What, How, When, Where, & Why! Defines when it is problematic and when not to worry about it. With no load it’s the body’s natural way of compensating to achieve mobility and range of motion if the individual trying to achieve the end of their own range, and if that same person can stabilize under load the winging is not necessarily a disfunctional movement pattern. Decreasing winging is just an improvement in motor skills. If winging exist under load, there is the defining identity of a disfunction . I believe this is the best video I have viewed on this subject!
@fitznesstraining22454 жыл бұрын
As you have someone internally rotate and reach behind their back there are two reasons EVERYONE will wing their scapula at end range. 1) The rhomboids become active to medially rotate the scap (they are antagonistic relative to the serratus anterior). The more active the rhomboids are, the less active the serratus anterior will be. 2) As you induce this motion you build tension on the external rotators (teres minor and infraspinatus) which pulls the scapula into a winging position. Unless someone’s scapula is unable to protract, retract, elevate, depress, medially or laterally rotate then the scapula is not an issue. Winging during that initial assessment is not an issue. Stability is important to improve performance and prevent injury, but for the most part mobility is the truest indicator of joint health.
@popnjon5 жыл бұрын
Thank you for this. After researching this condition for years, this was by far the most informative and actually effective.
@mr.physio5 жыл бұрын
👍
@claudias73588 жыл бұрын
Thank you so much for taking the time to film these videos. I've been locked in thoracic extension for so long I've lost kyphosis and your Juggernaut article about it has help lots. I can finally address the cause of my shoulder pain. Again, thank you so much. I wish there was a Clinical Athlete practitioner in my country.
@socloseagain42989 ай бұрын
Did u fix ur scapula winging??
@hodgesjoshuab7 жыл бұрын
For years I became obsessive about trying to make my scapula flush woth my ribcage and my posture. After being fed so much misinformation on the internet about tucking the shoulder blades, keeping the chest up all the time, keeping shoulders back, ect.. I changed my posture for the worse by over correcting. Now I have knots and extremely tight muscles all around the shoulders and upper back.. hood video, because you get it and you're not just feeding bad info to get views.
@missbcontrary70247 жыл бұрын
As an experienced yoga teacher with a post grad, I have seen plenty of 'winging scapula' apparently caused simply by muscle weakness and poor posture. What is your advice to the people who don't typically wing without load, but under load their scaps are popping off the back. This tricep pushup position (in yoga we call it chaturanga where we lower down) often makes people wing when they don't have the muscular support there. I get them to lower with the knees on the floor to reduce the load on the upper body but would you recommend any specific cue or movement? I'd like to see this demonstrated on a model who isn't already athletic and strong. Most average, bordering on sedintary people couldn't manage what your model did. Could it also be too much pec minor strain on the way down and not enough upper back 'action' ?
@Sam-yu4ve2 жыл бұрын
same with me, my scapula doesnt wing at rest, but when i get into the push up position by left scapula wings noticibly.
@0900McShizzle Жыл бұрын
Exercises that target the upper back and scapula region should fix it
@seandenahy5378 Жыл бұрын
Imo it needs to be treated outside of a class with exercises such as acapula push ups. It'd be basically impossible to cue them to not wing as they don't have the neurological connection to control or use the scapula correctly.
@geekygirl648 Жыл бұрын
Should a winging scapula patient consult neurologist or just physical therapy is enough?
@anatofind28308 жыл бұрын
this is so amazing! The orthopedic doctor told me I had SICK scapula... although didn't even explain what that was and the physical therapy didn't do anything.
@itsyaboi52904 жыл бұрын
@michael browne thinking bad of other people is bad for your well being man
@LostaraYil6668 жыл бұрын
be careful with this, I have scalpula winging and if you do too, loading it makes it worse. pretty much my entire upper body is asymmetrical because of working out with winging.
@editbazelli8434 жыл бұрын
just load as much needed to activate the serratus anterior, this exercise is not for working out, it is for fixing scapular winging so you should not use a lot of load.
@Itachi05674 жыл бұрын
hmm dont know about this... loading in which sense ? every kind of loading ? been lifting for like two years now, had scapular winging my whole life, i think i noticed it at the age of 14, and i bench press 80 kg in my regular series without trouble, i am not feeling asymmetrical either.
@Itachi05674 жыл бұрын
I've always thought that the scapular thing is genetic, i happen to be very flexible and also have this like double joints in my thumbs
@AH-rz2zl4 жыл бұрын
Itachi0567 fo me quite a lot on my left is bigger than my right but I’m stronger on my right hand side
@daytonasayswhat93334 жыл бұрын
edit bazelli Define “activate.”
