Treatment of Pain Due to Winged Scapula with Spinal Cord Stimulation: A Case Report
Author(s) -
Akshay Bhatt,
Daniel Taylor,
Russell Bell
Publication year - 2021
Publication title -
pain management case reports
Language(s) - English
Resource type - Journals
ISSN - 2575-9841
DOI - 10.36076/pmcr.2021.5.227
Subject(s) - medicine , scapula , neuromodulation , spinal cord , spinal cord injury , stimulation , anesthesia , physical medicine and rehabilitation , surgery , psychiatry
BACKGROUND: Winged scapula (WS) is a protrusion of the scapula giving the appearance of a wing and can be due to either a musculoskeletal or neurological insult. Pain associated with WS is multifactorial, including myofascial and neuronal mechanisms, and may be difficult to treat.CASE REPORT: In a case of WS refractory to conservative management with physical therapy and medications and not a candidate for nerve repair, we treated the pain with a spinal cord stimulator. We report significant pain reduction and improvement in function with the procedure.CONCLUSION: This case suggests a role for neuromodulation in WS and requires further investigation.KEY WORDS: Winged scapula, spinal accessory nerve injury, spinal cord stimulation, neuromodulation
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