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
Пікірлер: 99
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
Жыл бұрын
Cv
@doyoder2776
11 ай бұрын
Mine burns like fire
Thank you 😊
I'm in New York L9ng island. I need a caring Dr.like you.
Can you please post a video how you treat patients? I have the same issue. Please 🙏 thanks in advance
Would you look at working on the SERRATUS anterior ?
Thats is very easy to solve.
Treatment for upper-raised scapula winging is possible?
hello doctor i have winging problem should i quit gym or continue it with these excercises.
Where do I find a doctor like you ?
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
3 жыл бұрын
Getting strong Mike is important. Working in the ranges that keep all joints in place can be tough. Keep at it!
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
Did she recover fully ?
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
3 жыл бұрын
I have a list of videos I will be doing and Exercises for this problem is one of them.
@NotaFanofUncleScam
10 ай бұрын
@OrthoEvalPal what's the link to the video for recovery from this injury?
I m facing same issue just that scapula looks winged after hand raise ..n shoulder mri shows small tear
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
Жыл бұрын
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
Жыл бұрын
Help me ...please reply
@dudelet71
Жыл бұрын
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.
How long scapula winging heal? If nerve involve too.
Does she fully recover?
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?
How can I send you my own video Maybe your advice is to get me out of drowning.
sir i have scapulla winging sir what should i do sir......
The winging looks quite lateral from the angle we are seeing. How can you differentiate between a medial and lateral winging?
Did she heal?
I can do this on command is that okey there is no pain
same like this.
Sir muje bhee ye problem hai .
what scapular instability does to a mf
@Hhgu-wc1ee
2 жыл бұрын
😘
@judeskylar242
Жыл бұрын
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
Жыл бұрын
@@judeskylar242 I felt like my pinky finger is losing strength
@Stryker-vf4zl
Жыл бұрын
I just hate how it looks
@Anuj-2
Жыл бұрын
@@Stryker-vf4zl Yeah, one side is great and other is like I am slouching
What exc we can give for this
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
8 ай бұрын
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!
GYATTTTTGTTT DAMNNN
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
Жыл бұрын
How are you doing now?
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
2 жыл бұрын
Resistant bands
its just as simple as to ask her to bring her right shoulder back, correct her forward carriage.
I want to treat my winged scapula so how can i treat this plz tell me
@OrthoEvalPal
3 жыл бұрын
Exercises to come soon.
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
2 жыл бұрын
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.
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
3 ай бұрын
I might suggest seeing someone familiar with winging. Physiatrist, PT, Orthopedic specialist
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
Жыл бұрын
Me too Some issue with shoulder blade ig
@priyanshukhullar
Жыл бұрын
Me too
🙏❤
How to correct this? I've suffered with this for 13 years with no accidents or falls.
@dagamer1175
2 жыл бұрын
Check out how to fix scapular winging by athlean x
Scapula winging treatment possible or not
@OrthoEvalPal
Жыл бұрын
Yes. For most.
Long thoracic nerve affects mainly the Serratus Anterior muscle. Shldnt it be this muscle be the main target for stimulation?
@OrthoEvalPal
2 жыл бұрын
That would be ideal but would require a deep needle be inserted into the serratus.
Bro it's going to live the rest of his life pushing in her scapula and following her everywhere like that
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
2 жыл бұрын
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
2 жыл бұрын
Get an EMG with an **experienced** neurologist. The combination suggests Parsonage-Turner syndrome. (I am not a doctor, but I do have PTS)
@rainman07
2 жыл бұрын
Is there such a thing as repairing the long thoracic nerve?
@tonyskills
2 жыл бұрын
@karim Elmenoufy I have the same as what you are describing. What have you done for improvement. How are you doing?
@brijeshkashyap3898
5 ай бұрын
@@tonyskillsI have same problem.What you are doing for improvement ?
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
2 жыл бұрын
I hope you find cure and heal soon.. God bless
@tetricko
2 жыл бұрын
did you find a cure?
@yusuf-qh3zc
2 жыл бұрын
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
Жыл бұрын
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
Жыл бұрын
@@koblenz5698 brother did you find a solution ?
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
10 ай бұрын
Shoulder blade numbness is not common. Should see a neurologist or physiatrist
@paulscholes9202
10 ай бұрын
Yes done that , Just live with it now . Cheers
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
2 жыл бұрын
how has it been? I literally just woke up with it today
@rainman07
2 жыл бұрын
@@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
2 жыл бұрын
Same i also found after waking up
Help me
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
2 жыл бұрын
Have you seen a physio yet?
@tetricko
2 жыл бұрын
@@OrthoEvalPal yes he told me it will heal with time and gave me some exercises but it is not healing
@rainman07
2 жыл бұрын
@@tetricko Do you also have damage to your long thoracic nerve? Have you had an emg done by a neurologist?
@tetricko
Жыл бұрын
@@rainman07 yes and surgery is too invasive and not optimal
@Shady-79
Жыл бұрын
Sue your chiro
What about playing cricket when you have long theracic nerve injury
@OrthoEvalPal
3 жыл бұрын
You will have difficulty with overhead activity.
@ahmadkartal6110
3 жыл бұрын
@@OrthoEvalPal Long theracic nerve injury is in left side and I bowl at right side. Is it fair to bowl or nor