Thank you doctor🙌 great and helpful as always 💪👍👍

@drdozellodc

4 жыл бұрын

You are very welcome!

As a DC, this is super interesting.

@drdozellodc

2 ай бұрын

Hi Doc. Thanks for the feedback. Much appreciated.

Slip in shower tried to grab curtain (arm outstretched came down on edge of small tub) resulted in 4 broken ribs healed 4 months later next, frozen shoulder 18 months, next, opposite frozen shoulder 15th months. Shoulder (trapeze & shoulder blade area pain) 10 years later and many many drugs & specialists ( final orthopaedic surgeon ) referred to a physiatrist diagnosed with central sensitisation syndrome (CSS). Disgraceful diagnosis ends up after YEARS of trying to get to the bottom of the burning pain etc this looks like what has been going on, thank you

@drdozellodc

Жыл бұрын

You're welcome. Please let me know if you have any questions.

@Dr Donald A Ozello DC any nerve flossing exercises for the thorarolumbar junction? having alot of pain there, possible scar tissue deep inside.

@drdozellodc

2 жыл бұрын

I do not know of a nerve flossing technique for the thoracolumbar junction. Here is a stretch for the Thoracolumbar Fascia that may be helpful kzread.info/dash/bejne/qaGi1tdxl9OzorQ.html

After stretching my arm backward i got an instant shap pain across the front of my chest, felt like it went straight across one of the upper throat ribs. 6 months now unable to do mu job or take care of myself at home and trying and failing to get some sort of help from a doctor. Now im probably going to have issues since whatever it is has been going on so long :( i have scapular winging, protruding upper thorax ribs, a shortened neck muscle, asymeteic clavicle wnd sternum as well as muscle wasting in my upper back, shoulder and especially my hand. L

@drdozellodc

7 ай бұрын

If I were you, In would see a Doctor of Chiropractic for evaluation, diagnosis and treatment. Chiropractic treatment helps restore proper skeletal motion and helps optimize nerve flow. Here is a link to a blog article I published in 2020. What is Chiropractic www.championshipchiropractic.com/wordpress/what-is-chiropractic/

Hey Doc, I’ve been struggling with a long thoracic nerve injury for about 4 years now and I am convinced that it is not healing. I have tried PT and it has helped but not a full recovery. I have seen two doctors over the years. My scapula is winging visibly, what to you recommend for a full recovery? Would surgery be recommended? This video is spot on in terms of my symptoms. Thank you.

@drdozellodc

3 жыл бұрын

Thanks for watching and thanks for the question. If I were you I would see a Doctor of Chiropractic for evaluation and treatment to the neck, midback, collar bones, shoulders and ribcage.

How should I train Push exercises when having this or winging scapula? Performance drops down by a lot and risk of injury is far higher. What do u recommend?

@drdozellodc

3 жыл бұрын

Very good question. If I were you I would retract my scapula on both sides during each set. This is accomplished my performing an isometric contraction with the rhomboid major, rhomboid minor, middle traps and lower traps. I would also make sure my middle back and neck were in proper position. This position will help to stabilize the shoulders. Here are links to videos that may be helpful in strengthening the muscles to maintain this position. Thoracic Spine Extension kzread.info/dash/bejne/eH2HqreCg9C6g5s.html Cervical Retraction kzread.info/dash/bejne/oJOJzLaYdLC_aLw.html Resisted Scapular Retraction kzread.info/dash/bejne/Ypqa082ForGbepM.html Roll-ups kzread.info/dash/bejne/ZquksKqRhrWahZM.html Please let me know if you have any question.

