Winging Scapula

  • mtneerman

    Posts: 476

    May 25, 2010 8:00 AM GMT
    I was told by my dr today that i have a winging scapula due to a C-6 disk rupture. i've been looking online, but have not seen anywhere that says a ruptured disk can cause this. doc is sending me to PT, but has anyone else had this? if so did PT take care of it or was surgery required?

    thanks
  • Posted by a hidden member.
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    May 25, 2010 2:38 PM GMT
    If your C-5/6 disc has truly ruptured, you require an urgent MRI for confirmation of diagnosis and possible surgery.

    Winging of the scapulae can be due to a plasy affecting the long thoracic nerve of Bell. This nerve is arises from C5/6/7 and can be damaged by structural abnormalities in this region which impinge on the nerve.

    If your Doc has only sent you for PT, it is possible that you do not have a disc rupture but a completely different problem which is not of equivalent concern.
  • Posted by a hidden member.
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    May 25, 2010 3:04 PM GMT
    completely agree with the guy above

    if you have ruptured your C6 disc, then it would only effect that spinal nerve, for "true" damaged to the long thoracic nerve then that would happen further along where C5, 6, 7 form a trunk...plus if it was a true c6 rupture effecting the long tx nerve then surely he would send you to someone who could do something rather than a physical therapist?

    true damage to the long tx nerve is rare...most winging scapula is due to muscular imbalances around the shoulder girdle and i assume this is the real reason your being sent to a PT...this is usually when the upper trapezius, lev scap, pec minor, scalenes and SCM become tight, and the scap stabilisers (lower traps, rhomboids) become weak, and the shoulder blades move ineffectively and looked "winged"
  • mtneerman

    Posts: 476

    May 25, 2010 6:54 PM GMT
    i have had an mri, that's how he knew it was ruptured, but he told me not to even think of surgery on it, that it would make it worse, he said that therapy is the better option.