The winging scapula and shoulder function explained | Feat. Tim Keeley | No.64 | Physio REHAB
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- Опубликовано: 7 янв 2016
- #wingingscapula #scapula #scapulawinging #shoulderpain
Tim demonstrates a classic and quintessential example and winging scapula (shoulder blade) on a patient showing how it presents and why it's winging out, as well as the loss of function and range in the shoulder joint as a result.
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Wow one of the best vizualization of scapular winging I have seen so far!! Thank to both of you guys!!
👍
Great video, my range of motion on my shoulder is just like hers. Thank you for the explanation and demonstration.
Excellent description
I had this scapular winging when I was very young, around age 7, and my parents brought me to a Hilot (Filipino chiropractor) to put the scapular back in place. He did a certain movement and snapped it into place. Never had an issue with this since and I'm almost 60. Never had to do any exercises to keep it in the right place.
Omgod I'm in tears. I have such pain. Been dealing with this since 2009. I tore my bicep rotator cuff. 2 surgeries mt back hurts so bad. This last surgeon says I have nerve damage. My super sinitus muscle doesn't even work
Have a look at our rehab program for shoulder surgery - the initial low level exercises may give you some relief and then when you get stronger you can progress into the strengthening exercises to recover. Link is here: www.physiorehab.com/rehab-programs-shoulder-injury-surgery-rehab
Wait is it not named the supraspinatus?
@Chris Williams no problem man
Thank you for all of your detailed and carefully explained videos on scapula winging!
I am very self-conscious about my ugly scapula. I have an athletic physique and good muscular proportion, but my scapula really make my back look ugly when I am not flexing.
I played rugby union for 10 years and was well known for my tackling, but as a result I did suffer a lot of rotator cuff impingement and "stingers" (when you tackle someone really hard and the neck, face, arm, and upper body on the side of the tackling shoulder go numb).
On top of this, I did boxing, wrestling, Brazilian jiu-jitsu, bodybuilding, and powerlifting all very successfully but with scapula winging. I now realise that for all my years of sport and physical training, I neglected my scapula entirely as I just thought I had genetically ugly scapula.
I feel that maybe I have some serious underlying issues with my scapula and serratus anterior (perhaps even nerve damage) given my poor shoulder mobility, cracking, and sharp tearing feelings on occasion.
Do you believe that my scapula are just ugly and beyond repair, or is there still a chance for me to fix them at 27-years of age? I am terribly self-conscious about them (so much so that I do not like taking my shirt off at the pool, beach, etc.), and I have always really focused on training my back heavily to try and fix my ugly scapula.
Any help from you would be truly appreciated as it is terrible for my self-esteem, and I am worried that my scapula may cause issues as I age.
Many thanks all the way from Tasmania, Australia!
Evan Campbell Hi Evan. Sorry to hear your having trouble with your scapula position. It takes a lot of effort and you are best to stick to a rehab plan of progressive exercises. I have a great online program for it at physiorehab.com. Check that out and we can also Do a online video physio consult to get you through the difficult exercises
Very helpful video but if someone said I looked like I had chicken wings my insecurities would start screaming 😂
beautifully explained
🙏
I am currently suffering from winging scapula caused by medical negligence. I had lymph nodes surgery done and found out a few weeks later, that my accessory nerve was actually damaged. I had my EMG test taken and provided my surgeon with the lab result. But as you guys might know he came up with denial. Sucks
Start on the rehab work - it may take a while but don’t give up!
@Physio Fitness | Physio REHAB | Tim Keeley maximum how long rehab recovery take in prolonged cases?
love the videos Tim. I am a physical therapist in Dominican Republic and the videos are really helpful. can you make a video on treatment for this?
+yogi peña It will come in another video on our new website - coming soon!
Sure you are a physical therapist and don't know other sources than a youtube video?
None of my business though.. But you won't find me in your clinic.
Nice video
Is there a video containing the exercises I have a throwers shoulder meaning all the pitching o did as a kid turned into my right shoulder sticking more forward than my left I watched this video and now know what I have is there anyway I could see the ways to fix the issue
will doing other sports while recovering from wing scapula affect the injury or worsen it
Super helpful. Thank you.
You're welcome!