Hi Doc. I have this condition due 10+ years of working in childcare and holding children in my left arm/on my hip. This caused tightess and muscular imbalances in the majority of the left shoulder region (inferior serratus anterior function, but stronger posterior deltoid and upper trapezius) The nerve sometimes still gets aggravated and I don't have the best overhead stability in this arm, however rehab is gradually helping. I have been doing rehabilitation exercises for the last 1. 5 years and things have gotten a lot more mobile, better function, more equal strength, however I'd love to hear what exercises you suggest as an all round cervical, thoracic and serratus work out. Many regards Hannah

@drdozellodc

2 жыл бұрын

Hi Hannah. Thanks for watching and for the question. Here are general exercises to strengthen the thoracic spine, cervical spine and scapular retractor muscles (rhomboid major, rhomboid minor, middle traps and lower traps) Thoracic Extension kzread.info/dash/bejne/eH2HqreCg9C6g5s.html Cervical Retraction kzread.info/dash/bejne/lpyH2MaSj7jcYco.html Roll-ups kzread.info/dash/bejne/ZquksKqRhrWahZM.html Isometric Scapular Retraction kzread.info/dash/bejne/gp1907xue9q2ZpM.html Spine Health Exercises Playlist kzread.info/head/PLqvttwjy17Bn1nzNtisXfPxHga7jzr_2Z Spine Health Interview Playlist kzread.info/head/PLqvttwjy17Bk4EcyJRznP_601sRzbdEey Normal Breathing kzread.info/dash/bejne/iGaKwc9pfc2oipc.html Pull-up Bar Scapular Retraction kzread.info/dash/bejne/pKd61K1xktfAmdo.html

Hi doctor, I have been diognose by my local physio with long thoracic nerve compression through heavy weight lifting. My scapular isn’t winged and I’m having no issues apart from pain when stretching my abdomen. They only inconsistency I can find in my research is that I can visibly see and feel my long thoracic nerve under the skin when stretching my arms above me heard, it’s a very strange thing to look at but I can look at the nerve running from almost my armpit down 3/4 of the way to my hip. Is this normal in an injury like this? Physio suspects its visible because my serratus anterior isn’t activated but I have no lack of strength in push or lack of flexibility outside of above head movements?

@drdozellodc

2 жыл бұрын

Hi Taylor. Great question, sorry I don't have a definite answer for. It is not normal but is definitely possible. If I were you I would focus on strengthening the scapular retractor muscles (Rhomboid major, rhomboid minor, middle trap and lower trap). I would perform isometric scapular retraction to build strength and endurance. Here is a link to an instructional video I made. kzread.info/dash/bejne/gp1907xue9q2ZpM.html

Im 28, have since years pain in my spine between the shoulder blades that radiates in the the front of my chest, primarily where the chestbone is. I also have pain around my collarbone that goes down in my chest, and have more and more shallow breath due to more tension/pain. (also pain under the ribs and a very tense esophagus from where the pain in my spine radiates until my mouth) Also I don't have a big stress tolerance, since I'm kinda under that constant pressure or pain every time already, and so stressful situations and food that supports inflammation are really draining. I thought for a long time that I am in a stressloop which creates tenseness in my body which stresses me again (pingpong), but since I meditate a lot and am aware of my body I start to consider that something else is going on. May it be that I have issues at two points of my spine, since I have pain in my neck/collarbone until down between my shoulderblades? The main lain radiates from the spine between my shoulderblades (gets numb sometimes), but basically my whole upper body is thense all the time I appreciate every advice!

@drdozellodc

Жыл бұрын

If I were you, I would see a Doctor of Chiropractic for evaluation, imaging, diagnosis and treatment. I would request MRI's of the Cervical Spine (Neck) and Thoracic Spine (Midback). Here is a video that may provide you useful information. Thoracic Spine Disc Herniation kzread.info/dash/bejne/iX6Vw9aKadTIfrA.html

Great Video, can't find the strengthening exercises though, would you mind sharing please?

