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scapula instabiliity
9/26 8:43:16

Question
slight scolosis about 9 degrees in a one big mild c the curve turns into

the right shoulder


spina bifida occulta at l4 that i think is the cause of the slight

scolosis with i think assemetric facets at l3-l4

and 3 mildly heneriated discs in the

lumbar from a mri.

before too a chiropractor did mention that the right side si joint was

locked.

the left leg slighty shorter than the right i think it was 6mm.


right scapula area there

is some kind of a stability problem.

i think my right side first rib is hypermobile.


sometimes but not always my clavical hurts a bit and i have to

pop it back out. it is also sometimes hypermobile.

also a while back about 1 year i had alot of pain in the same side

right neck. perhaps it was the first rib. but that pain has now

went away complelely.


if i lie down on my back and then place my right arm out at 90 degrees

bending my elbow antoher 90 degrees. if ithen rotate upwards right

at the top position i get a bone moving. now i think this is still

the first rib but not 100 percent sure. but this is just sometimes

and not always.

also i have tried to do many corrective excersizes such as the bird dog

but when i do this on all fours this same right side scapula area

when that right side arm is just try to hold up my body there is

a pain and a stability issue.

i have tried to get at trigger points in the muscles around the right

side shoulder.

but still this continues.

do you have any idea what conditon i might have that is effecting this right side scapula?

and are there any exact exversizes i should be doing to correct this?

of note i already have done several years of weightlifting

thanking you in advance

Answer

Long thorcic nerve
J,

From your description I suspect the problem comes from the nerves that exit your upper thoracic and lower cervical spine ( your neck and upper back)This nerve is called the long thoracic nerve and it innervates the serratus anterior which surrounds the scapula. If this nerve has interference or has been damaged it may be the cause of your scapular problems.

I have pasted some definitions from Wikipedia and you tube. I am hoping hoping you can copy and paste these in your browser and see the videos and other information. If not go to Wikipedia and type in long thoracic nerve. Actually it might be quicker to just to Google long thoracic nerve.

Here they are:

http://en.wikipedia.org/wiki/Long_thoracic_nerve

http://www.youtube.com/watch?v=d7_GzNSM2mE

http://www.youtube.com/watch?v=2epvWBTFzJM

I hope this helps with your health issues and questions.

Sincerely,
Dr John Q Quackenbush  

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