How to check trapezius palsy ..their is also winging of scapula laterally
I never knew this was a thing. When I stick out my arms horizontally my left scapula comes out while my right one is flushed, I also have a much larger left trap. I noticed this many years ago. I guess I'm not the only one this haha.
Me too
really explains how serratus anterior has a very important role in stabilising and moving the scapula...thanks! helped a lot (:
Great glad it helped
Is this helpful for lateral scapular winging too?
Thanks for this , if there is a nerve problem can symptoms mimic a stroke? Dizziness, eye spasm, tingles in Finer’s on both hands and pain at upper back. Both sides of my clients head are affected and the heart has been ruled out , i feel its similar to this... and compromises in the spine causing symptoms
Yes. same here. Levetator pain around the eye.
Yes I’m experiencing what you’ve described and have ltn damage.
Hi great vid! My left one have the same proble, where can i find the stretches etc to fix this please?
Try starting here and look at the scapula winging videos: physiorehabsecure.worldsecuresystems.com/videos-rehab-exercises-shoulder-rotator-cuff
Try physical therapy. If that doesn't work, then you probably damaged your long thoracic nerve, which is what happened to me. If so, then you'll need low level laser therapy (also called cold level laser therapy). A lot of doctors, chiropractors, and physical therapists are now offering it. veterinarians also use it. I swear to God the stuff works. en.wikipedia.org/wiki/Low-level_laser_therapy
Please give me a few exercises to fix this. I have exactly the same thing with a thoraxic nerve palsy, but its about 2 years ago that it was as bad as this. My physio therapist had no idea what scapular winging is and just gave me like 20 exercises which might have been just something random. So mobility-wise I have no problems anymore, but you can still see it a little bit that the right scapula is further in. I can feel it when I do exercises like the bench press that I just cant lie symmetrically on my back. So what should I do if I havent done any exercises targeting my scapular winging in quite a long time?
I suggest you follow out shoulder rehab program here: www.physiorehab.com/rehab-programs-shoulder-rotator-cuff-rehab
Good explanation. Now to go find how to fix the problem
Time to get to work! Have a look at my scapula press videos
Great video. I from India. I am 50 years a year back had a tendonitis tear on my right shoulder. After going through 7 months of pain I decided to do my surgery. After almost 5 and half months of surgery I seem to have same issue as shown in the video. My right shoulder is not in alignment with the left shoulder. Also I find difficulty in taking my right hand on my back. Its quite stiff and with slight pain too. Please advice exercises.
Well that’s very hard when I can’t see or assess your shoulder. I suggest a Telehealth appointment and then we cha work out what to give you.
Can a winging scapula also be caused by trigger points?
I'd love to see your treatment of this too.
Also, does she have any thoracic scoliosis? I've wondered if there is a connection to a winging shoulder blade and scoliosis too. For example, if someone has a right thoracic rotation, then perhaps their R scapula will wing off more than the opposite side? What do you think?
Someone please answer this
Certainly - if you have a scoliosis or a rotatory scoliosis it may wing the scapula on that side. This lady did not have a scoliosis - she has a nerve palsy to the long thoracic nerve that feeds the serratus anterior - which is recovering but a nerve palsy takes up to 18-24months
Dont you have a video showing the solution please?? Why show something if you cant help us:(
Micke Berndtsson i suggest you follow our Instagram and Facebook feed to see all the scapular videos along with all the other ones here ok you tube for strengthening and treatment videos
@@physiorehab how to get rid of nerve palsy? i unfortunately have the same problem and I do not know how to proceed. kind regards
I've had a winging scapula for the past year. Whenever it "sticks out", it pushes my shoulder forward and irritates the bicep tendon, causing pain and numbness in my bicep. I've tried a lot of things to fix it, wearing a brace, stretching my pecs and all the muscles that attach to the shoulder blade, I've been doing exercises to strenghten the lower traps, rhomboids, serratus. I go to the gym regularly and have been focusing more on back movements, rows to hit the midback, making sure my scapula is retracted during these movements. Despite my efforts, there is litte to no progress. Any suggestions?
Sure it sounds like you need a more structured scapular and shoulder stability program. I suggest you have a look at my programs at physiorehab.com to guide you further
I have a cracking popping shoulder or whatever u call it and it is associated with winging scapula. Does it mean that when i fix my scapula by strengthening SA the other problem will go away too?