@EpictheEpicest8 жыл бұрын
I've had an issue like this with my left shoulder. I tried the way to do pushups demonstrated in the video and also the dumbbell press while pushing into the wall and I could feel my left side working much better than it has in quite a while. Thanks for this video! I'll definitely continue to do this before push exercises.
@RyleyRehab5 жыл бұрын
Thank you for this. As a clinician ive heard so many times that you have to cure scapular winging but NONE OF THESE SO CALLED EXPERTS EVER TELL YOU HOW! Your way is very simple and straightforward
@socloseagain42989 ай бұрын
Did u fix ur scapula winging??
@ZIMMBECHRIS7 жыл бұрын
I really loved this Dr. Quinn, he seems to really know what he is doing. I did a few of these exercises tonight & they were ROUGH...
@alexrobin99994 жыл бұрын
It would good if you could also do a video where loading the scapula makes the winging worse, as it does with me. When I do a push up, the winging becomes more severe. The heavier the load the harder it is for me to keep the shoulder blade flush against my rib cage. Happens with push ups, bicep curls - pretty much anytime I load up. If the weight is very light then I can keep it flush, but I run out of strength to hold flush if the load is too much. Assume I need to strengthen the right muscles. Can you do a video to address this as well?
@jamesmatthew5404 Жыл бұрын
Did u fix it? If so how?
@MegaColtsfan1018 жыл бұрын
This man is brilliant. Very cool stuff for the aspiring physical therapists out there, like me!
@qhenochi8 жыл бұрын
Happy to hear it's helpful, good luck in your journey!
@mikewest2402 Жыл бұрын
i was taught the rubber band to engage the scap muscles but your method is adding more load; i like the progression thanks
@maxcapacity44234 жыл бұрын
What if you have scapular winging and pain the that same shoulder when bench pressing (but only one shoulder, not both). What does that mean?
@christianarciaga70144 жыл бұрын
Probably weak rotator cuff tendons(stretched or worst torn) and weak rotator cuff muscles. Weak back muscles. Muscle imbalance maybe doing too much weight on bench press. Decrease the weight on your Bench and do shoulder, rotator cuff and back exercises with light weight and strict proper form. Incorporate light band exercises for your rotator cuff and shoulder. Be more patient.
@rubenclark80174 жыл бұрын
Could be a rib out of place.
@PoleCulture3 жыл бұрын
Thanks for this, I was told I have this "issue" with my scapula and was skeptical. This video is an eye-opener. THANKS
@thevikingbeard898 жыл бұрын
Hey, man, great friggin video!! I actually did have some nerve damage and muscular damage from a nasty snowboard crash but after the nerves starting firing again I was led to focus more on pulls to retract the shoulder blades. We thought they were weaker muscles but after years of doing that I was still having issues, I finally figured out after my own research that more pressing was needed. I enjoy your comment about kyphosis being demonized because I fought so hard against it that I'm sure my lack of it led to other issues in the shoulder. It still has a bit of weakness but I can one arm press over 100 so it's getting stronger. Cool videos, I just found them!
@socloseagain42989 ай бұрын
Did u fix ur scapula winging??
