Patient :My doctor told me I had winged scapula (right side) 6 months back. He recommended me medicines & exercises which I did regularly. The winging of scapula is no more visible. But now I hear cracking, grinding at my back (near scapula) and feel weakness in my shoulders too. Sometimes, I get sharp pain on twisting or moving my back.
Do you think this is the last stage of my winged scapula treatment? Or Is it something else?
Symptoms: Back pain
weakness in shoulders
sound when moving/twisting shoulders
stiffness in neck
Thank you for writing to us.
Winged scapula is a condition which causes the protrusion of the scapula or the shoulder blade. This can prevent the person from being able to change clothes and lift objects.
The cause of Winged scapula is the paralysis of the Serratus Anterior muscle which is innervated by the long thoracic nerve. The nerve is paralysed by trauma or damage because of unknown causes. Here are a few symptoms of Winged scapula:
Deformity of the back
Muscle weakness around the scapula
I believe that the Serratus Anterior paralysis is causing the other muscles to become weak and the bone and cartilage to grind into each other. The joints are not kept at an optimum distance from each other and hence you can hear this sound.
If the problem does not resolve after some time, you can talk to a Doctor and get operated for the Winged Scapula. The treatment options are:
Physical therapy or massage and stretching.
Sticking the scapula to the back of the ribs surgically.
Innervation of the Serratus Anterior muscle with another nerve.
This should help you. The stiffness in the neck can also be explained by the weakness of the muscles near the Serratus Anterior which use it as an anchor for their movement.
All the best.
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