Added: 4 years ago
From: dljm1
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  • good surgeons won't do this to you.

  • That is very pronounced. I am beginning my externship for personal training and am certified in corrective exercise by NASM. If you don't mind me asking, what stabilization protocol are you using (exercise type, weight, sets, reps, and temp(ex. 4-2-1 etc.)). Also, are you stretching or inhibiting any other muscles within your program?

  • If you are experiencing any shoulder discomfort or weakness in the ipsilateral upper extremety, you will need to resolve the myopathy before stretch and strengthening exercise of the serratus anterior muscle group. If you did not suffer a physical injury, cervical nerve impingement at C5 can undermine innervation to the latter muscle group, which would undermine any strengthening work. Always rule out organicity firstly --Dr.T (mednetconnection)

  • I had surgery to repair mine about 20 years ago. Everything is still great. Snapped the nerve when my motorcycle decided to pick a fight with a pickup truck. Cool looking scar going from my chest under my arm to my back and a short scar over my scapula.

  • stop talking about my mom you sick people

  • looks like you could use a back massage

  • This appears to be a completely torn Rhomboid muscle of the right Scapula.

    I feel this poor lady's tragedy.

    There is no therapy to repair it other than surgery.

    However, there is therapy to prevent it.... massage and stretching by an expert in myofacial release/massage.

  • X Back Posture Correx BACK BRACE is what I am picking up today! Check it out everyone if you have these kinds of conditions with your upper spine. If you have pain in your upper back, you have to get a back brace so that your brain at least learns correct posture.

    Correct posture= using muscles that are small, deep and next to your spine, and are very crucial for your back! Check out XBack back braces online. I have done much research on this. I have back pain my upper back all day everydaY.

  • Comment removed

  • I don't know how you managed to end up with a winged scapula but I know it's usually sports injuries. I have the same problem but not as extreme, I'm on an exercise programme that should slowly fix it but I came to have it due to a heavy door hitting me! Talk about a lame story behind an injury..

  • Thanks for this!!! Currently in PA school and needed to see exactly what LT palsy looked like. Hope you recoup!

  • Strenghten your Rromboids and Mid. Traps by retractig with weights, also u might have a weak serratus anterior all these 3 stabilize Medial Boarder of scapula

  • A sports physician told me I had winged scapula. My winging is not very pronounced. I did therapy on and off but never consistently. I wake up with no pain but feel pain in my scapular region as the day progresses. It is on my mind a lot but I would say that you can still live a normal life, at least if your injury is only moderate like mine. I have had it for 6 years now. Since then, I have continued to exercise and do other physical tasks. E.g., I was on my college swim team.

  • looks ugly on a woman

  • Turn around and do another video ;)

  • I had this, along with thoracic outlet syndrome. the pain is unbearable. Finally they used my hamstrings to attach to my pec major and and tunnel under the axilla with the graft, then they made a whole in my sxcapula and sewed it tight. i am still a mess but definitely better than before next out may be my rib. lots of nerve pain and vascular compromise with pressure pain down the arm

  • @teretango im curios,how did you come about to suffer these injuries?

  • Hi, i have wing scapula, what are the effects if i dont follow or make any surgery?

    Do i will get diseases or pains?

    Now, i realized that this thing shouldn't be proud.

  • fly away with me

  • WOW!!!!!!! she is cute!!!!!!

  • I'm sorry and i love u and feel better.

  • I'm sorry

  • I'm a PT in Colorado. I've seen this injury quite a bit in ski country. The best information on non-operative recovery of this is that it can last you 2 years considering that this is not a complete lesion on the nerve.

    Good luck. It's a great video to demonstrate what a long thoracic nerve injury looks like. Thanks for posting it.

  • WTF!! @ 0:26 is that normal??

  • does that hurt?

  • daaaaang so thats REAL winging of the scapula i guess

    my shoulders blades out a tiny bit at the bottom (less than an inch) but im skinny just starting to fill out n i think its kind of going away so do i have winged scapula or can u just barely see it because of my lack of body fat + big bones?

