Top
40
Doctor insights on: Scapular Adduction Exercises

Share
1

1
How to fix scapular winging. Happened after physical injury to my right shoulder. Can exercise fix it or I need medical attention!

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

2

2
Is hip adduction bad for hips?

Is hip adduction bad for hips?

Not necessarily: Typically the exercises that are focused on to strengthen the hip focus on abduction, and extension. These exercises work on the large muscles such as the gluteus. Adduction and flexion should also be part of any hip therapy regimen and are not necessarily bad unless there is a particular reason (ie patients with hip replacements should avoid adduction as may put them at risk for dislocation). ...Read more

3

3
Why does forced adduction/internal rotation of the hip feel so uncomfortable with hip dysplasia?

Why does forced adduction/internal rotation of the hip feel so uncomfortable with hip dysplasia?

Not all dysplasia: Usually dysplasia caused by fai, femeroacetabular impingement, causes those symptoms. It causes pain by the femur and pelvis inappropriately bumping into each other. ...Read more

4

4
Is 80 mg kenalog (triamcinolone) inj into left adductor tendon powerful enough to reduce internal rotation/ adduction strength by 50%?

Is 80 mg kenalog (triamcinolone) inj into left adductor tendon powerful enough to reduce internal rotation/ adduction strength by 50%?

No: The purpose of the injection is 2 decrease inflammation, & this should improve ur function in adduction and not make it worse. I would b sure it was done by a qualified md. Also if so get back into c u r orthopedist. ...Read more

5

5
Moderate to severe pain in 2nd and 3rd posterior MCP joints on dominant hand. Pain worse with adduction and extension of fingers. Cause?

Moderate to severe pain in 2nd and 3rd posterior MCP joints on dominant hand. Pain worse with adduction and extension of fingers. Cause?

Recommendations: Need to know more about your condition, like swelling or redness, history of trauma or overuse your hand professionally, history of involvement other joint before and so on. But anyway try now Motrin or Advil 400mg 3-4 times a day and some joint cream and rest for your hand./fingers for 2 weeks. Hope it will be better. ...Read more

6

6
Have hard lumps all along the scapular area that are painful for 10 yrs. Dr says their lymph n via u/s and unusual place to have them. Causes?

Have hard lumps all along the scapular area that are painful for 10 yrs. Dr says their lymph n via u/s and unusual place to have them. Causes?

Questionable tumor: If the lumps are along medial margin near spine which is what protrudes when one bends forward they for the most part cant be lymph nodes. The latter are found toward the armpit where the major vessels are. U.S. cant dx lymph nodes and if hard one must consider possibility of tumor or tumors of nerve origin arising from muscles of the scapula. Should be evaluated for possible bx. ...Read more

7

7
What causes pain directly on the scapular spine?

What causes pain directly on the scapular spine?

Inflammation: Usually it is from inflammation of a muscle that is attaching to that area of the scapula. Ice, ibuprofen, chiropractic or massage may be helpful ...Read more

8

8
How can an elevated shoulder scapular be treated?

How can an elevated shoulder scapular be treated?

Not good sign?: Elevated scapula is not could sign, mainly nerve problems, muscular problems, check out and the treatment will depend on the cause. ...Read more

9

9
What should I do about scapular pain on both sides? Has been there for a year?

What should I do about scapular pain on both sides? Has been there for a year?

Muscular pain: The diagnosis is not clear but we often see that in people with muscular pain. You can discuss this with your physician, but since it's both shoulder blades or scapula I would suspect more symmetrical muscular skeletal type issues such as myofascial pain ...Read more

12

12
Is tender serratous anterior correlation with scapular bursitis symptoms?

Is tender serratous anterior correlation with scapular bursitis symptoms?

Could, it runs from-: -under surface of scapula & attaches to mid to upper fibs. It is a strong scapular stabilizer. Just no good images in this application, sorry.

Google it. ...Read more

13

13
What is the total estimated recovery time for arthroscopic procedure to treat scapular bursitis?

What is the total estimated recovery time for arthroscopic procedure to treat scapular bursitis?

