Suspected Chronic Levator Scapulae Syndrome

[zac1968]

Thanks to everyone for their input. I'll answer the questions briefly here.

• No bump visible above the nipple.
• Yes the X-ray I had was taken standing.
• The right scapular is winged

My EMG covered the following nerves

1. Median sensory (palmar)
2. Ulnar sensory )palmar)
3. Median motor
4. Median F wave
5. Ulnar F wave
6. Superfical radial sensory
7. Lateral antebrachial sensory

Conclusion: Nerve conduction studies and needle examination were normal

1. MRI Brachial Plexus
2. MRI Thorocic Spine
3. MRI Cervical Spine

Conclusion: Essentially normal study. There is no evidence of cord lesion, focal disc prolapse, right radicular lesion or brachial plexus mass.


Hopefully this covers all the questions asked previously.
I'm going to see a Myotherapist on Wednesday who thinks he may be able to help. I'll be sure to inform him of the feedback from everyone here in the hope that it will help him with his diagnosis and treatment.

I'm also booked in for another Brain MRI and CT Scan next Monday as the previous one was partially incomplete as I was unable to stay perfectly still during the procedures.

I am heading back to the Neurologist on Monday and he will administer Botox to the Lav Scap in the hope that it is the cause of all my problems.

Thanks again to everyone for all your input :-)

[neurospast]

Nerve studies done are for Radial nerve, median nerve and ulnar nerve: all but one: The long thoracic nerve, which is a separate branch not part of the Brachial nerve. Hope you get this investigated. As I said it is superficial and if e.g. you would have had at any time upto a month a severe blow to the neck or the side of the thorax ( musculus Serratus anterior area) or something similar it might not be working and the only sign would be... inability to stabilise the shoulder girdle.

[zac1968]

Nerve studies done are for Radial nerve, median nerve and ulnar nerve: all but one: The long thoracic nerve, which is a separate branch not part of the Brachial nerve. Hope you get this investigated. As I said it is superficial and if e.g. you would have had at any time upto a month a severe blow to the neck or the side of the thorax ( musculus Serratus anterior area) or something similar it might not be working and the only sign would be... inability to stabilise the shoulder girdle.

Thank you very much for this feedback. I will be seeing my Neurologist next Monday and I will quiz him about this.

Regards
Zac

[zac1968]

OK. Saw a Myotherapist today and he found something that no one had identified in the last 12 months. On my right, the first and second rib are elevated. It would seem that this could be the cause of my shoulder spasms and sternum pain.
I haven't mentioned the sternum pain here as I thought it could be wear and tear from the constant shoulder jerking. I have mentioned it to my GP and also to my current Neurologist as it has been causing discomfort for the last 7-8 months, but they didn't think it was significant.

The Myotherapist worked on it today, but freely admitted that he wasn't qualified to realign them, so I'm going to see my Chiropractor on Friday to see if she can put them back in place.

[zac1968]

Looks like the Elevated rib was a consequence of my condition and not the cause. The Chiropractor had to do a few adjustments on my spine as well as releasing some trigger points in my neck and upper trap. Hopefully the Botox injections on Monday will give me some relief.

[nmarman]

With the presents of scapular winging. Long thoracic nerve is very good diagnosis. Have seen this in neurological cases book on the cd but lost the dam cd. If anybody has the cd might be worth comparing the utube video to the case video