  • i have the same problem...injury happened aug 2009 waited until dec. 2009 to go to doctor...now i have been going to physical therapy since then..wat a pain in the ass

  • that looks gross

  • this is ...WOW... and also ... OUCH!

  • i had nerve transfer 5 years ago, did not help me but you just have to try, in years to come with stem cell etc they may well correct this problem.

  • dangg.. and i thought mine was bad

  • I just had mine repaired October 2009 after injuring mine December 2007 from a fall. What a long painful injury this was. I know I will never be 100% but I feel a bit bettter after having a Pectoralis Tendon Transfer,I tried Therapy and just siting around doing nothing for 2 years and it would not heal on its own.

  • tat's manly!

  • I've been reading everyone's comments, and I'm a little freaked out. I think you're my long lost twin because the exact same ting happened to me...I think I got the nerve damage from crutches, and then I had spasms that lasted for 2 weeks (where I couldn't move)and then, winged scapula appeared. With physical therapy for 2 months now, it's not improving. Who did your surgery, and do you think I should see a back specialist? Thanks for posting this video!

  • Holy shit I thought I had it bad

  • I just got winged scapula modeling for a sculpture class. My pose required me to hold my right arm over my head for sets of 30 minutes. I didn't notice anything wrong until I tried to do some push-ups and couldn't because my shoulder blade stuck out.

    Are these the stretches you used or are you just showing the difference?

  • Oh wow. They said i had a muscle spasm\upper back strain near my scapula 2-3 weeks ago. I went for physical therapy earlier today she told me my scapula was winging a bit. My range of motion on my left side is limited compared to my right side. On some exercises, my scapula on that side wouldn't budge but on others it started winging. She didn't mention anything about the thoracic nerve though. I'm getting an MRI soon. Our PT department is awesome so I expect things to go well.

  • a litto loose.

  • she looks hot

  • when the scapula is winged, are the rotator cuff muscles used or needed?

  • how do they fix the damaged nerve?? I am going in for an EMG for the thing and im kinda nervous. If the nerve is damaged. What are the ways to fix it?

  • It depends on how long ago the injury occurred. They can do a nerve transfer if it was within 3-9 months. The catch is that symptoms may not show up until you are past that time. In my case, it was a year when the tingling and muscle atrophy appeared. They told me I could have my scapula fused....PASS! I did find a pain mgmt dr who did a facet injection to my C5-C7 joints. Great results! So he cauterized the nerves. No telling how long it will last, but I can live pain free for now.

  • oh gosh. Yeah its been 9 months and  and 2 weeks right now. and when they do the EMG it will be another week....so they cant do a nerve transfer then..right? I went to pysical therapy for the whole summer and my shoulder is still popping and my shoulder blade is still winging... Gosh this sucks. What happens if they fuse your scapula. Is it like getting your back fused?

  • ouch...sorry bout that

  • i have long thoracic nerve palsy from a snowboard accident 5 mo ago and I'm still winging pretty bad! but i go to PT 2x a week.Has HELPED alot. My muscles around the scapular are being retrained. I had to quit the sports i play. i suggest seeing an Ortho then doing PT. I am lifting by putting my back straight up against a wall so i dont 'wing'. anytime you lift and can feel your shoulder lift up and your scap start to rise...stop immediatly! you are just overworking the muscles

  • allreet all.. ive recently been diagnosed with thoracic nerve damage .. winging of the scapula! ive had a emg test and they found that i had a tear .. in 1 if 6 points ..i like keepin fit and useing weights .. so as u can guess this has been a annoying injury .. can i exercise with this injury .. eg .. hitting the punchbag in the boxing gym etc? if take caution? would exercise like that cause anymore damage?.. some1 please help.. need some good advice

  • You probably need to asked the doctor about the weights and boxing because other muscles will begin to compensate the ones past the nerve damage. You could end up with more problems than you have now.

  • cheers 4 ur help!!

  • @chief000000 Yeah no matter how much you work out, nerve damage=atrophy. Go for long enough and you permanently lose the muscle.