@christianchoi56278 жыл бұрын
Doc, good vid in general but I just wanna add my 2 cents about the topic. Mostly about the not-so-common nerve injury to the long thoracic nerve you mentioned. The presence of functional scapular winging is typically due to a simple imbalance of otherwise healthy muscles. But approximately 5% of cases are due to more significant pathology like nerve injury- particularly the long thoracic nerve. Differentiating the source of dysfunction is paramount in managing shoulder complaints. In case of the nerve injury, I felt it was important for you to address and educate about the nerve itself. So here's a bit of info for your listeners to digest: The long thoracic nerve originates from branches of the C5 and C6 nerve roots. These branches join beneath the middle scalene muscle and with some variability, either pierce the middle scalene or emerge between the middle and anterior scalene before uniting with a branch of the C7 (and sometimes C8) nerve root. The long thoracic nerve travels through the axilla to innervate the serratus anterior muscle- a shoulder protractor and scapular stabilizer. Injury to the long thoracic nerve denervates the serratus anterior muscle, resulting in scapular winging and shoulder instability. The long thoracic nerve may be injured from blunt trauma; however, the most common etiology seems to result from repetitive compression or traction. Over 1/3 of cases develop secondary to athletic activity, particularly during exercise or sports that require middle scalene activation. Activities that entail contralateral cervical rotation combined with ipsilateral arm elevation cause significant stretch to the long thoracic nerve. Long thoracic nerve palsy often follows strenuous upper extremity activity or heavy weight lifting. Symptoms typically include: Arm pain and rapid fatigue. Weakness or instability when pushing, pulling, and lifting, particularly with the arm above shoulder level Up to half of patients affected are unable to flex or abduct their shoulder beyond 90 degrees Because Long thoracic nerve palsy is relatively rare, diagnosis is often delayed for months or years. The prognosis for long thoracic neuropathy is quite variable with some authors reporting spontaneous recovery while other cases fail to respond to any treatment, including surgery. Initial management is typically conservative. Patients often show some degree of recovery within the first six to 12 months; however, complete recovery is not always achieved. Nerve flossing exercises may be employed; but clinicians should avoid aggressive or excessive stretch that could exacerbate the injury. Myofascial release and stretching should be directed at the scalene muscles. Patients should perform scapular stabilization exercises beginning in a supine position. Approximately 30% of patients fail conservative management. Surgical intervention may be considered when symptoms persist despite an extended trial of conservative care. Surgical intervention typically involves nerve release. Surgical outcomes tend to deteriorate in relation to chronicity. Patients who have suffered for greater than 10 years are typically candidates for scapular stabilization surgery vs. nerve release. As another healthcare provider, I felt it was important for you to address the possible underlying cause of the scapular winging as not everyone will be able to use their "reflex" to stabilize and engage the involved muscles properly when there is a true nerve injury in order for them to exercise and perform safely. Sorry for the long 2 cents~
@aaronsoodonihm88168 жыл бұрын
Excellent vid doc, thanks for addressing this 'issue'. I've been concerned about this for years, doing all the banded rotator cuff exercises, etc., ad nauseam with no fix. Guess it's time to start doing push-ups again! Side note - Elaine is a great test athlete for these videos.
@qhenochi8 жыл бұрын
Great Ernesto, glad the info is worthwhile. Yeah, unless the issue is causing some type of obvious functional deficit, it may be an issue at all. Basic strength training with some unilateral loading sprinkled in should do the trick.
@aaronsoodonihm88168 жыл бұрын
Quinn Henoch Thanks for responding doc. I have some slight muscular imbalance across my left-right shoulder girdle, but nothing that has ever really effected performance. Again, this was a really great video, you and the JTS team put out a ton of killer content.
@louiscyfer69448 жыл бұрын
Ernesto Manuel those banded rotator cuff will not fix scapular winging. but it still shows a muscular imbalance issue, it should be corrected. training the middle and lower traps will go a long way to correct for the imbalance that is at the issue here.
@aaronsoodonihm88168 жыл бұрын
louis cyfer Pull-ups, push-ups, and heavy farmer carries have actually been the largest help for me in my recent training. Any specific movements you would recommend? I reversed my over/under grip on deadlift, that seems to be helping as well. I feel like the imbalance is always going to be there, despite years of unilateral training to specifically fix the issue. I know it's common in throwing athletes (I spend most of my youth playing baseball), so I've just accepted that it's probably not going anywhere. I powerlift, so a balanced aesthetic is no longer a priority for me.
@elf1538 жыл бұрын
Ernesto Manuel Hi ma right arm goes every morning when I wake up ? I have severe in my rt shoulder n right neck , that pain continue in my right breast it's too painful need help
@ehbautista297 жыл бұрын
VERY GOOD PRINCIPLES, Dr. Quinn...I will definitely incorporate your methods in my clinic. Thank you, sir!
@starfeel61276 жыл бұрын
What if i do have this "damaged" thoracic nerve that prevents me from retracting my left scapula?
@lampej_92514 жыл бұрын
See a doctor man
@jusufsarwary92504 жыл бұрын
@@lampej_9251 every hospital is busy with corona i have the same problem
@dd-pt7ij4 жыл бұрын
Watch the AthleanX video on this. DO NOT load.
@mr2_mike4 жыл бұрын
@OVERCOME72 kzbin.info/www/bejne/jHSzoWR6it6jpZI
@MC____7 жыл бұрын
Excellent information. I never got any improvement from my shoulder impingement pain and dysfunction until I worked on the scapula stabilisation (winging). Rotator cuff bandwork alone doesn't cut it. Scapula first then add in and include direct rotator cuff work. Great vid
@jonathonthoo4325 жыл бұрын
Hello, could you elaborate on how you first target the scapula
@weicui96215 жыл бұрын
Hi Dr. Quinn! Really like your ideal! The Improper position of scapular caused my neck pain for years. How can I know if I injured the long thoracic nerve? Thanks!
