Doctor insights on:
Shoulder Impingement Syndrome
It's not: These conditions are similar and represent inflammation in the tissues surrounding the rotator cuff. Rest, ice and nsaid's are first line treatments, followed by therapy and oral/injectable steroids. If these measures fail, then shoulder arthroscopy is performed to remove the inflamed bursal tissue and bone spurs. The rotator cuff is evaluated and if torn, repaired/debrided. ...Read more
Crowding: Pressure on brachial plexus the nerves from the spinal cord to arm become a group of nerves called the brachial plexus it is compressed by a crowding from an extra rib on top of the rib cage 1st rib or extra cervical rib the working theory goes adfitionally vascular compression of brachial artery or vein can produce arm symptoms nerve pain can extend proximal to neck or distal to arm and hand. ...Read moreSee 1 more doctor answer
Muscle imbalances: Imo tos results from superior trapezius (st) weak & collar bone droops toward first rib closing costoclavicular space (between these bones) clipping artery & nerves to arm. Weak st conscripts neighbor levator scapulae (ls) to burden lifting scapula (sc) & 20 lb. Arm. Long & narrow, ls incurs chronic spasm, tendonitis at insertion on superior sc spine (pick-like), & snapping as shoulder rotates. ...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 moreSee 1 more doctor answer
Different areas: Wrist carpal tunnel- median nerve pinched. Thoracic outlet: first rib, clavicle and muscles tight on vein, artery and nerves both cause neuropathic symptoms:numbness, pain, weakness etc carpal does not usually have any blood vessel symptoms/ clots. ...Read moreSee 2 more doctor answers
2012 Guyon's decompres. on R wrist.6 yrs pain.Cervical straight neck.Bilateral ulnar pain @wrist & elbow.Shoulder/Trapez. intense pain.Diagnosis?HELP!
No: Carapal tunnel refers to the "tunnel" through which the median nerve travels as it enters the hand at the wrist. This is a site of compression on the median nerve and is considered a focal entrapment neuropathy. Pinched nerves at the neck from bulging discs are a different location entirely. ...Read moreSee 2 more doctor answers
No: However one can have both problems at the same time. Carpal tunnal can on occasionj cause shoulder pain, carpal tunnel may alter mechanics in the way the hand and arm are used and a rotator cuff tear that is present becomes more symptomatic. A rotator cuff tear may also give pain down the arm and a unstable shoulder may give tingling in the hand the seems like carpal tunnel. These are not causes! ...Read moreSee 2 more doctor answers
Carpal Tunnel left wrist. Shoulder bursitis left shoulder. Both hands going numb. C-4 herniated disc. What kind of doctor to see?
Start with spine : I would recommend to start with the spine problem first. The carpal tunnel may be secondary to the spine issue. ...Read more
Could sharp pain between my shoulder blade and spine be attributed to my brachial plexus injury and suprascapular nerve compression.
Not typically: Ulnar neuropathy is a nerve entrapment at the elbow with typical symptoms of numbness of the small 1 and 1/2 fingers and weakness of the intrinsic hand muscles. Pain in the triceps can be from a herniated disc in the neck at the c7 level. Subluxation of the triceps muscle can mimic both conditions. A good physical exam, complimented by emg/ncs can confirm the diagnosis. ...Read moreSee 1 more doctor answer
Could i claim disability benefits for having arthritis, bursitis, trapped nerves, osteoarthritis, fibromyalgia, IBS and carpal tunnel syndrome?
You could: Depending upon your state, you may be required to under go a functional examination by an internist as part of your evaluation. ...Read more
If scapular instability is the cause of thoracic outlet syndrome, would rib resection/scalenectomy resolve neck & scapula pain?
More complex: Thoracic outlet syndrome surgery includes, often, first rib resection and/or scalenectomy, but there are different surgical approaches and also, pectoralis minor decompressions. Scapular instability may or may not be present, and this may represent problems in the upper brachial plexus. Since this is so individualized and particular in most cases, best to discuss with experienced vascular surg. ...Read more
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