@drdozellodc

4 жыл бұрын

Hello Khaled. Here is a link to the corresponding playlist of my videos. Contains stretching & strengthening exercises. kzread.info/head/PLqvttwjy17BmpP6wogloFXVYT6locTJay

Also, I have winged left scapula where the scapula is sticking out a bit on the upper side of the scapula. This has also caused my left shoulder to elevate a bit more than my right shoulder and the left trap looks smaller than the right one. Which of my muscle's weakness could have caused it like serratus anterior, trapezious or rhomboid?

@drdozellodc

5 жыл бұрын

Hi Kumar. Excellent question. Thanks for the details. It is impossible to give you a proper diagnosis over the internet. With the details you provided it sounds like you might have an entrapment of the left Spinal Accessory Nerve. The Spinal Accessory Nerve innervates the trapezius muscle. Symptoms of a Spinal Accessory Nerve entrapment include: Trap muscle weakness & atrophy and winging of the upper inner border of the scapula that is increased with raising the shoulder out to the side. I recommend you see a Doctor of Chiropractic to get proper evaluation & treatment.

@kumarshubham4090

5 жыл бұрын

@@drdozellodc Thanks for replying. This will surely help :)

@drdozellodc

5 жыл бұрын

You're very welcome

@rsfast0wnage

5 жыл бұрын

KUMAR SHUBHAM I have the same problem, After 2 years of working out in the gym I realized the problem was weakness of my left serratus muscles because they don’t seem to show, unlike my right serratus muscles which are visual and rigid .. the problem still persist though, even after exercising the serratus muscle

Will massaging the scapula and the sorrounding muscles help in case of Winged scapula? I have seen some videos that instruct not to get massage as it relaxes the muscles and to treat winging we actually need to stiffen the muscles. Is that true ?

@drdozellodc

5 жыл бұрын

Hi Kumar. The key to massage is to massage the tight shortened muscles.

@kumarshubham4090

5 жыл бұрын

@@drdozellodc Thanks for replying. This will help :)

@drdozellodc

5 жыл бұрын

You're welcome

Hello Doctor, really appreciate the video. I’ve got a right long thoracic injury for over a month now. It was painful during the first couple weeks especially at nigh when sleeping but now I don’t feel any pain however I still can’t lift my arm all the way up/sideways and I’m still weaker on that side. I was wondering if I could go back to working out again (lifting weights) or would that possibly harm the nerve even further?

@drdozellodc

2 жыл бұрын

If I were you I would begin my rehab by performing slow controlled motions through a symptom free range of motions. Then I would slowly add isometric exercises to strengthen the middle traps, lower traps and rhomboids. Here is a video link that may be helpful kzread.info/dash/bejne/Ypqa082ForGbepM.html

@omgimyellow

Жыл бұрын

Did your condition resolve? Any tips are appreciated as I'm currently going through the same thing

I’ve struggled with horrible pain in my Serratus anterior and have had pain and discomfort rotating my shoulders down. I stopped lifting weights immediately going on 5-6 months now but nothing got better even after physio and a visit to a neurologist. They conducted NCV and EMG tests and they tell me I have a mild carpal tunnel syndrome. I do in fact have that but it has nothing to do with my thoracic nerve pain in my left serratus anterior. Can they misdiagnose me with these tests?

@drdozellodc

2 жыл бұрын

The testing is part of the diagnosis process. If I were you I would see a Doctor of Chiropractic for evaluation, diagnosis and treatment. I would try to perform mild stretches for the serratus anterior muscle and see how it responds. Here are links to three videos that may provide helpful information Serratus Anterior Stretching Part 1 kzread.info/dash/bejne/gaFml5mfkcnQadY.html Serratus Anterior Stretching Part 2 kzread.info/dash/bejne/gK6c28uLqc-qqdY.html Scapular Dyskinesis kzread.info/dash/bejne/hIWep6qdoc_LlrA.html Please let me know if you have any questions.

Brachial neuritis/Long thoracic nerve injuiry/parsonage turner syndrome/Scapula winging/dyskinesis/Snapping scapula syndrome. They all look like same.Are they?Im confused.

