Doctor insights on:
Winged Scapula Brace
Diagnosis?: There are many and varied reasons for a winged scapula. In our practice the vast majority of patients have scapular winging secondary to shoulder instability so it is important to have a comprehensive evaluation to determine the root cause of the winging before moving ahead with treatment. ...Read more
Not usually: A true winged scapula is related to an abnormal function of the muscles that anchor the scapula to the torso and is usually nerve related. It in of and of itself is not usually related to scoliosis. But, the first changes of scoliosis is a rotation of the vertebrae which causes a rib hump, also known as an asymmetric trunk rotation. This may make the scapula appear winged. Thank you. ...Read more
Not likely: A true winged scapula is felt to be related to wekness in the muscles that anchor the shoulder blade to the trunk, often caused by chronic nerve compression. That being said, patients with scoliosis usually have a rotation in their trunk which can make their scapula appear "winged". Thank you for your question. ...Read more
Winged scapula+: Winged scapula may be due to an inhertied or acquired neuropathy. See a neurololgist for this. The tendonitis may be due to the altered anatomy and abnormal sheer forces therefrom. Tendonitis can be treated by pretection of the area of strain; postrual correction; topicals such as voltaren (diclofenac) gel; local corticosteroids; and, lastly, by physical therapy using ultrasound. ...Read more
What are some exercises to get rid of bad winged scapula? I have access to a fully equipped gym. Thanks!
Winged Scapula: Depends on how long you have had it. It can be caused by many things but all result in nerve damage to the long thoracic nerve. The most common cause of scapular winging is serratus anterior paralysis.Many of the causes are serious and some just result in damage to the nerve that many improve. Phy therapy may be of help. ...Read more
Scapular Winging: While there can be different reasons for a winged scapula, the most common one has to do with a muscle called the serratus anterior. Depending on the underlying reason, how it came about (e.g. Injury vs chronic), and severity, there are conservative ; surgical treatments. The first step is to see a sports med dr. Or physiatrist. They will examine, get more info, and may recommend physical therapy. ...Read more
The most common cause of winged scapula is paralysis of the serratus anterior muscle. Winging occurs when the scapula sticks up. You need to exercise the rest of the muscles around the scapula.
If you have not gotten better in 18 months the best treatment is a tendon transfer using half of the pectoral major muscle to substitute for the serratus anterior muscle. ...Read more
Yes: Yes. Winging of the scapula should not prevent weight lifting. It is caused my nerve injury that weakens the muscles that keep your scapula in its normal position. This should not limit weight lifting ...Read more
Test for it: The easiest way to test for winging of the scapula is to have someone observe you from behind as you lean forward and push against a wall. If the scapula sticks out compared to the other side you have winging of the scapula which has dozens of different causes from the benign to the serious. ...Read more
Winged Scapula: Winged scapula can be the result of an underlying neurological problem. It is probably best to at least have it evaluated by a doctor. ...Read more
Probably: It depends on how it protrudes. One would need to see a picture. You should seek the services of a shoulder and elbow orthopedic surgeon. ...Read more
If the problem is...: ...In the muscle, pr can strengthen it and solve the problem that way. ...Read more
Not necessarily: You are right in that patients will sometimes report the sensation of "itching" when a healing process is occurring. Whether that means your condition with your scapula is healing is hard to say. Usually serial exams or follow up nerve conduction tests are more objective ways to see if the process is getting better. ...Read more
Periscapular sets: A winged scapula is caused by the paralysis of one of the muscles that holds the scapula down to glide along the rib cage. Many of these problems resolve within 18 months, so an exercise program to strengthen the other periscapular muscles is appropriate. After 18 months a tendon transfer can be performed to replace the now dead muscle. ...Read more
Winged scapula...: ...Does not cause pain, the injury to the muscle that "un-wings" the scapula is probably what's hurting you. As with any injury, rest, pt, and analgesics should do the trick. ...Read more
Yes: A winged scapula means that the muscles that hold the scapula onto the ribcage and stabilize it for arm movements are weak or paralyzed, often from injuries. There are rehabilitation programs for these types of problems to try to strengthen the weakened muscles as well as use other muscles to compensate. ...Read more
Seratus Anterior: The serratus anterior is responsible for pulling the scapula (shoulder blade) towards the ribs, and therefore it is very important that individuals with scapular winging learn and implement therapeutic exercises for this muscle. Some examples can be seen at http://www. Youtube. Com/watch? V=okdl4y4h3oo or http://www. Youtube. Com/watch? V=v6qnmz278w. ...Read more
No.: This should be evaluated be either an orthopedist, preferably one specializing in the upper extremity; or a physiatrist, also known as a physical medicine and rehabilitation specialist. ...Read more
Winged Scapula: Correction depends on the reason the nerve palsy developed to begin with. Typically this nerve is not reconstructed as it does not provide vital function for the shoulder. Nerve grafting could be considered if there is a viable proximal stump but due to the early branching of this nerve from the brachial plexus, it is not generally an option. ...Read more
Firm lump attached to shoulder bone that hurts to press on. This was diagnosed as winged scapula a year ago but the lump has grown. Second opinion??
Yes: Scapular winging is fairly common and easily diagnosed by physical examination by an experienced ORS (there are different types of 'winging' depending on underlying cause (muscle imbalance, nerve injury, etc).Firm masses attached to the scapula is another matter (lipomas, osteochondromas, and other growths are seen occasionally). Get another opinion from a board certified ORS. GL! ...Read more
Winged scapula...: ...Is a sign, not a diagnosis. It usually appears with weakness of, or injury to, upper back muscles such as serratus anterior, or the nerves that control these muscles. ...Read more
My 9 year old son has been diagnosed with a winged scapula. What is the most common and the best treatment?
Scapular winging: Treatment for scapular winging depends on cause. Complete diagnosis may require a test to see if the nerves to specific muscles are working. If muscles are simply weak, pt may be all that's needed. If nerve to muscle not working, muscle transfer may be required. For long thoracic nerve palsy, pec major transfer to scapula. For spinal accessory palsy, eden-lange transfer. Good luck! ...Read more
Seen 50+ specialists and can't get dx. Wing/snapping scap and 8/10 pain around scapula, traps, sides of neck. All imaging & tests are normal. Help!?
Soft tissue: Difficult neck & shoulder problems commonly unvisualized & reflect soft tissue (ligament, tendon, & muscle) disorder. Repetitive stress helped by ergonomic work place exam as mechanical stressor i.D.'d. Pain interventionist injects suspect tissue with anesthetic. If hits tissue disorder target pain stops temporarily (diagnostic) then cortisone to target. Levator muscle tendonitis makes snapping. ...Read more