  • PS im not a doctor, lol but it make more sense to have a wall behind u to stop the winging of the scapula thus allowing your shoulder muscles and joints to work properly.,

  • i think i damaged a partial part of the nerves in the left part of my right knee. does anyone know a way to help it heal or just not be numb when i touch it. ps this happened a little past last year just never had the time to address it.

  • the lady in the video is doing the excercise, but her shoulder is still moving in the incorrect position. do the shoulder excercise against the wall thus forcing your shoulder blade in position. this will then work your other muscles that support your scapula.

  • this is in my right knee tho.

  • Palmeri77, try acupuncture and cupping with excercise aswell. swimming should help. excerside is key , but talk is cheap.

  • cupping? wat kind of excercises should i practice

  • I healed in about 7 months from this. Stopped all training (to include running)and just sat around. I had excruciating pain for about 3-5 days then gradual paralysis of Serratus Anterior until I could no longer lift right arm over head-complete failure about one month in. Neurologist diagnosed with Long thoracic nerve damage. no clue how I did this, but Im a firefighter and was afraid to lose my job if it didn't heal. It did and I am 100% . Very scary, good luck to all of you .

  • It is one of the longest nerves in the upper body and damaged peripheral nerves regenerate at the rate of 1-5mm/day.

  • I'm real scared. I had thoracic chest reconstructive surgery 3 months ago. They put two bars in my chest. I haven't been able to lift my arms above my head, lost a bunch of muscle in my back, arms and shoulders and I'm terrified that I could develop "winged scapula". My shoulder blades and spine are sticking out and the muscle between them has diminished greatly. I better see a kinesiologist or physical therapist huh?

  • Yes. I assume the surgeon who performed the surgery knows of the complications?

  • OMFG NIGGA

  • hello dljim!

    I am just wonderig how your shoulders are now. and what kind of rehab programme you have had! heard of terapi master/redcord?

    greets from a physical therapist

  • DAMN! That hurts just watching.

  • I had that shit happen to me. took 2 years to heal, Im a goalkeeper and im still not 100% ok hhen i play :( . VERY PAINFUL injury for the first 2 weeks or so. How did it happen to you?

  • Have you considered using the herb vinpocetine to facilitate perfusion of the peripheral nerves and hence speed up healing time? It also has a range of other benefits, such as improved cognition and memory retention.

  • wow.. thanks for showing a real example of what scapula winging looks like.. i'm a rehab student studying for an exam and I had no idea what this might look like, and i came across your video.. it's really helpful!!

  • Hello

    I found your video very helpfull. I had the exact same thing, except me it was from boxing. I did abit of physio but did'nt take it serious. Now, 1.5 year later, I still feel paine and numbness. I do not have a wing scapula anymore. I'm just curious, I know it varies alot and ur not an expert but do you tink surgery is a must or proper exercice can do the thing?? Thank you!

  • I think surgery is should be a last resort. I went to therapy for several months and did the exercises religiously and no improvement was noted. Nerves grow approx. 1mm a day and the long thoracic nerve is the longest nerve in the upper body, there's no overnight fix, you and your doctor should do what is best for you.

  • dljm1 Thanks so much for your video posts and comments here. I wonder what exercises you did. Was it the movements shown in the video, or simpler things initially? Or did the PTs tell you not to tell? :-] The simplest exercise I know of for engaging serratus anterior is to get on all fours or push up position and keeping your arms straight push through so that your scapula protract and retract against your ribcage.

  • Sorry for being nosy but I saw you mention the damage was from improper crutch use. If this was the case why was the surgery necessary? In most cases of nerve palsy due to impingement the condition is self resolving once you remove the stress. Also, what did the surgery consist of? By the way, thanks for the great textbook example of what a winged scap looks like!

  • It wasn't from improper crutch use, just from crutch use. The crutch pressed against my rib-cage and damaged the nerve the first few days on crutches. For the next 6 weeks it continued to rub the now damaged nerve, until scar tissue formed. I had a couple of EMG over several months and the results showed something was impeding healing. The nerve was dissected out during surgery and the scar tissue removed because it was the least invasive. I'm just glad the surgery was successful!