@drdozellodc

2 жыл бұрын

Scapular winging is a type of Scapular Dyskinesis. Here are links to several videos that should be helpful Thoracic Outlet Syndrome kzread.info/dash/bejne/nX5-2NyRoZCahLw.html Scapular Dyskinesis kzread.info/dash/bejne/hIWep6qdoc_LlrA.html Burner/Stinger kzread.info/dash/bejne/m62ap8pxaKu-dNo.html Cervical Radiculopathy kzread.info/dash/bejne/lISsl9ilYaW4grw.html

i have issues with my left side exspecially with the serratus antrior neck and directly under the armpit. My biggest issue with it is not the pain it obstructs my breathing and makes me short breathing i went to so many orthopedic practices nooen could help. i cant rly sleep that well cuz everytime i aly down it feels like my passive breathing stops and i have to actively breath. Could it be from this nerve impingement?

@drdozellodc

Жыл бұрын

Thanks for watching and thanks for the question. It is possible that you have a nerve impingement condition. If I were you I would see a Doctor of Chiropractic for evaluation, diagnosis and treatment. I would start performing Normal Breathing Exercises to retrain my diaphragm. Here are a few videos that may be helpful Normal Breathing kzread.info/dash/bejne/iGaKwc9pfc2oipc.html Two Minutes of Anatomy: Diaphragm kzread.info/dash/bejne/inlrw8SggMLViNY.html Two Minutes of Anatomy: Long Thoracic Nerve kzread.info/dash/bejne/Zn1lzbWuZdXLc6Q.html Two Minutes of Anatomy: Phrenic Nerve kzread.info/dash/bejne/qo5llJKmfJbSaZs.html Please let me know if you have any questions.

I had Cervical disc surgery on my c6 and c7 24 months ago. Immediately after the surgery I had scapula winging. I saw two physical therapists who just strung me along with useless exercises and workouts that did not help in the least. I really don’t have any pain it’s just bad winging and really bad weakness. I have decided I am going to see a neurologist and see what type of nerve damage I have and what course I need to take forward. I will gladly get surgery if it can be fixed. I also want to see if I have a lawsuit because this has traumatized my golf career and ability to do strength training. Any of your thoughts would be greatly appreciated!

@drdozellodc

3 жыл бұрын

If I were you I would follow the course of action you mentioned for further evaluation.

@pgaquigz1125

3 жыл бұрын

@@drdozellodc revolutionary advice. Thanks palski

@drdozellodc

3 жыл бұрын

You're welcome. You plan to get a proper diagnosis is good starting point. No revolutionary advice was needed.

Dr. Are u read MRI or XRay ? I have injury pain in my Thoracic after aggresive chiropractor. MRI/x ray looks good but im in pain 10/10 24/7 my dr. Doesnt know what happend to me and he did procedure RFA 3days ago on my thoracic. But im ready to going to taking another MRi to find oit what is my problem because so far none of dr diagnose me. Too sad :-(

@drdozellodc

3 жыл бұрын

If I were you I would get a 2nd opinion on my MRI by contacting a Chiropractor who specializes in reading imaging studies (DACBR). Here is a link that may be helpful. www.accr.org/2015-04-15-08-48-56

@lindabrincken1677

3 жыл бұрын

@@drdozellodc thankyou dr. From this pain impacts to my mental now :-( Panic, stress, depress everyday dr.

@drdozellodc

3 жыл бұрын

You're welcome

When you say see a doctor of chiropractic, are you referring to a regular chiropractor? Also, it’s been 3 years since my c56 c67 surgery and my scapular winging hasn’t got better with PT and exercising. It really stinks

@drdozellodc

2 жыл бұрын

If I were you I would search for a Chiropractor who specializes in Sports Injuries.

