Question: sir, I am 21 year old male, I got an injury near my right scapula while doing pullups in gym at the age of 19. From then I got a constant discomfort and pain in my upper back. I also felt severe needle pinch pain sometimes during first 9-10 months. Now luckily i am freed from that needle pinch pain, but a constant pain is always there. I have tried many exercises and i am doing running regularly but no benefits. This has also resulted in weakening of my whole body, the muscles from my chest and back have almost disappeared. I would also like to mention that i have never felt any numbness in my arms or legs. I am able to do all daily works except heavy ones. My Xray and MRI reports are normal. I have already consulted an orthopedist and neurologist. These days I have started feeling weakness and severe pain in my lower back also. Can you please tell me which specialist to consult or any other suggestion in this regard. thankyou in advance....

Please be informed that my name is XXXXXXX not XXXXXXX But viewing your advice it seems that it is concerning me and name was typed with mistake. So, Sir thank you for responding so soon. My blood sugar level is normal. In fact my younger brother is type 1 diabetic and I have checked my sugar levels many times using his glucometer. I had also once gone through Hb test which was found normal. I understand that this type of shoulder and back problems are best treated with physiotherapy and I will take your advice about short wave diathermy and TENS therapy seriously. But sir I want to understand my problem in detail. Actually it is two years now and I have consulted many doctors and I have been already told many times to take healthy diet with protein and calcium and i have also taken calcium tablets and other capsules containing vital nutrients many times and also taking currently. I take milk two times a day and do regular workouts. Actually I am not worried about muscle strength. Let me tell you my observation on the problem, as I had mentioned earlier that I got my shoulders get injured during gym exercise two years ago. I was doing pull ups and i think my shoulder blade(i think it is called scapula) muscles are ruptured due to excess strain and the problem is more in right shoulder. I have also observed that when(rotate) I move my right shoulder blade there is some irregularity as compared to the left one and the irregularity is that the right shoulder blade is very free to move and comes visibly out as compared to left one. Actually sir at first sight I look like a normal physically fit boy. So, the doctor I visit does not take me that seriously they always suggest me some medicines and try to get rid of me. I hope you are the doctor I have been searching for a long tome. Actually sir I am not in hurry to find the cure, my problem has not been even diagnosed yet. I dont even know that physical exercise will help me or make it worse. From you I just want your elaborated opinion and what do you think have happened in my back. I am worried because I have now started feeling severe weakness and pain in my lower back also for a few months. I just want know how much should I worry and what could have happened in my back and what preventive measures should I take. With due respects.... Thank you

Dear sir, Thank you very much for examining me so seriously. Now I am sharing more details. height 5 feet 8 inches weight 59 Kg I have uploaded some images of my back in the positions asked by you. I would also like to tell that I have recently gone through the EMG/NCV test following the prescription of a neurologist which I have also uploaded. In this test my both arms and legs were examined and rest is written in report(which I could'nt understand). As far as I have browsed the symptoms and causes of scapula winging, it is very close to my case. And I think I am suffering from the same. In your reply please tell me the brief simplification of the EMG test uploaded by me. And also please tell if any further test is needed. Or any other suggestion. Lastly, I am sorry to say that I have not gone through diabetic tests But I have checked my sugar levels of fasting and after meals which are essentially normal. I very politely want to say that I am aware about all the symptoms of diabetes. And I dont think I am diabetic. But I will definitely get the tests done if you will recommend these now after seeing my uploaded details. Now I will again thank You for having such a healthy discussion with me.

Sir my email id is : YYYY@YYYY My query to you is that in these circumstances am I allowed to do running and other exercises to strengthen the muscles holding the scapula along with TENS Therapy? And also please tell how necessary is to go for surgery? Should'nt I first go for physiotherapy? And please reply me frankly. After all I am 21 Year old Adult and understand everything. If surgery is must then please be XXXXXXX I want to make another request here that it would be very helpful for me if you send some documents regarding this disease through e-mail. Thanking You.