From: DACBR131 Date: Fri, 3 Apr 1998 14:48:01 EST To: peverett@interlog.com, chirosci-list@silcom.com Subject: Re: "snapping scapula" In a message dated 98-04-02 10:28:14 EST, peverett@interlog.com writes: << Has anyone had experience in treating an individual with pain localized under the scapula and associated crepitus with scapular motion? >> I have a case where an osteochondroma grew from the ventral side of the scapula causing similar symptoms. Also, you did not mention the patient's age but the possibility of metastases should be considered in those patients with suggestive risk factors (red flags in AHCPR jargon) Be sure to be AP and tangential x-ray views of the scapula. Gary M. Guebert, D.C., DACBR ------------------------------ From: LHBWeitz Date: Mon, 6 Apr 1998 02:39:18 EDT To: chirosci-list@silcom.com Subject: Re: "snapping scapula" My experience is that this syndrome is typically found in individuals with rounded shoulder posture, frequently with increased thoracic kyphosis. This alters the shape of the rib cage underlying the scapulae and results in a more abducted position of them, which alters the normal biomechanics of the scapulo-thoracic joint. Without correcting the posture, you will have little effect on the condition. Also, resolution of the associated pain is easier to correct than the snapping sound, which may require the patient to continue a home exercise and postural correction program for years until their structure can be remolded. Ben Weitz, D.C., C.C.S.P., C.S.C.S. ---------------------------- Subject: Fwd: Re: "snapping scapula" Date: Mon, 6 Apr 1998 04:43:59 -0500 From: Dan Bowerman DC FACO To: "chirosci" I concur with Ben totally on this In terms of treatment muscle energy techniques to legnthen the pects facillitate and strengthen the middle and lower traps, serratus anterior, shoulder depressors as well as postural corrections to anterior head carriage and rounded shoulders works but only with compliance Dan Bowerman DC FACO ------------------------------