I've been struggling with winging scapula, pain in upper trapezius, levator scapula, scalenes, SCM for about 8 years now. The pain is hard to point out exactly, it's across all upper back a discomfort and pain on the inner side and top of shoulderblades. The trapezius and levator scapulae is more of a ischemic pain. The pain over scalenes feels like it's deeper in, same thing in pec-minor, shoulder. Also nerve pain inside of biceps, armpits down through arms to hands and fingers in certain positions.
I also have numbness and tingling to fingers in certain positions. When I do Roos test, I get in pinkyfinger and ringfinger. If I do cornerstretch I get numbness in thumb and next 2 fingers. Been to several doctors, fysiotherapiests during the past years.
It all started after a divorce. I got a deep depression and started to get bad posture. Along with that I sat all days long in front of the computer with head in forward position. In that time I had been weightlifting for 5 years with no problem. I trained 4 times a week with pretty heavy weights. I always have had good posture, breathing etc until my depression and poor posture came into the picture.
I then started to develop bigger muscles on the front side, Pecs, anterior shoulder and lost contact with my back. I got extreme short muscles in front that my whole posture got really skewed with. Got a really bad case of upper cross syndrome and also lower cross syndrome. I continued to lifting weights for 3 years before I stopped.
All fysiotherapiests has given me exercise programs which I've been doing the last 3-4 years with minimum result. I feel how hard I try to get contact with rhomboideus it feels like it's dead. I do the exercises perfect but seems it´s only parts of trapezius that is working.
I´ve been doing exercises for serratus anterior but don´t get much contact also.
Last week I got an injection to the trapezius, and levator scapulae and I got an relief for a few hours, but next day the pain was back. The same thing with trigger point acupuncture, it only lasts for a day maximum.
I´m waiting now for a MRI on the neck.
I´ve read about dorsal scapular nerve entrapment, it seems like all fit into description, also some parts of long thoracic nerve entrapment.
What do you think?
Hello Andreas, It's obviously complex but I go along with the likelihood of the dorsal scapular involvement; it's primarily a C5 nerve I believe, hence the pain in the arm too.
However, the fact that it effects all fingers suggests a thoracic outlet syndrome. Look up TOS at Chiropractic Help. It's usually caused by a first rib fixation though there are other causes.
The key sign is increased pain with raising the arm. And a positive Adson's test.
1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.
2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.
3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree.
Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.
4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.
He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.
5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.
6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.
7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.
8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.
9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.
10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.
11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.
12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.
13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback
since working above his head. Trapped nerve tests are negative but he
has advanced degenerative joints of Luschka; after just two treatments
he is 50 percent better. Can we reach 90?
And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.
Greetings, Dr B. You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.
Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.
You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.
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