiates down my arm and fingers causing tingling and numbness in my right arm. ?
See doc: This is an irritation of one of the nerves in you neck/arm. Hard to tell exactly where. Because there are many potential causes you should see your doc to get it straightened out. ...Read more
Right shoulder pain for two years. Orthopedic said it was scapular dyskinesis. I am not active. I rotate back & it cracks all the way down blade. Help?
Right chest pain when neck is flex or right Shoulder shrug. Also felt left side chest a few times,right scapular and occasional gas sound in chest 1wk?
How long will greater tuberosity fracture from fall on shoulder and scapular thoracic dyskinesis take to, heal, im 28f healthy?
6-12 weeks: Bony healing of the greater tuberosity should take 6-12 weeks. Scapulothoracic dyskinesis may take longer: you will need to rebuild muscle, relearn proper body mechanics and correct muscle imbalances, restore proper posture, etc. Put in the effort and therapy now and it will pay off later. ...Read more
My Son has had Clavicle and scapular Plate fitted. The Plate has snapped and 2 screws are just floating Doctors arn't worried should we be? thank You
Non union?: This is a sign the bone has not healed which leaves the metal to fail in cyclical fatigue this failure is low energy event this is a common outcome of plating a clavicle fracture historically, symptomatic nonunion can be revised the asymptomatic loose screw can be ignored or followed to assure against gross migration of metal this sounds like a complex unstable high energy injury hope this help ...Read more
Can thoracic outlet syndrome or any other brachial plexus issues cause scapular instability/winging?
Winged Scapula: A "winged scapula" is a result of injury to the long thoracic nerve which innervates the serratus anterior muscle. The long thoracic nerve is made up of portions of the brachial plexus, namely cervical roots 5, 6, 7, so in theory, a brachial plexus injury can cause a winged scapula but it is unlikely to be in isolation of other nerve problems. Winged scapula is not typical in thoracic outlet. ...Read more
See below: Get xrays first. Next, your orthopedist may recommend a trial nsaid's and therapy. Next, if pain persists a subacromial space injection in the shoulder region may be considered. Failed injections and conservative measures may lead to need for an MRI evaluation and possibly even surgical intervention. ...Read more
Non-op 1st: An orthopedic doctor would recommend activity modification/rest, tylenol, (acetaminophen) nsaid's, and rotator cuff strengthening exercises initially. These excercies can be done at home or under the direction of a physical therapist. Sometimes a cortisone injection can help. For the rare patient who fails to improve with this approach, surgery sometimes can be considered. ...Read more
Inflammation: The technical name for a frozen shoulder is adhesive capsulitis. The shoulder capsule becomes inflamed and constricted, leading to loss in motion of the shoulder. Physical therapy is the gold standard treatment, if that is not successful surgery including either a manipulation under anesthesia or an arthroscopic lysis of adhesions is done. ...Read more
Possibly: Neck pain commonly refers to the shoulder. Initially resting the neck/shoulder, using moist heat, and taking a short course of anti-inflammatory can help. Once the pain is better you will want to gradually increase your range of motion. If your pain lasts greater than 2 weeks see your physician as there may be other treatment options including therapy and injections. ...Read more
Yes: If you have exhausted all nonoperative options, including anti-inflammatory meds, therapy, activity modifications, and injections either steroid or toradol, then surgery becomes the remaining option. Typical surgery for this would be arthroscopic subacromial decompression. Recovery may take up to 2-3 months. ...Read more
Pain between neck and shoulder for over a year been treated as trapped nerve. Physio and pain mediction not working. What else can i try ?
Pin down diagnosis: Question of whether this represents instability of shoulder blade function, whether this is located within brachial plexus (thoracic outlet issue), even within chest locale (pectorals minor), and a variety of other should dyskinesias or dysfunctions. None of these will respond to traditional physical therapy. Suggest visit to osteopathic or physiatrics specialist, get this diagnosed. ...Read more
Depends on the type : It depends on the type of bone cancer. We generally treat primary cancers of bone with a combination of chemotherapy with surgery with or without radiation therapy. That being said there are differences in the chemotherapy drugs used, the surgical and/or radiation approach depending on the subtype of bone cancer like osteosarcoma, ewing sarcom and chondrosarcoma. ...Read more
Pain in right arm between shoulder and elbow. What are possible causes and how can it be treated?
Tendinitis : Most likely tendinitis of the deltoid or biceps or even referred pain from rotator cuff. Where is the pain exactly and what causes the pain? What kind of work do you do? Did you have any injuries. Treatment usually rest, anti-inflammatories, heat , exercises/stretching...if no better go see ur doc ...Read more
Recurring shoulder/arm pain from injury 2yrs ago never treated (chiro helped some) recently hurt it again daily tasks are sometimed painful seek eval?
Shoulder pain: Pain that persists for 2 yr should likely be evaluated by a orthopedist. Pain in the shoulder that goes below the elbow i to hand could be also coming from yr neck. ...Read more
I injured my shoulder and its being treated as a sprain. It seems to have gotten worse and has more swelling. What should I do?
Ortho evaluation: It typically takes 3-6 weeks for this type of injury to heal. Ice, nsaid's and activity modification can help control symptoms during the healing process. Oral/injectable steroids, along with therapy, may also be needed. If the symptoms are persistent, see a board certified orthopaedic surgeon for evaluation and treatment. ...Read more
I had a tear in bicept and rotor cuff 1 yr.ago was treated for frozen shoulder but i still cant put my arm behind my back .why?
I have a pain in the back of my neck and shoulders for two weeks now. I sleep with my neck elevated and carry my computer on my right side shoulder.
Muscle strain: Try sleeping with your neck in a neutral supported position. Also carrying heavy items exclusively on one side will strain your neck and upper back. Try carrying your computer in a back pack or different bag that allows you to maintain a balanced posture that you do not have to strain to maintain. ...Read more