Long Thoracic Nerve Palsy (Shoulder Blade Winging) Evaluation

Today you get to see a brief evaluation of a patient with a Long Thoracic Nerve Palsy. I talk about how to identify it and how we are going to treat it. Enjoy!!
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#Longthoracicnerve #scapularwinging #shoulder #shoulderpain #medical #health #orthopedics #Physicaltherapy #OccupationalTherapy #orthopedicevaluation

[@Ca_1021]

Really interesting! I haven't seen much of this yet in my DPT schooling/clinical work so i'm glad to have seen this video.

[@AziznijaraNjar]

Cv

[@doyoder2776]

Mine burns like fire

[@michaelstapleton9312]

I have Ehlers-Danlos, and I have been doing occupational therapy, to work with my winged scapula, the workouts are difficult for me, especially since my sternoclavicular joint on my right collarbone seems to try to come apart.

[@OrthoEvalPal]

Getting strong Mike is important. Working in the ranges that keep all joints in place can be tough. Keep at it!

[@slingbladejeff]

I'm in New York L9ng island. I need a caring Dr.like you.

[@dorianvelez17]

what scapular instability does to a mf

[@Hhgu-wc1ee]

😘

[@judeskylar242]

Just general discomfort and should weakness. I can’t hold shit with my right arm for too long without feeling like my arm ran a mile.

[@Anuj-2]

@@judeskylar242 I felt like my pinky finger is losing strength

[@Stryker-vf4zl]

I just hate how it looks

[@Anuj-2]

@@Stryker-vf4zl Yeah, one side is great and other is like I am slouching

[@jamstack3538]

Did she recover fully ?

[@bassamaldalati6505]

Can you please post a video how you treat patients? I have the same issue. Please 🙏 thanks in advance

[@slingbladejeff]

Where do I find a doctor like you ?

[@ericmckelvey1264]

How to correct this? I've suffered with this for 13 years with no accidents or falls.

[@dagamer1175]

Check out how to fix scapular winging by athlean x

[@gy3n65]

Can you also post videos on how you treat patients🙏🙏 Your videos are very valuable. I have learned a lot from you. Thank you 🙏

[@OrthoEvalPal]

I have a list of videos I will be doing and Exercises for this problem is one of them.

[@NotaFanofUncleScam]

​@OrthoEvalPal what's the link to the video for recovery from this injury?

[@bassem9545]

Thank you 😊

[@dudelet71]

Hi, I have this same problem on my right side. It sorta just presented itself a couple of years ago after a significant weight loss. I also have had bilateral frozen shoulders in the past. My GP said he thought that this scapula issue could be related to my thoracic scoliosis. I would love your thoughts and/or suggestions. Your videos are so informative and on point. Thanks so much

[@mohit151819]

Hi, my doctor said the exact thing about my thoracic scoliosis. I dont have restricted range of motion but do have some discomfort on my shoulder joint. please Let me know what was the final diagnosis and remedy. May be it will help me as well.

[@shaikshakeela3885]

Help me ...please reply

[@dudelet71]

Hi, I just saw these couple of you that are having the same issue so I wanted to leave a little response. I have not gotten anything done yet with this because I have other more critical problems to deal with first. As soon as I’m able to, I’m planning on going to my orthopedic surgeon that did my frozen shoulder surgeries to see what he says about this winging situation because at this point I can’t even sit straight in a chair or get comfortable in bed. I will try my best to leave an update. In the meantime, hopefully, this PT will help us all.

[@yogabyaakaash]

Would you look at working on the SERRATUS anterior ?

[@nomigamer1661]

Treatment for upper-raised scapula winging is possible?

[@geekygirl648]

Does she fully recover?

[@sahabe1883]

How can I send you my own video Maybe your advice is to get me out of drowning.

[@toosyyoung5573]

Thats is very easy to solve.

[@nuclearfart8472]

Bro it's going to live the rest of his life pushing in her scapula and following her everywhere like that

[@learnenglishenglishgrammer5494]

sir i have scapulla winging sir what should i do sir......

[@sahabe1883]

I am Hossam from Algeria, I have this problem ten years ago which caused me to be unable to raise my hands up. I was treated a lot in my country Algeria, but because of the bad possibilities they could not do, I need help. Either this became a complex in my life, it destroyed my youth, what do you advise me, dearest doctor?

[@ki8417]

I hope you find cure and heal soon.. God bless

[@tetricko]

did you find a cure?

[@yusuf-qh3zc]

Brother i have the same problem i live in the netherlands and i have extreme pain cant play sports like fitness kickboxing what i really loved i hope we can do something about it i have it for 4 years now

[@koblenz5698]

Same Here From Germany … have this for two years now an Im 24 I cannot exersise or make Sport … have tried so Many Didnt get better

[@yusuf-qh3zc]

@@koblenz5698 brother did you find a solution ?

[@ashleytaylor994]

Did she heal?

[@rjm4031]

The winging looks quite lateral from the angle we are seeing. How can you differentiate between a medial and lateral winging?

[@cdm1876]

Had a question doc I believe I have this issue stemming from a shoulder injury during football 15 years ago that being said is it too late to resolve this issue

[@insertname1883]

I can do this on command is that okey there is no pain

[@mangoorange6537]

hello doctor i have winging problem should i quit gym or continue it with these excercises.

[@heidimaria1281]

My trapezius muscle isn't functioning due to a nerve damage on my neck... can I still do physiotherapy? My scapula starts to wing more and more every day because the muscle is shrinking

[@normafernandez5217]

How are you doing now?

[@mldisttus9005]

Sir muje bhee ye problem hai .

