Expert: Dr. Victor Dolan, DC, DACBSP - 10/29/2010

Question
It's not painful however it is uncomfortable, I have some noise when i move my
right shoulder.  I have a protrusion of my right clavicle that is sometimes painful
and it turns red.

Answer
sports injury, staten island sports injury, shoulder, staten island shoulder injury, scapula, clavicle, protrusion,



Hello Theresa,

I am sorry to hear of your discomfort.  My number one recommendation- see someone in person for a physical examination.

You give a very brief question.  Whether on-line (as with www.AllExperts.com ) or in person, many more questions will be asked of you.

How old are you?, Are you active?, How is your general health and your fitness level?, do you play sports/ exercise?
         How did this happen?, Were you born with this?, Did you injure yourself?, Sports?, car accident?, lift something heavy?, ever hear a snap/ crackle/ pop when this first happened?
         Is this getting better/ worse/ more pronounced/ more debilitating?  It turns red?, Is the area ever hot?, ever any swelling along with the protrusion?, anything radiating down the shoulder/ arm/ hand?, anything radiating towards the head/ neck/ chest?
         Is your Range of Motion affected?, is your strength affected?, is your arm girth (muscle development) the same on both arms?

Many, many questions will be asked in your subjective history portion.  Without the patient here in front of me, without conversation,,, I cannot even tell you where the line of questioning may go to.

Then a physical examination will take place.  Movement of your arm/ shoulder/ neck/ back will take place.  Evaluation of muscle/ nerve/ joint will be performed.

You need to see someone in person to evaluate you.

If you would like to give me further information,,, I will still try to give you more information long distance on-line.

After the subjective history, and physical examination; Xrays, perhaps an MRI, perhaps an EMG test will be ordered.
         When it comes to the human body, there are never any quick, simple, easy answers.

Perhaps you have a 'winged scapula'- this would/ could be the result of an injury to a nerve.  Associated articles: http://www.livestrong.com/winging-scapula/ .
 http://onlinelibrary.wiley.com/doi/10.1002/mus.880110210/abstract  
 http://www.wrongdiagnosis.com/organ/serratus_anterior.htm

A local MD or perhaps DC could be of help to you.  Medical doctors have various specialties.  Perhaps an MD neurologist or orthopedist or physiatrist or sports medicine or rehabilitation specialist could evaluate, get an answer, work up a treatment regimen.
         Chiropractic doctors, like our medical colleagues also have different areas of expertise, I am a DACBSP (sports injury specialist)  you can look up some of our specialties here:  http://www.acatoday.org/pdf/ApprovedChiropracticSpecialtyPrograms.pdf


The discomfort and protrusion should be evaluated by a health professional.  Of particular concern is redness which you mention,,,, redness COULD be a sign of some sort of infection: you would CERTAINLY want to be evaluated for any INFECTION (even though I do not think this likely).

I hope this helps.  If you would like further, do not hesitate to contact your Staten Island Sports Injury specialist here at AllExperts.com:  http://www.allexperts.com/ep/965-100794/Chiropractors/Victor-Dolan-DC-DACBSP.htm  



Good Luck, and I wish you Good Health!

Dr. Victor Dolan, DC, DACBSP



Dr. Victor E. Dolan,   Doctor of Chiropractic;   Diplomate, American Chiropractic Board of Sport Physicians;  Diplomate, American Academy of Pain Management; Certified Clinical Nutritionist (IAACN); FIRST  Chief of Chiropractic  in  a  Hospital  in  New York State (DHSI);  As  Seen  in  PREVENTION  Magazine ; Invited to Colorado Springs (Olympic Training Center) to  Care for USA Olympic Athletes 2010 , Chiropractor to the Championship NYPD Football Team, and the PSAL High School Football Champions (Curtis)