Long Thoracic Nerve Palsy (Winging Scapula)
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- Опубліковано 27 вер 2024
- This patient presents with a classic winging scapula indicative of a long thoracic nerve palsy. Check out how we assess the long thoracic nerve and see how she presents.
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#scapulataping #serratus #scapularassistancetest #scapulardyskinesis #scapularwinging #OrthoEvalPal #orthopedics #SpecialTests #physicaltherapy #physicaltherapytests #shoulder #shoulderpain #orthopedicvideos #occupationaltherapy #longthoracicnervepalsy #wingingscapula
Unfortunately I was diagnosed w/ this condition back in 2006. It started in 2005 with burning pain & a swollen red spot at the lower, inner point of my right scapula. After several doctors and EMGs I had the major pectoral transfer in 2007 which gave me back some stability but, never alleviated my pain. I feel
Like the tendon has since stretched a good bit allowing the scapula to wing again although not quite as bad as before the surgery. This condition has robbed me of a normal life mentally & physically as the only time I get real relief is when my arm is down at my side & im laying/sitting with my scapula flat against my back. Other strange happenings with this is it will affect my left side “sometimes” & the way I explain it is... sometimes my (whatever muscle) doesn’t want to work the front of my shoulder will fall forward allowing my clavicle to protrude.
I have been a pain management patient (nucynta ER 150mg 2x day) since 2006 other than that I’ve been told by numerous doctors sorry there’s nothing else they can do for me. I haven’t really talked about this in a while but, I happened to come across this video so, I thought I’d throw my two cents out there.
Dr. Wolfe HSS,DR NATH,DR. ELKWOOD OF THE ADVANCE INSTITUTION OF RECONSTRUCTION.
THESE ARE SOME THAT I HAVE LOOKED UP,BUTHAVE NEVER SEEN.MAYBE THIS WILL HELP.
If you need emotional support I’m here for you. I’m going through the same thing. I have a nerve injury due to chiropractor malpractice.
@@normafernandez5217 I offer you the same thing, buddy. I'm emotional and at the end I want to go from doctor to doctor for a year and not be taken seriously

hlw sir... I also want to know that... how to treat axillary nerves injuries....
I have this also weakness in the arm , did she fully recover
hello sir! i want ask to you treatment is possible for LTN damge?.after saw my MRI,EMG&NCV report docter said that my LTN is damge. i am suffering from last 3 year.
Rajendra Singh
hi, how is going for you? did you get rid of LTN damage?
Have u recovered? I have same issue
Hello, how r u know?
I have a sever condition and I think this is part of it. Any thi g I should ask my doctor to do to check?
Nerve testing such as EMG can be helpful in ruling out a long thoracic nerve injury.
I have winging of scapula as a result of neck injury c5 c6 c7, which happened almost 6 years ago. I m still in pain
As per the therapist, my curvature is lost and has a winging scapula, too.
My upper back develop knot often, and with little daily activities such as blanket folding, washing heavy dishes washing cost me a lot.
I only had an x-ray done 6 years ago. I requested the therapist for emg ncs, but he rejected my suggestion.
Taking physical therapy regularly for the last 3 years now, I feel burned out emotionally and financially as my career is ruined.
What do u suggest me should I get emg ncs test done, or should I consult neurophyican once again?
Did I make a mistake by rejecting the botox injection suggested by neurophyican early in the treatment?
Please advice
Thank you
I went 10 years until my left arm gave out cause of it! I had surgery and the pressure feeling went away and there are days that I feel that burn and poke. You still get tender from time to time but I can say the surgery took away 40% of my pain. It was worth it.
I do have major nerve damage cause I waited too long for surgery. Hope that helps. It’ll mess your back up too cause you hunch over. Fix it before it messes you up.
@SteveM_LX470 First of all thank you which test helped u diagnose nerve damage or blockage?
U consulted orthopedic or neurophyican or physical therapist or chiropractor.
I'm still trying to fix issues from one dr to another, but no use...
@@fatimawaheed-wq9tr my orthopedic diagnosed me after I went to a neuro specialist. They put little tiny metal needles in my body around area and zapped me. It was painful but results came back with sever nerve damage. From scapula to my hand.
Ortho is the one that sent me to check my nerves because my entire left shoulder to hand started to go numb at random times. I thought a heart attack at first but no
Can symptoms mimic those similar to a stroke as well? Or just lack of motion
In most cases of stroke, there would be more than just this single impairment at onset. The stroke would arise from a CNS lesion, whereas this is peripheral source. Now, someone who had a stroke in the past and has recovered may have this, but they would definitely tell you if they did. More context is need to properly address your question. In short, this impairment, on it's own, isn't a good predictor if someone had a stroke.