@dashsoglin59425 жыл бұрын
Nerve/EMG test for the long thoracic nerve.
@ladev914 жыл бұрын
Yeah, I can "load" my scapula, but that doesn't help me the rest of the 24 hours in the day.
@yusrighouse7 жыл бұрын
Best channel ever. Dr Quinn is the freakin man.
@itomas4 жыл бұрын
I'm not sure about this.The specific movements place the winged scapula back in position but it seems to be just a bandaid approach because there is no mention how to actually correct the physical problem of winging...or should I assume that doing exercises with the scapula in the proper position automatically heals the muscle or nerve issues at the source of the problem so there won't be any more winging?
@TomvDriel8 жыл бұрын
Thank you very much for the information. I have been struggling with a winging scapula for 1,5 year and my PT keeps telling me I have long thoracic nerve injury even tho I have no problems protracting and never had any trauma or pain. I have only been doing light horizontal rows and push up plus for 1 year because thats what he told me to do. I have not seen any progression yet tho. Going to try your loading strategy and hope it will help me!
@charlielane98683 жыл бұрын
How are you doing now? Thanks.
@Hassan-hj7pw3 жыл бұрын
Yes please tell us tour progress
@ryancacacho16322 жыл бұрын
Update?
@TomvDriel2 жыл бұрын
Fixing my posture and decrompressing my spine in combination with strengthening my abs and glutes fixed my winging scapula. It wasnt a nerve injury at all so fuck that PT
@Hassan-hj7pw2 жыл бұрын
@@TomvDriel niiice that's great
@jaydee49884 жыл бұрын
I had trigeminal neuralgia, the nerves all way through my to arms go numb all the time, it only gotten better loading the shoulders and doing Olympic lifting, I'll often feel my bicep pop in when mouth my mouth after a broken jaw, but I can move just incredibly weird sensations that do not hinder movement or range of motion? It's incredible you truely do train you nervous system
@krzemian4 жыл бұрын
Hey, I'm comparing 4:45 to 6:35 and can't see much difference in terms of the positioning of the medial border of the scapula for the right side. It seems to me that it was more the range of arm movement that resulted in winging at 4:52 Could you comment on that?
@ADoble017 жыл бұрын
Great video! What if the winging keeps me from being able to press overhead single arm loaded or unloaded?
@misterneckbreaker883 жыл бұрын
too much pushing not enough pulling. my sports masseuse tells me everytime, train rhombois rhomboids rhomboids the diamon muscle between shoulder blades. neglecting that causes all my shoulder issues. too much chest training.
@quaintlittlemutation2275 жыл бұрын
Thank you for sharing a mid/int. perspective! I've been trying to formulate a series of healing for my extra cervical ribs, and this video helped to guide me to what my body needs. con gratitudine!!!
@ChaplinPerformance5 жыл бұрын
Right on brother. A few critiques just to play devils advocate. The spinal accessory nerve can also produce winging, although lateral instead of medial. Long thoracic nerve compression can happen as seen in thoracic outlet, resulting in an Atraumatic winging. The long thoracic nerve is purely motor, non-sensory so it is plausible one may not know when or how their nerve was damaged. Also, many with clinically significant scapular winging show little to no signs of wallerian degeneration, so while I agree that complete denervation will produce obvious deficits, it is not safe to assume negative EMG rules out damage to the nerve (at some point). Just because someone’s nerve healed doesn’t mean they automatically get that function back! Cheers bro!
@goranjohnny5 жыл бұрын
thank you , literally better after loading anatomical isometric tension simulating weight ( no wonder pain went away when applying moving shoulder blades isometric tensioning helped etc , now i have a anatomical sinonims for physiological approach to scapular winging injury cure ) , thankx again
@AaronMartinProfessional6 жыл бұрын
I have noticed how the shoulder blade glides smoothly across the ribcage when I use Gymnastic rings or do the pushups on my knuckles as your athlete did. When I do the push-up on me hands close to the chest and try to keep my elbow close to the ribcage, the medial border sticks out and flaps over before I get to the retracted bottom position. Do you know why that is? Thank you so much for this great informative video!’
@hemanthpeddi41295 жыл бұрын
Should I perform these exercises if poping and throbbing sound comes from my shoulder blade..