  • I have a left winging scapula. I have been searching for a cure for 4 years. Who was the doctor that performed your surgery and where are they located. I enjoy working out with weights and this injury has been aggravating.

    Thanks

  • Greetings, is this also called popping scapula? I look at your video and I have exactly the same issue only I have lived with it the last 6 years. I definitely have scar tissue under the scapula. And my scapula like yous sticks out a bit futher then the other. My question is can this be fixed if so, what should I tell the docotrs to look for? All I know is the nerve underneath the scapula is a painful one. Any guidance you could lend would be forever appreciated.

  • Hello

    I have winged scapula for the last 8 months. I am still looking for someone to help me. You need to take an EMG test from a Nerve specialist. This is not an easy test. You tell the doctor you have winged scapula or bracia flexopathy. The writer below was correct. It hurt for two weeks than went away. I cannot move my hand above my head. Take a look at a Dr. Nath in Texas. As for PT. You can do it to make you feel better, but no one can tell what is right or wrong. Keep me posted

  • shit that looks bad you mite need surgery

  • Way ahead of you, I already had it.

  • oh is it any better ?

  • Yes, a million times better. The other video, Post-Surgery, was taken a couple of months ago and it's improved a little since then.

  • thats good to hear i would hate for that to happen to me cos im an archer

  • Just be careful then, I couldn't even shoulder my shotgun and now I'm leery if the kick could somehow re-injure the nerve.

  • Most cases that I've read about with respect to damage to the long thoracic nerve involve trauma of some kind, such as a bullet wound, a stabbing or occasionally a bad accident.

    How was your nerve damaged?

  • A bullet wound, stabbing, or a dramatic accident would've made for a more exciting story but my winging was a result of a crutch pressed against my rib-cage after I broke my leg walking into work. How boring of a story is that....

  • I was stabbed in my neck and shoulder by another Marine and have had 4 operations to fix this challenge that u and I both have. I cannot lift my afected arm above my head unlike yourself. The last opertation had a slit cut in my armpit, shoulderblade, a tendon transfer and a nerve from my heel put into my neck. I'm hopefull.

  • what causes this ? the winging scapula

  • Generally, from weakness of the serratus anterior, rhomboids, and an inflexible pectoralis minor. Most likely it's some combination of the three of these.

  • I damaged the long thoracic nerve.

  • ouch that looks painful

  • i was born with winging of the scapula!!!

    the doctor doesnt quite understand it, but i can put it bak in easily and it never hurts???

  • i've had a winged scapula for over 11 months now.... doc said surgery wouldn't help and PT would only make it worse... only thing u can do it rest and pray

  • get deep tissue massage on that area, its good.

  • help... diagnosed with this a month and a half ago, in a lot of pain, can't sleep through the night, it hurts the most when I'm laying down. just started a new job, so I can't take much in the way of pain meds or miss work...I'm miserable - please, any suggestions on how to help the pain??!!

  • If you are having muscle spasms in the scalenes you may want to get local steroid/licodaine injetions. Steroids to release the spasm, reduce pain and inflammation. Licodaine can be injected at the same time (nerve block) for diagnostic purposes, i.e. to diagnose thoracic outlet s.. Good luck!

  • Thanks for the advice. I actually went to get acupuncture, and after two sessions I was able to sleep through the night again. : ).... still can't move my arm much though, so I'm going to try to go to a physiotherapist. But not being delirious from lack of sleep makes everything better.

  • Skilled and aware massage therapy can do wonders with tight scalenes. Glad to see you went to acupuncturist and had good results. If it were me, I'd use steroids and nerve blocks as a last result.... the pain is a signal, like the warning lights in your car. If they came on, would you cut the wires to the light (nerve block) or deactivate the part that's not working right (steroids to diminish tension)?

