T Nation

Overcoming Scapular Bursitis


#1

For almost a year now I have suffered from scapulothoracic bursitis (snapping scapula syndrome). My training has suffered greatly and I am looking for any ideas.

Basically, I get inflammation and pain in the soft tissues under the scapulae, as well as some crepitus when I pull them backwards. There is probably bursitis and there is almost certainly adhesions involved. All this developed after I sprained the region about a year ago and it basically never healed right. Five months of physical therapy didn't help much, nothing funny shows up on x-rays and MRI, and so I am basically on my own unless I should decide to go for surgery.

For some reason I can't do bent over flyes to save my life. In five months of physical therapy I could not progress past 1 pound weights with this exercise without being in agony for days after. I still cannot do these. Rows are much better, and I have been having some mixed success in the past couple of months with seated rows and negative incline dumbbell presses. I find I can do them with moderate weight but just VERY SLOWLY. A couple of times I literally felt an adhesion snap while doing them and felt great for a week afterwards. Some days I still feel great after doing these and the pain almost goes away for a few days. But then for some reason next time the exact same exercises feel like they aggravate the injury. Right now it is so sore again that I feel back to square one.

Anyone got any ideas? I'm just about ready to try anything.


#2

This post was flagged by the community and is temporarily hidden.


#3

Bushy, be sure and check him for Scapular Winging. lol

OP, it helps my scapular function to take a batting cage baseball and roll it between my back and a wall. I'm sure any hard ball would work. I focus on the muscles around the perimeter of the scap, especially the Traps. I do it before I start warming up and between one or two warmup sets. Good luck.


#4

This post was flagged by the community and is temporarily hidden.


#5

No, I am in the Boston area (though I travel often to South Africa via the U.K. so this might still be a possibility). Anyway, so massage can break up adhesions, right? I did go a few times to a chiro who does active release therapy. It didn't help but I don't think he was very good at it. Maybe I should give the massage route another go, this time with a better therapist. Anyone know of a good one in my area?

I have been taking fish oil at 1mg a day. What dosage would you recommend? Hydration is good. Yeah, sitting and computer use are big problems, and so is lying down. I am thinking of getting a stand-up desk.


#6

Thanks guys, I try the rolling suggestions.


#7

This post was flagged by the community and is temporarily hidden.


#8

seekonk,

I'm very interested in following how you make out. While not as extreme as yours, I have some shoulder 'locking' issues in my right shoulder, most notably if I do a 'lateral raise' movement and try to touch my hands over my head (I can get to about 2 oclock) and/or raising my arm in a 'chinup' ROM.

Eric Cressey/Mike Robertson (the 'Shoulder Savers' guys) are in the Boston area. Might be worth at least a call to them. At minimum, they could probably point you to some shoulder specialists in the area.


#9

Thanks guys. I'll up the fish oil, try to limit the sitting, and I'll definitely contact Cressey.


#10

Ya know, Bushy, we are passing up an opportunity to go octagon on each other for 6 pages and leave the new guy dazed and confused.


#11

This post was flagged by the community and is temporarily hidden.