@molecularmage54435 жыл бұрын
i have this same issue
@Tr1ckori3 ай бұрын
I was born with a winged scapular. It affects my shoulder mobility and the way that my muscles on back, shoulders and slightly on the chest have developed. I can still do most workouts but the range of motion and stability is a problem. If you truly have the issue it most likely will never be cured but you can improve it.
@steveornelas29568 жыл бұрын
Thanks again, Quinn! Helping me fix myself one video at a time
@smockytubers11887 жыл бұрын
So basically you talked about how unloaded, static scapular winging isn't necessarily a problem if it fixes itself under load. Then you presented one patient who doesn't even have standing scapular winging, show that she can anteriorly tilt her scapula (totally normal and absolutely not the same thing as winging) by intentionally trying to, and then present a half dozen exercises to prove that it doesn't wing under load either... what exactly is this supposed to prove again? Do you know how experiments/data even work? This would get an F in an undergraduate physiology lab.
@ezzatnazzali66896 жыл бұрын
I'm finishing my masters of physio, and this guy is literally a idiot. I think the title mobility myths is because the video is giving you absolute bullshit.
@alexgjuraj206 жыл бұрын
hey man up and do some pushups, stop making excuses cry baby
@alexgjuraj206 жыл бұрын
the truth will help you one day
@christinasisk21876 жыл бұрын
Agreed, every time I try to load in an overhead position my shoulder shakes and is unstable. Loading it is making it worse.
@sean64595 жыл бұрын
Why is he an idiot? He showed that, and it has been shown in research, resting scapula position isn't an issue in healthy populations, ie, people that don't have long thoracic nerve issues. He then demonstrated that once properly cued the SA will do its job, in populations that don't have thoracic nerve issues. In the context he used, the video has great content. He also explained that if you actually have pain, not just the feeling of instability, then you should consult a pt in person.
@patrickmckenna35857 жыл бұрын
I have this on both shoulders. I thought I've been doing push-ups correctly for the past two years until I took a video of me doing push-ups and saw my shoulder blades sticking out 3 inches, even when I'm just laying down on my elbows my shoulder blades go up a good 2 inches.
@ripinpepperonies97548 жыл бұрын
"A light kettle, 18 pounds" Damn I'm weak xD
@ernestbautista54977 жыл бұрын
In that sidelying loading exercise, why do you have the athlete IR and ER the kettlebell?
@greener3366 жыл бұрын
This video had so much great information in it, thank you for taking the time to make! Also your model was strong and adorable in the best way, subscribed! 🤣💪🏻
@yuriyparanyuk43458 жыл бұрын
When speaking about kyphosis of the t-spine, is it be safe to assume that someone with a flat/flatter t-spine would be more prone to scapular winging? Would the same loaded exercises cue the scapula to track correctly over the rib cage?
@turnippatrol46078 жыл бұрын
I've wondered the same thing myself - great question!
The video is very informative. I like what you're doing. Do not stop! Each video will teach me something new. and I'm just looking for this content. Thank you Dr. Henoch. :)
@qhenochi8 жыл бұрын
Glad it's helpful!
@Schnupfndrache78 жыл бұрын
Quinn Henoch agreed! i love your videos. thanks
@masaledarbhartiya58317 жыл бұрын
Quinn Henoch In ace we have been told that if the vertebral medial bordrr is visible I mean protruding outward then it is scapular protraction and if vertebral bordrr along with inferior angle it is refered as winging ... Any leads ??? Like is it exactly like this ?? Am I right or wrong
@improvementTime10.3.175 жыл бұрын
13:00 activating muscles can cure your winging
@daytonasayswhat93334 жыл бұрын
Define “activate.”
@SnubieZ7 жыл бұрын
Its so hard to find consistent information on this topic. I find that my lower medial border on my right shoulder blade wings off as soon as I load certain movements. If I front raise it wings, If I do push ups, sometimes it wings, other times it doesn't. Once I'm overhead, if I have no pain in that shoulder I'm fine but I start to notice impingement like symptoms after a few reps. My traps like to hike on this side during benching or overhead press. My pec minor seems to want to roll forward especially while benching. Loading doesn't seem to help me and I"m left running around the internet trying to figure out whats going on. I can sometimes turn on my serratus or lat or whatever it may be mid set and get my shoulder blade to wrap forward... but next rep its back to sticking out. Like When she had her hands against the wall 5:40... my right scap sticks out. Then i flex my serratus or lat or whatever and it snaps back to my rib cage.