When i push my back straight back i get a pinch in my back that shoots down to my legs and numbs them,my legs feel weak with like nidle like symtums. The pinch comes from my thorecic spine i want to guess around T8 T9. About 2 years i was doing a back work out and i think i curved my to much as i brought the weight down and thats when i felt the first pinch and ever since then i been having sciatic like sytums .. been in a walker the last year. Chiropractors tell me that thoracic spine control upper motor function not lower... Could this be true

@drdozellodc

Жыл бұрын

The spinal nerves that branch off the spinal cord in the lumbar and sacral areas transmit signal to and from the lower extremities. Here is a video that may provide you useful information. Two Minutes of Anatomy: Spinal Nerves kzread.info/dash/bejne/laaGqLWSk6eqhdo.html If I were you, I would request an MRI of the Thoracic Spine (Midback) and an MRI of the Lumbar Spine (Low Back).

your video was spot on for my condition. I have long thoracic nerve entrapment in both my shoulders since a very very long time. maybe this happened gradually as I slept on my belly since birth. so I didn't even realize that I have a problem. I always used my upper trapezius muscles to lift my hands up and thought it is normal. now my shoulders wing a lot and this puts immense pressure on my glenohumeral joint. they give up very quickly while doing normal household activities. I desperately want to know if there is still a chance to restore my long thoracic nerve activity if I started working on it, or is the surgery the only option left for me. please please suggest me something.

@drdozellodc

2 жыл бұрын

If I were you I would start by sleeping on the back or side. Here are links to two videos I made that may be helpful How to get a Good Night's sleep kzread.info/dash/bejne/fWqNrsF6nK3OYJc.html Finding the Proper Pillow kzread.info/dash/bejne/fIGhl7CbgZano7Q.html I would schedule an appointment with a Doctor of Chiropractic for Evaluation, Diagnosis and Treatment. I would ask the doctor for stretches and strengthening exercises. Here are links to two videos that may be helpful. Upper Cross Syndrome kzread.info/dash/bejne/oJmk2NuzqNPepM4.html Scapular Dyskinesis kzread.info/dash/bejne/hIWep6qdoc_LlrA.html Please let me know if you have any questions.

@Mellifluous860

2 жыл бұрын

@@drdozellodc You are a life savior doctor. forever indebted to you. when you talked about upper cross syndrome and its vicious effects such as neck pain, thoracic spine pain, weak shoulder muscles in the posterior segment, tightening of levator scapulae, you summed up my whole life in just a few seconds. I thought I only had forward neck posture but now it's clear that I have upper cross syndrome and also scapular diskinesis with the excessive medial winging on both sides. I'll list my issues so that I can explain clearly. 1. upper cross syndrome and its vicious effects. 2. scapular diskinesis and weakness in the posterior muscles. 3. weakness in AC joints, couldn't hold my phone upstraight for long, my elbows always look for something to lean onto. and thereby messing up the posture. 4. levator scapulae and upper trapezius muscle tightness, couldn't bend my neck to the side, there's constant pain at the base of my neck. sadly there aren't any good chiropractors in this part of the world. so please suggest me where I should start my work on these issues. And lastly one question, If I managed to recover from these issues, will my long thoracic nerve start functioning? please suggest me doctor.

@drdozellodc

2 жыл бұрын

In some cases, correcting upper cross syndrome helps with nerve impingement conditions. It all depends on the source of the condition. Here are links to videos that should provide useful information to help combat Upper Cross Syndrome Chest Stretching Exercise Supine kzread.info/dash/bejne/n2t2qo-Ypa3XkrA.html Chest Stretching Exercises Standing kzread.info/dash/bejne/c3iVpa1slrrQe5M.html Standing Latissimus Dorsi Stretch kzread.info/dash/bejne/laKupM2DktedndY.html Thoracic Extension kzread.info/dash/bejne/eH2HqreCg9C6g5s.html Isometric Cervical Retraction kzread.info/dash/bejne/lpyH2MaSj7jcYco.html Resisted Scapular Retraction kzread.info/dash/bejne/oJOJzLaYdLC_aLw.html Isometric Scapular Retraction kzread.info/dash/bejne/gp1907xue9q2ZpM.html Resisted Scapular Retraction kzread.info/dash/bejne/Ypqa082ForGbepM.html Pull-up Bar Scapular Retraction kzread.info/dash/bejne/pKd61K1xktfAmdo.html Roll-ups kzread.info/dash/bejne/ZquksKqRhrWahZM.html Please let me know if you have any questions.