Hi Paul, I have the exact same problem just on the right side 100% paralysis of serrates anterior. After 4 months since the injury now. The neurologist said it a viral problem. But didn’t give any solution or therapy . What are the chances for full recovery? What can you suggest me? Thank you for helping me.
Hi, If it hasn't responded by now, it's likely it won't recover completely. Don't give up though, it can take 1-1.5 years for it to respond. I would give it more time. Work on activating your shoulder blades periodically. Taping can help and so could an S3 shirt. Best of luck to you!
Varicela Zóster
Hey paul. I feel wekness on myleft shoulder and i have a lot of pain between my scapula to my spine. (Rhomboid).
And i have Atrophy in lattisimos dorsi.
I did naclk mri, i didnt have something worng there.
Meaybe u can help me please ! :)
Hi Dan, I have to say that I am very impressed with your transformation video. Everything looked symmetrical in the video so I assume that the shoulder weakness is new. I have never heard of lat atrophy and I have seen a lot of stuff. Many things could cause this from a damaged nerve to a virus. I would suggest an EMG to identify if there is a nerve injury and maybe meet with a physiatrist. Best of luck!
The virus would damage the muscle or the nerve? @@OrthoEvalPal
Did she fully recover
Not fully. She was OK with the function she had and had very little pain.
@@OrthoEvalPal Why she didn't recover fully can we really recover fully from scapula winging issue?
@@OrthoEvalPalshame on you for not helping her you bumhole
I dislocated my shoulder and my doc said I damaged my long thoracic nerve I haven't been able to raise my arm higher than 45° in two years
Have you seen a physical therapist for this? There are different things to do to stabilize the shoulder blade. Best of luck
@@OrthoEvalPal yes but between really bad instability and a torn ligament and nerve damage by the time I got done with physical therapy my arm would be so exhausted I could barely work
The only surgery they had available was attach my pectoral muscles to my shoulder blade but the downsides if the surgery sounded worse like not having pushback strength
xxjusxstarxx go to Dr Nath in Houston. I just had it done. 👍
@@Haggard540 well they told me if I had the surgery I wouldn't have push back strength and that's more important to me than the mobility, and sometimes miracles occur. The surgery is permanent, the injury may get better on it's on. Miracles have happened, I'm just more scared of an accident in the surgery and losing even more mobility
😮
Poor woman.Who needs this in there life.
This lady actually has no pain and is quite functional.
People who suffer with scapula winging can people have a operation
Yes. If it does not get better with time. I've actually seen someone who had this done and did very well.
How long does it take to recover
I got one less rib than everyone else can that be a reason why I got winged scapula
Auf deutsch übersetzen
Ich hoffe bald
What is The treatment?
thank you very much this was so helpful god bless you
Glad it helped!
I'm on six of seratus injury . 2 nd doctor dropped me and everymonth I have to phone everyday for a week to get t3s for the month. Doctors treat me like an addict and don't believe me ..I wake up with migraines in left temple but injury is under right shoulder blade. Doctors never say surgery they don't care really .I have tried everything and have been suicidal a few times from trying to live .I am bedridden most my days and my life is horrible ..I get accupucture once a month and now even pain doc thinks implying about pain and doesn't think I should continue. All accupucture does it hurt more..I'm at the end of my leash here ..I've tried pain clinics physio and steroid injections ..life is horrible .please help what can I do next ?? Even t3s are losing their effect again .andnimmsick of Lyrica and gabapentin that don't work either. Please any ideas at all ???
How was result of steroid?
@@fatimawaheed-wq9tr did nothing good .he hit a nerve so good it made my legs kick but nothing after .the pain is so bad lately I cant leave my house or bed usually.
sorry, I can't really help you. Have you already tried stimulation current? I'm keeping my fingers crossed that something will happen. Unfortunately, I have roughly the same story... about a year ago my right shoulder slipped while lifting heavy things. Since then I've been going from doctor to doctor and no one is really interested. I'm so angry at the doctors and I'm 21 years young and like you said this pain kills you. I go to sleep with pain and get up again with it. I'm depressed now because I don't do any activity all day long I always have a pulling or discomfort or pain in my right torso. I can not anymore ...

Im sorry for my bad englisch😅
@@twinxe3458 I'm sorry we r both going through something similar .I'm sorry your so young living this way already . I need to get the courage to just try more myself .more holistic and be happy for the very little things in life .all the best to you .I hope you feel better