@ianwilson48418 жыл бұрын
I injured my shoulder doing behind the neck press many years ago. I've seen a shoulder specialist, and had an MRI, but all the chest showed was there was some instability. Presently I've been doing scapula exercises but I still have pain whenever I perform shoulder exercises, even with very light weights.
@Malabarismo6 жыл бұрын
Awesome video. Thanks a lot for sharing. Will incorporate unstable loads to my training routines. ;)
@jorgekane28423 жыл бұрын
Sorry to be so off topic but does anyone know of a trick to log back into an Instagram account?? I stupidly forgot the password. I would appreciate any tricks you can give me!
@andyrohan65943 жыл бұрын
@Jorge Kane Instablaster ;)
@Ebu265 жыл бұрын
I cannot do what she is doing at 4:46 . My right arm can’t go that far up my middle back like her right arm can. I can only do that with my other arm (left arm). Anyone else?
@exphys65138 жыл бұрын
Great stuff Dr. Quinn, do you think that part of the reason this happens is affected person doesn't own the ground which then affects the hips, ribs, and scapula?
@johanhansson45747 жыл бұрын
So where can we se more of Elaine?
@xrisos13976 жыл бұрын
someone with scapular winging usually has a shoulder pain..painful arc..impigement..etc..how you can give load if its painful??
@arshadahmed24975 жыл бұрын
Check out athelenx's video it's helping me !!
@spandel1008 жыл бұрын
Quinn just a question.I injured myself about 2 months ago doing dips using a coffee table.I think I over did the exercise because later that day I had very bad pain in my shoulder area which went on for a couple of weeks.When the pain subsided I noticed I could not lift my arm much above 90 degrees along with very pronounced winging.Can I assume this is Thoracic nerve damage?My Physio is not a hundred percent sure so I have been scouring the internet for answers.You seem very knowledgeable :-)
@TrueRahf8 жыл бұрын
He'd need to analyze you in person. Anything else is just guesswork.
@chrisborowski8 жыл бұрын
Scapular winging can have a neurological cause or it can be plain muscle weakness. Why do you keep talking about the neuro-cause? If someone doesn't stabilize well during a push-up (in other words: for this person simply loading doesn't fix it) we still don't know if it's a neurological problem or just muscle weakness. In case of the latter it should sure as hell influence training routine.
@profd657 жыл бұрын
I think scapular winging is likely related to "upper crossed syndrome." I'm not entirely sure about this, but I certainly have both. Anyway, upper crossed syndrome is not a condition you want to ignore, because it can cause all sorts of shoulder problems. Just doing a bunch of pushups isn't going to fix UCS; it will make the problem worse.
@3styFekt7 жыл бұрын
JTS it would be interesting if you addressed this. How do we test if it's muscle weakness and if it is that (an not neuro) how do we fix it?
@doctoraugustuskwembe7 жыл бұрын
If I can deadlift a decent weight, seated row a decent weight, lat pulldown a certain weight, pretty much all back workouts, and I have scapula winging, is it still a muscle weakness ? If i flex my shoulder back and forth the area around my scapula does creak though....
@Max-yy3lz7 жыл бұрын
Back exercises do not adress the muscle that is weak in case of winging. The serratus does the opposite of what you do in back exercises. It is also not being used in regular pushing exercises though, cause you want you shoulderblades contracted when lifting weights.
@AntiTrollable7 жыл бұрын
It could also be tightness of the pec minor, weakneness of the rhomboids, inactivity of the lower trap, tightness of the subscap etc etc etc.
@DaveX015 жыл бұрын
I have scapular winging but that also caused rotators cuff tear, some exercices you are teaching seems to interfere and cause rotators cuff irritation and in this case could not help.
@AndyD246 жыл бұрын
The body....what a beautiful thing, its crazy what it does and what it can do.
@gtd3606 жыл бұрын
Both me and my younger brother can flex our scapula to wing out voluntarily. It only goes out if I want it to. I never thought it was something weird until today.
@adragonro7 жыл бұрын
The test at 5:50 min didn't work for me. Did I do something wrong?
@nathanielgrimes38823 жыл бұрын
I herniated my C5/C6 disk and injured my LTN which caused winging in my right arm and I have noticeable decreased strength and size loss, as well as mobility in my arm. Will be starting PT soon once I recover from my Artificial Disk Replacement. Hopefully I can come back from it relatively soon.
