winging scapula, ischemic and nerve pain?
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.
Time to see a chiropractor?