@Mellifluous860

2 жыл бұрын

@@drdozellodc thank you doctor, I will try to do follow all the exercises that you suggested above and keep you updated on the progress. one more question if you don't mind. After I have corrected my forward neck posture and kyphosis in upper back, my neck muscles became tight and there's subacromial impingement. even if I tried to stretch, the tightness wouldn't go away. how to deal with this condition? please help.

@drdozellodc

2 жыл бұрын

If I were you I would try massage therapy.

I have nerve pain in my chest, my shoulders, left arm. It feels like a burning pain.

@drdozellodc

3 жыл бұрын

If I were you I would seek professional care immediately to rule out a more serious pathology than a nerve entrapment and to get a correct diagnosis for the symptoms. This will set you in the correct direction for recovery.

@drdozellodc

3 жыл бұрын

Here are links to two videos that may provide you with helpful information if you have a nerve entrapment. Scapular Dyskinesis kzread.info/dash/bejne/hIWep6qdoc_LlrA.html Thoracic Outlet Syndrome (TOS) kzread.info/dash/bejne/nXmcyY-hh8m3aLg.html

@vidfreak727

3 жыл бұрын

@@drdozellodc that’s what’s I’m trying to do, but idk who to go to.

@drdozellodc

3 жыл бұрын

If I were you I would see a medical doctor to rule out a more serious pathology than a nerve entrapment.

Hi dr donald ozello my dr diagnose me that i got long thoracic moter nerve damage since last year .I did physical therapy for some months got my other muscles strong but not serratus so from last month I join gym hope my long thoracic nerve muscles come back but I got pain after my workout in my scapula .what you suggest me it is good to continue my gym did my moter nerve come back after exercise?

@drdozellodc

5 жыл бұрын

Great question that is very difficult for me to answer. If I were you I would use the rehab exercises I was taught as a foundation for my gym exercises & training routine,

Is it possible a cortisone injection in the shoulder joint to hit this nerve?

@drdozellodc

4 жыл бұрын

I will do research and get back to you.

@jennifer763

4 жыл бұрын

Dr Donald A Ozello DC ok thank you so much!

@drdozellodc

4 жыл бұрын

You're welcome.

@dejanstojanovic9146

4 жыл бұрын

@@drdozellodc Learned anything about this @Dr Donald A Ozello DC?

@drdozellodc

4 жыл бұрын

I did not find anything when I looked into it but will search again.

can you tell me how to fix long thorasic ner ver palsy / injury /entrapment

@drdozellodc

5 жыл бұрын

Hi Yogi, Thanks for watching the video & thanks for the question. On this video I give general treatment recommendation for Long Thoracic Nerve Entrapment starting around time 9 minutes & 30 seconds. Please let me know if you have any questions.

@drdozellodc

5 жыл бұрын

Hi Yogi. Here is a playlist of my videos that may be helpful. kzread.info/head/PLqvttwjy17BmpP6wogloFXVYT6locTJay

@drdozellodc

5 жыл бұрын

I recommend you see a Doctor of Chiropractic who specializes in Sports Medicine .

@yogikumar8607

5 жыл бұрын

thank you doctor

@drdozellodc

5 жыл бұрын

Hello Yogi. You're welcome. Please keep me updated on your progress.

which is achieved by blocking the long thoracic nerve with an anesthetic

@drdozellodc

4 жыл бұрын

Please let me know if you have any questions.