Recovery time varies: Among individuals and can range from 4-12 weeks. Ask for pain meds- nsaids, muscle relaxers and opiods from your orthopedic surgeon. Physical therapy post op would definitely help. God bless u! http://www. Humpalphysicaltherapy. Com/mobile/injuries-conditions/shoulder/research-articles/diagnosis-and-treatment-of-snapping-scapula-syndrome/a~2058/article. Html. ...Read more

14

14
Can scapular burisitis be related to tendernes on both sides of t-10/11/12 region and pain with arching back?

Can scapular burisitis be related to tendernes on both sides of t-10/11/12 region and pain with arching back?

Not sure: Scapular bursitis is not a common problem and is usually does not occur on both sides at once. Pain is usually with shoulder motion, not back motion. Your pain could be due to muscular back strain, but the kidneys are also in this area. If the pain does not respond to heat and rest, get it checked out. ...Read more

15

15
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?

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

16

16
Hi. If the nerves that run through the scapular notch are damaged, are they repairable (either surgically or healing on their own)? Thanks

Hi. If the nerves that run through the scapular notch are damaged, are they repairable (either surgically or healing on their own)? Thanks

Nerve damage?: Hello~ I don't know where the "scapular notch" is as its not an anatomically correct name. In general, a CRUSHED OR COMPRESSED NERVE can heal in about 12 weeks. A CUT nerve (neuronoptnesis) cannot be stitched, . joined and does not heal and there is permanent paralysis of the muscle group that nerve supplies. Thanks ...Read more

17

17
For around a month or so when I breath deeply I get a pain in my upper back/the small area between my spine and scapular on the left side. What is it?

Difficult to say: But persistent chest pain could be caused by serious conditions such as pneumonia, pleurisy, pulmonary embolism, or even shingles. At your age, it is probably something less serious, but get it checked out anyway. ...Read more

18

18
Left scapular pain when moving neck left side?

Left scapular pain when moving neck left side?

Cervical origin: Sometimes a cervical disk can refer pain 2 this erea. C ur pcp or neurologist 2 b evaluated. ...Read more

19

19
What can scapular pain followed by gas mean as a medical condition?

Referred pain?: Sometimes pain in the scapula may be coming from the abdomen. We call this referred pain. ...Read more

21

21
Significance of "generalized hyperaeration" on cxr? Sx scapular pain inspiration. No oth sx Very thin. Told take deep brth n hold. Overpenetration?

Emphysema: While no test is 100%, assume the test was administered in the 'right' way because 95% of the time, repeating it gives the same results. Hyperaeration (too much air in lungs) can be artifactual but the Radiologist (a good one, anyway) would note that by careful observation (lungs vs. Bones). The signs & findings point to obstructive lung disease (COPD/emphysema). TTYD or discuss on HealthTap Prime ...Read more

22

22
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

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

23

23
Would bracial plexus damage cause scapular dyskenisis and neck pain?

Would bracial plexus damage cause scapular dyskenisis and neck pain?

Yes.: By various mechanism it can happen. A neurologist will be able to help. ...Read more

25

25
Could Dystonia be mistaken for Scapular Dyskinesis after 3 AC separations?

Could Dystonia be mistaken for Scapular Dyskinesis after 3 AC separations?

Movement disorder: Yes, it can be difficult even for a trained neurologist to distinguish these 2 disorders. Please consult with a Movement Disorder specialist, a sub-specialty of neurology, to get an accurate definitive diagnosis. Good luck! ...Read more

26

26
Will the following imaging study show scapular bursitis: XRay SHOULDER RT 3 VIEWS COMPLETE - Axillary, AP, and true AP views?

No: Plain xrays will not show soft tissue problems like bursitis. Usually a physical exam is all that's needed to make the diagnosis. Occasionally MRI is needed. ...Read more

27

27
My daughter fell. Arm now pulses 24/7 and flares up into "hammer arm." Scapular trigger points relieve the flare up. No Dr. Has seen before.?

My daughter fell. Arm now pulses 24/7 and flares up into "hammer arm." Scapular trigger points relieve the flare up. No Dr. Has seen before.?

Possible Fracture.: After falling, and since her arm is flaring, she needs to see a physician and may needs X ray to R/O fracture. ...Read more

28

28
I have scapular dyskinesis on my left side, when I lay down I sometimes get left chest pain, does this have to do with my ribs from blade out of line?