[@geekygirl648]

How long scapula winging heal? If nerve involve too.

[@forestli9194]

its just as simple as to ask her to bring her right shoulder back, correct her forward carriage.

[@asia_and_lotus]

I have this and my chiropractor hasn't taken it seriously but that's the reason I went to go see him. How should I get him to help me treat it?

[@OrthoEvalPal]

I might suggest seeing someone familiar with winging. Physiatrist, PT, Orthopedic specialist

[@travelkeen]

I m facing same issue just that scapula looks winged after hand raise ..n shoulder mri shows small tear

[@nasirreki5270]

I want to treat my winged scapula so how can i treat this plz tell me

[@OrthoEvalPal]

Exercises to come soon.

[@simplicity8673]

What exc we can give for this

[@Brian-cn8ef]

I have no idea how I injured my shoulder woke up a week ago and began to have shoulder aching as of my shoulder muscle was sore. Never went away then noticed I couldn’t lift my arm much over my head and some pain. It’s been over a week supposed to start PT next week but I can’t stand this dual continuous aching pain . It’s hard to find a sweet spot to stop the pain. Never had any shoulder issues before. I do work out . I’m 48 .. just trying to find info on what I’m going thru and what to do.

[@OrthoEvalPal]

So many things could be going on. I would start by ruling out Parsonage Turner syndrome, frozen shoulder, cervical herniated disc, rotator cuff etc... A PT should be able to help sort this out. Good luck!

[@nishantthakur6748]

Hey doc I have nerve impingement on left side of my rhomboid bcz of dat I have no strength in tricep and chest...what to do please help

[@Soneelicious]

Resistant bands

[@edgararcega3046]

Interesting. Came here because recently my top left shoulder started hurting. I have fill range of motion but it just hurts. Trying to find out what's going on

[@gautamsoni5831]

Me too Some issue with shoulder blade ig

[@priyanshukhullar]

Me too

[@pgaquigz1125]

I’ve had it since my cervical disc replacement surgery in 2018. I’ve lost almost all my strength due to this. I’ve tried all the PT in the world with no results. What happens when there’s no alternative? Am I screwed for life?

[@yesman6687]

erm i have this thing where i can shoot out my shoulderblades like 6 inches looks identical to scapular winging but has never hurt me can somone explain

[@OrthoEvalPal]

Yes, some people can do that. Just the way you are able to control those muscles. If it's equal, no pain and full function then we don't worry about it. Thanks for the question.

[@paulscholes9202]

I've looked for years still can't find anything about numbness in shoulder blade at the bottom tip . It's been 16 years and has not changed. Why?

[@OrthoEvalPal]

Shoulder blade numbness is not common. Should see a neurologist or physiatrist

[@paulscholes9202]

Yes done that , Just live with it now . Cheers

[@learnenglishenglishgrammer5494]

same like this.

[@karimelmenoufy7334]

Hello Dr, I have the exact same problem on my right side but I’ve also noticed that my right latissimus dorsi has almost completely disappeared. Will it reappear as the nerve regenerates/winging stops or will I require surgery?

[@jayeugeneibanez9295]

when did your winging start? its might be the cause of atrophy if your muscles tend to rest for a long period of time.

[@sousvide59too]

Get an EMG with an **experienced** neurologist. The combination suggests Parsonage-Turner syndrome. (I am not a doctor, but I do have PTS)

[@rainman07]

Is there such a thing as repairing the long thoracic nerve?

[@tonyskills]

@karim Elmenoufy I have the same as what you are describing. What have you done for improvement. How are you doing?

[@brijeshkashyap3898]

@@tonyskillsI have same problem.What you are doing for improvement ?

[@Sumanroles7]

Help me

[@asiacuisine4869]

Long thoracic nerve affects mainly the Serratus Anterior muscle. Shldnt it be this muscle be the main target for stimulation?

[@OrthoEvalPal]

That would be ideal but would require a deep needle be inserted into the serratus.

[@itsdaniel4432]

GYATTTTTGTTT DAMNNN

[@nomigamer1661]

Scapula winging treatment possible or not

[@OrthoEvalPal]

Yes. For most.

[@Hhgu-wc1ee]

🙏❤

[@jonnyschroeder4599]

I just woke up with this 2 days ago. I just had pain the first night so far. Anytime I move my right arm up like her my scapula on the right side will pop out as well.. how do I know what movements not to do? Any advice is helpful thanks

[@dustinhoang7269]

how has it been? I literally just woke up with it today

[@rainman07]

​@@dustinhoang7269 Same happened to me. One morning I suddenly woke up with a terrible pain and realized that I had formed a winged scapula. Is your long thoracic nerve damaged? Have you had an emg?

[@VIVEKKUMAR-wy1ub]

Same i also found after waking up

[@ahmadkartal6110]

What about playing cricket when you have long theracic nerve injury

[@OrthoEvalPal]

You will have difficulty with overhead activity.

[@ahmadkartal6110]

@@OrthoEvalPal Long theracic nerve injury is in left side and I bowl at right side. Is it fair to bowl or nor

[@tetricko]

how do we treat this? i have it on my right side. an idiot chiropractor did this to me after doing neck adjustments on me. its been almost a year and i cant focus anymore it is too painful for me

[@OrthoEvalPal]

Have you seen a physio yet?

[@tetricko]

@@OrthoEvalPal yes he told me it will heal with time and gave me some exercises but it is not healing

[@rainman07]

​@@tetricko Do you also have damage to your long thoracic nerve? Have you had an emg done by a neurologist?

[@tetricko]

@@rainman07 yes and surgery is too invasive and not optimal

[@Shady-79]

Sue your chiro