@lntimidatingxbl58578 жыл бұрын
4:45 My hands can't even reach each other when I do this with my left arm above, but with my right arm above I can do this no problem
@extraphenomenal8 жыл бұрын
same
@blooddaddy18 жыл бұрын
same.. need help
@fyodorkaramazov21368 жыл бұрын
Do it in your warm-up routine, your both hands grabing a towel, spend more time on your bad side, pulling up and/or down
@telepcanin28787 жыл бұрын
+extraphenomenal Omg same , do you guys play a lot of video games and use mouse with your right arm like me?
@fyodorkaramazov21367 жыл бұрын
I do, but I don't have this issue :p
@guloguloguy6 жыл бұрын
IMHO: THIS IS AN EXCELLENT VIDEO!!!! THANK YOU!!!
@linseyk57284 жыл бұрын
Mine has been like this since I was a baby... Doesn't hurt but it looks weird... One is way worse than the other side but they both do it...
@shampooboy17 жыл бұрын
Great video. Thank you for posting. However, while standing or kneeling, weights above the shoulder (in a military press form)....aren't you in a shoulder impingement setup?
@javeedhussain22054 жыл бұрын
My right shoulder wing had got pain during practicing boxing ,can I use this exercise for lower the pain
@mitregal7 жыл бұрын
Thankyou. How much time it'll take to fix it??
@gwizzle375 жыл бұрын
Hypermobile individual here. My scapulae still wing like crazy when I'm bearing weight/loaded. No history of traumatic injury. Any other input? I feel like a lot of mainstream advice isn't always applicable/transferable to the hypermobile crowd...
@mr.physio5 жыл бұрын
work on eccentric works for serratus anterior
@colecarlson91294 жыл бұрын
same
@colecarlson91294 жыл бұрын
same
@eetuhalonen99023 жыл бұрын
Strenghten your serratus anterior. I do bench press with bands for serratus anterior.
@rickydharma7014 жыл бұрын
I am suffering from winged scalpula due to surgery that injured my accessory nerve. Will it be okay if i do this kind of theraphy?
@pgaquigz11253 жыл бұрын
I had Cervical disc surgery c6 c7 3 years ago and I have terrible scapular winging now. I never had it before my surgery. I’ve tried all the PT and exercises and it’s not getting better. I’m assuming it’s muscular atrophy / palsy. Can I get surgery to fix the scapular winging? Or to get it to not pop out?
@susanclemente85412 жыл бұрын
What if you do have injury to long thoracic nerve?
@conspiracychris47424 жыл бұрын
I have excessive winging on my right shoulder. It's only an issue when I'm doing uni lateral push ups like archer push ups. I've noticed it greatly effects my range on my cross punch. But like hes saying once I warm up the serratus the protraction is great. Thx for info doc!
@zacharynash49907 жыл бұрын
I have pain in the wing from what I think was a tear during an excerise on the pull up bar. what can I do to get rid of the pain?
@one_thunder_gamer85194 жыл бұрын
What should I do if this doesn't get fixed? I don't have much of a great range of motion cuz of a shoulder injury. And that winging pops no matter what range, I need to be seen by a doctor? Or doesn't quite matter?
@MegaCaptainjack17 жыл бұрын
What about the effects of chronic lack of use of the seratus anterior and other muscles involved in shoulder abduction
@luizalbertopersonal5 жыл бұрын
I have advanced scapular winging, hope these tips could help me.
@d.j.wellington3 жыл бұрын
Did it?
@TMFitness7 жыл бұрын
Great video and clear explanation. You just confirmed many of my own thoughts and observations of this 'condition'.
@otavioguimaraes19766 жыл бұрын
What about if rounded shoulders are noticed Plus you can see some probable winging? The rounded shoulders would contribute to the diagnosis?
@Ryan-ph7nk5 жыл бұрын
Excellent video. Can you also make a video on snapping scapular syndrome?
@gabrielalfaro73437 жыл бұрын
This is a great video. But if there is shoulder popping and ribs protruding on same side could that entail something else?
@LowPriceEdition7 жыл бұрын
My pectoral minor is fuuuuuucked up from this. Stopped lifting over a year now after ten years of regular lifting. Just now getting the nerve back to start strength training at square one. I can still feel strain in the right pectoral minor.
