HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Enlarged Trapezius, Pain In Upper Back And Shoulders, Finger Numbness, Clavicle Swelling, Popping In Shoulder Blade. Thoracic Outlet Syndrome?

default
Posted on Tue, 10 Jul 2012
Question: I have enlarged trapezius that causes a dull ache in my upper back and shoulders. Numbness into pinky fingers. Swelling in clavicle area. Tremendous popping in shoulder blade area. The levator scalpula has become so tight that it crunches when I touch it. I have been told that my scalenes are extremely tight and have elevated my first rib. My pectorals are extremely shortened and my shoulders are curving forward. This in turn is affecting my pelvis. Does it sound like I have thoracic outlet syndrome or something else.
doctor
Answered by Dr. Amit Agarwal (22 hours later)
Hi,
Thanks for writing in.
Going purely by your description of the symptoms, there could be two possibilities:
1. Ankylosing Spondylitis - this is an auto-immune disorder mainly affecting the joints of the axial skeleton, ultimately causing spinal deformity especially in the region of the chest wall.
2. Scoliosis- in this condition, the spinal column bends to the side causing deformity. It could be due to various factors like trauma/ infection/pathological/ idiopathic.

I would suggest that you get the following tests done and we can discuss the results on this forum:
1. Blood investigations: HLA-B27, ANA(anti-nuclear antibodies), CRP(C reactive protein), RA FACTOR(rheumatoid factor), ASLO (anti streptolysin antibodies) .
2. X-RAY DORSO-LUMBAR SPINE- AP AND LATERAL VIEWS.

Thanks,

Dr.Amit Agarwal.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
Answered by
Dr.
Dr. Amit Agarwal

Orthopaedic Surgeon

Practicing since :1999

Answered : 4 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Enlarged Trapezius, Pain In Upper Back And Shoulders, Finger Numbness, Clavicle Swelling, Popping In Shoulder Blade. Thoracic Outlet Syndrome?

Hi,
Thanks for writing in.
Going purely by your description of the symptoms, there could be two possibilities:
1. Ankylosing Spondylitis - this is an auto-immune disorder mainly affecting the joints of the axial skeleton, ultimately causing spinal deformity especially in the region of the chest wall.
2. Scoliosis- in this condition, the spinal column bends to the side causing deformity. It could be due to various factors like trauma/ infection/pathological/ idiopathic.

I would suggest that you get the following tests done and we can discuss the results on this forum:
1. Blood investigations: HLA-B27, ANA(anti-nuclear antibodies), CRP(C reactive protein), RA FACTOR(rheumatoid factor), ASLO (anti streptolysin antibodies) .
2. X-RAY DORSO-LUMBAR SPINE- AP AND LATERAL VIEWS.

Thanks,

Dr.Amit Agarwal.