  • i am a medical student, and i have learned out this case. i am really sorry that this happened. it must be hard to do certain things. it's really awesome to see that you're working hard for rehab. i wish you the best.

  • I had surgery three weeks ago. The surgeon found scar-tissue on a section of the nerve.

    It was in the area where the crutch would've pressed against my rib-cage. Now it's just a wait and see but I can tell a slight difference already.

  • I have a winged scapula since 6m. X-ray: bulging C5/6 disc. EMG: paralysis of the serratus anterior. Physiotherapy has not helped. Yesterday, I underwent a procedure with a neurologist. He diagnosed me with thoracic outlet syndrom using sonography, EMG, and cortison/lidocaine injections to the scalene muscles. Nerve may be entrapped in the scalene m. He recommends injection of Botox to the scalenes to relief spasm or surgery. Did anybody have these procedures?

  • Hi djim1,

    I was wondering if surgery improved your symptoms? Did they find out where the nerve was injured/stuck? Get better soon.

  • Just go back from the doc's and he said i have a slightly wiinging scapula. He said theres nothing i can do but rest n ice and it will become better in time. Should i see a chiroprator? or will that only make it worse?

  • i think the nerve grows an inch a month - so if it severed by the neck by the branchial plexus - then you'll have many months for it to grow down to the seratus anterior.

  • I would meditate multiple times a day imaging your nerve regrowing down the sheath. When mine was regrowing, my skin in that area was really ticklish.

    Positive thoughts helps healing! Stay positive and meditate on it healing a lot.

    I still have some residual damage to this day to my seratus anterior. I did 2 years of PT after I had innervation again and I'll always have some muscles fibers that just aren't going to come back online.

  • Hey, I was a gymnast, landed on my neck on a mat in the foam pit... anyway, I severed my long thoracic nerve and my scapula winging was worse than the one in the video.

    I was lucky and mine reinnervated after about a year. If you sheath to the nerve is intact, your chances are much higher for reinnervation. The younger you are, the better the chances.

  • Also, my neurologist told me to take B-complex vitamin - I don't think it is proven, but he thought it helps.

    I think one of the most important aspects in healing from an injury of this type is to have a strong will.

  • Did you have any type of surgery? My wife is looking to have the thoracic nerve surgery decompression. Are you looking into the same type of surgery, and what if any other treatments have helped with your injury thus far.

  • No surgery yet but it's a possibility. I'm continuing physical therapy and last April I went to a chiropractor but after a month he told me I was beyond his help and needed to see a specialist. I had another EMG last Thursday and after 9 months it still showed acute denervation to the serratus anterior.

    How did you wife's injury occur? Is her nerve compression in the scalene area?

  • G'day champ it was initially believed i had damaged my long thoracic nerve aswell. Though after several visits to the physio and my unaffected shoulder rotation it is now believed i have an muscle imbalance in both my shoulders due to poor posture (-.-). I have the winging of the scapula's and loss of shoulder strength but no pain. been at the physio for a few months but sadly haven't seen any improvement just yet.

  • No surgery. Have seen several physicians before final diagnosis was made. My last diagnosis was to have surgery. I have battled this now for almost 3 years. With each passing day my symptoms worsen. I am hoping at this point it can be resolved with surgery. My EMG, Nerve Conduction, and MRI test all proved to be normal. We are really not sure how this happened. We have a young son at one time I carried alot on my left side (side of winged scapula).

  • Good luck, and please let me know how it turns out.

  • Update?

  • Thanks for this video, I'm not alone. 3 years ago I had a disc injury C-6. After surgery for the pain, I still had the palsy. One year later I had nothing to lose and went to a chiropractor. He said give me a month, I'll cure it. Exactly 30 days later it started to go away. Now my serratus anterior muscle has rebuilt, and I'm strong again. No exercise will get that nerve working again, only a chiropractor can free up C5-6-and7 to make the long thoracic nerve work again

  • I was recently diagnosed with this and it's the oddest thing. I'm told it gets better in time.........

  • O.o wow

  • Thanks for posting this.

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