@tylerbennett39103 жыл бұрын
Not if you cannot naturally load properly anymore because your winged scapula got so bad. Then you’re just making it worse. Your video really helped me, but it was the beginning part in which you described the issue that helped. At 21 I became addicted to the gym and now matter how much research and videos I watched the best I could do is portray movement through their coaching on the screen. After the beginning of your video I fully believe I gave myself a winged scapula. I’m 28 now and can’t get any enjoyment out of the gym anymore it got so bad. It effects my job (which is the trades), my happiness, my family, my vision, my balance, my breathing and eating. literally every single aspect of my life. I want my daughter to be able to run and jump for a hug without dad saying it hurts.. I know it’s not and injury I can feel the tightness somehow somewhere..
@bingobangobongo56 жыл бұрын
6:20 "all we did is cued ribcage position." Actually no--you changed the extent of her reach. The first assessment you had her arm reach much farther behind her back. Fail.
@kmlckd4 жыл бұрын
Do the treatment strategies change if we're addressing medial vs lateral winging with a possibility of a spinal accessory nerve pathology?
@naveenlife77214 жыл бұрын
May I apply same technique for pulling movements
@geekygirl6482 жыл бұрын
Can we fully recover?
@gambitxe8 жыл бұрын
Is the scapular "winging" not just rotation of the scapula secondary to compensation of exaggerated internal rotation?
@msfitnessnut7 жыл бұрын
Probably why I have bi-lateral rotator cuff tears :( My shoulder blades have always winged out - its been a difficult challenge to strengthen that scalpular region (allowing me to retract it) .
@zzaher912 жыл бұрын
I sadly damaged the nerve badly and by far worst pain I've been through. feels like my scapula is cutting my pec and lat constantly shifting.
@MattiasAlexander7 жыл бұрын
+Quinn Henoch I'm curious, will doing these exercises, fix permanently, the winging scapula?
@KevsGuide7 жыл бұрын
i feel pain in my shoulder when i put my arm behind my back. I did something to it a while back but not sure what it was.
@ojibwedoodem52954 жыл бұрын
Its called pseudo-winging of the scapula, if there is no injury or dysfunction to the long thoracic nerve.
@jingmok7 жыл бұрын
Dear Dr Quin, I do experience pain due to my winged scapula. I am not injured. Do your exercise help with those needing more therapeutic regiment for pain relief? Thank you.
@ebttt5 жыл бұрын
I would like to see how can this all by herself. By picking the weight up and keep her shoulder where it supposed to be. Thanks
@tracyhanusiak54792 жыл бұрын
What if you still have winging when you load?
@keithahlstrom1765 жыл бұрын
Interesting, but what if loading doesn't fix the winging and pain in deltoid, etc? I don't think I have an injured LTN, but the bottom inside edge of the scap protrudes (both scaps actually) when doing the scratch test. Loaded or not. Same thing in push up - Mid motion the bottom edge protrudes, then snaps back down as the end range approaches. One year of PT and Chiro and nobody seems to have a grasp on this.
@yewchoob65753 жыл бұрын
12:42 watch the video next time
@keithahlstrom1763 жыл бұрын
@@yewchoob6575 “if there is no pain don’t worry about it..” but I do have pain. Read the comment next time.
@yewchoob65753 жыл бұрын
@@keithahlstrom176 IF SOMEBODY HAS PAIN go see a doctor to access you. These exercises are for people without pain. Jesus man I gave you a time stamp
@keithahlstrom1763 жыл бұрын
@@yewchoob6575 Been to doctors, been to chiro, been to PT...so when this is the place you find yourself, it's on you to find a solution, even if you are on youtube watching videos that are not meant for your specific case...and triggering yew choob on a monday morning...whatever.
@yewchoob65753 жыл бұрын
@@keithahlstrom176 get a better Physiotherapist and stop moaning
@gilbertevans75862 жыл бұрын
Fascinating. My right scapula has been winging since October 2021, but without pain in the shoulder. If that were the whole situation I wouldn't mind. But as a result of the winging I've lost mobility, in that I can't lift my arm upwards vertically, with my biceps next to my right ear. This means it's difficult to lift things down from high shelves. Loading, as suggested in the video, does not solve this problem. Any suggestions?
@CyborgNinja4424 жыл бұрын
She has flawless pushup form. Love it.
@TramTran78 жыл бұрын
This video speaks to me Dr. Quinn! I'm from Wisconsin and I am just waiting for some clinical athlete practitioners to pop up D:
@quinxx127 жыл бұрын
How can you insure the long thoracic nerve? I think I have this but I have no idea how it happened.
@giuseppepiuma19657 жыл бұрын
doc sorry but at 5:20 the same position leaves my scapula problem there