I have scapular dyskinesis on my left side, when I lay down I sometimes get left chest pain, does this have to do with my ribs from blade out of line?

Conceivable: The pain may be generated through mechanical compression on the intercostal nerves. Is there a specific position that is triggering the pain? Have you tried to adjust your position slightly to the right or slightly to the left, see if there is an effect on the pain level? ...Read more

29

29
Hi. Sometimes I swllwd food a sharp pain bttm of right scapular. I thought gall stones. Not happen now. Could it still b? How 2 tell 4 sure w/out doc?

Hi. Sometimes I swllwd food a sharp pain bttm of right scapular. I thought gall stones. Not happen now. Could it still b? How 2 tell 4 sure w/out doc?

Back pain with food: Gallstones can cause pain in the right upper back, shoulder and s a pilar area. You can also get that same gallbladder pain from acalculous cholecystitis, a dysfunction of the gallbladder without stones! A special test is ordered to diagnose this disease. It's called a hida scan. This type of pain may also occur when the esophagus goes into spasm. Follow up with a surgeon in your area. ...Read more

30

30
Is it just de-conditioning or can scapular bursitis cause shortness of breath (winded feeling) after relatively mild exertion?

Is it just de-conditioning or can scapular bursitis cause shortness of breath (winded feeling) after relatively mild exertion?

Not your bursitis: Bursitis would not cause shortness of breath. If exercising regularly does not improve your activity tolerance, see your primary doctor. If it hurts to take a deep breath, see your primary right away, or consider urgent care or emergency room. ...Read more

31

31
How can I find an orthopedic surgeon that is very experienced with cases of scapular winging? Ucla and usc haven't gotten me anywhere...

How can I find an orthopedic surgeon that is very experienced with cases of scapular winging? Ucla and usc haven't gotten me anywhere...

This problem is rare: But very disabling. It is due 2 loss of function of the serrates that attaches 2 ribs distally @ goes up the side & attaches 2 the scapula under surface distally. With out it Ur shoulder func is horrible. Mayo clinic may have someone who does muscle transfers. The results R not great by any means. What is undone in this case is not able 2 B norm again. ...Read more

34

34
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?

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?

Swim: If and when you are able, swimming is very good for many musculoskeletal misalignments. Muscles have memory and it takes consistent effort to change their positioning. ...Read more

35

35
Shoulder pain x4h, dropped ~1 inch lower than than other side, mobility/function limited, mild scapular pain. Cannot lift arm over head. Thoughts?

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

36

36
(1) Are Retroscapular Injections safe and effective for Diagnostic purposes and Temporary relief from potential Scapular Bursitis symptoms? (2) Possible side effects with long-term use? (3) What type of medication is injected, i.e. steroid? (4) Is it pain

(1) Are Retroscapular Injections safe and effective for Diagnostic purposes and Temporary relief from potential Scapular Bursitis symptoms? (2) Possible side effects with long-term use? (3) What type of medication is injected, i.e. steroid? (4) Is it pain

Yes: In the hands of a skilled provider with experience there should be minimal risk. However there is always the chance of a lung injury--but small. Usually a mixture of steroid and lidocaine is used to numb the area and then the steroid should reduce swelling in the bursa But this is usually only temp pain relieve so you can rehab the scapular muscles. ...Read more

38

38
Hello I am a 49 yo female smoker who has left scapular pain and nausea. Post TAH 7 years ago, had MVA - bike 40mph on 10/6/17 with T12 compound fra?

Hello I am a 49 yo female smoker who has left scapular pain and nausea. Post TAH 7 years ago, had MVA - bike 40mph on 10/6/17 with T12 compound fra?

2 Different problems: T12 fracture may have injured your pancreas. Causing the nausea
You may have another C or T spine fracture causing the scapular pain or indeed a scapular fracture missed initially
Suggest reconsulting your Trauma Surgeon and be re-evaluated and get aCT chest and MEI if the abdomen ...Read more

39

39
When u have a mri of the thoracic spine, does it go as far as the shoulder, scapular area or just the vertebrae?

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

40

40
I have been living with pain in the left scapula for months. Doctor ordered MRI of the shoulder. Would this show the scapular region?

I have been living with pain in the left scapula for months. Doctor ordered MRI of the shoulder. Would this show the scapular region?

No: Simple answer
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