Ariff Fikri jup im middle in the progress pf strengthening SA 15 year old
I have the exact same problem but it’s my front delt that has taking the load, it’s way bigger than my left.
Did it heal?
@@ashleytaylor994 same question
something is fuked up with my shoulder/back it grinds and pops and acts weird. doest hurt 95% of the time I wonder if this is what I have
go see a physician
You have multidirectional shoulder instability, go see a doctor you probably need an operation
i got same thing except not much pain at all
Both my shoulders pop sometimes just taking a tshirt off or trying to itch my back.
@@draifly7925 i have that same issue
I went to a health fair at my school and they said i had this ;C
I have the samething, it's been almost 3yrs now. Can get it to a certain point with scapular exercises but if I try to pull something to heavy. It will retear. It's been alot of work. Pain gets worse as it starts to heal
i am 13 years old and i have the same thing 😭
It’s from video games most likely, did you go to a doctor or fix it?
@@itschucky12345 nope was never really into video games, got into a accident. C5c6c7 in my neck. They didn't find that until 2years later because there was also shoulder issues. Then insurance started denying stuff so couldnt get it fixed
@@vincentbenfante8213 I have Similar situation ... How are u doing now? Recovered or not?
Any thoughts on how to fix a winged scapula with thoracic Outlet syndrome ?
I would still go through all the same exercises. In the end of the day you still need to work on the muscle strength and activation. physiorehab.com/rehab-programs-shoulder-injury-surgery-rehab
I don't know if I have this. My shoulderblade can stick out really far, but I can choose when it does and doesn't. It also doesn't hurt either.
Yeah i have that too idk what to do
Anthony Bowman same
I can too
I have this pretty “bad”
Idk if it’s a bad thing. I wouldn’t say I have back pain at all but maybe it’s because I’m young. I’ve been able to Stick out my left shoulder blade forever I never thought it was a problem.
Yea that’s still a scapular wing
Hey! Currently my shoulder hurts when I externally rotate (for example, if I was to do the classic double bicep flex, my shoulder would hurt), when I fully stretch my shoulders raising my arms above my head, and if I lift my arm up and slowly bring it down, my arm starts to feel weird (not necessarily hurting) about half way down. Do these 3 symptoms sound like scapular winging? Thanks!
Sound s’more like a type of impingement or cuff issue. Perhaps get it assessed?
@@physiorehab I’m thinking it could be impingement, although it’s a lot better now. It’s kind of an ongoing thing where it only hurts maybe once a year, for the most part doesn’t bother me, but certain positions are awkward for my right arm. I think it goes back to a few years ago from a bench press injury tweaking it. If it comes back and is really bothering me I’ll probably get it checked out, for now it’s fine though. The fact that it healed in about a week through doing light weight movements shows it’s probably not super serious.
Really interesting Tim. Can you add in the treatment techniques for serratus anterior?
+Hussain Abdulla The will come in another video on our new website - coming soon!
May I know if Sarah experience like heavy, warm sensation if shes laying down while putting stress on the affected area? Because I have experience of sort of injury from lifting like my shoulder was drawn backward trying to do shoulder press
Don’t believe she did
Dear Dr, can please give me right direction, if MRI result says
At C2-C3, C3-C4, C4-C5, C5-C6 and C6-C7 levels: Mild disco-osteophytic bulges indenting anterior epidural space.
Which doctor one must consult? ..... PHYSICAL THERAPIST, Orthopedic Suregon, Neuro suregon
Patient is consulting PHYSIOTHERAPIST since 2020 but still have hinderance in daily activities. ( Considering I have Winged scapula as a result of neck injury )
Please guide.
THANK YOU
Wow, I healed myself practically in one night after suffering for one month after watching this video
Did you fix this? And how? I have winged scapula and I can't seem to shake it. Anybody else here fix it?
Did you get an MRI and EMG test to determine if it was a nerve or muscle issue?
Hi sir, When I lay down on my back and stretch my arms on the ground up of my head, I feel that my left arm is tighted and doesn't touch the ground while my right arm is completely relieved, touches the ground, comfortable and moves freely up and down. Is that a symptome of scapula winging?
Not necessarily
Ok I can push both of mine out like 12 inches. I've recently think I've torn a rotator cuff. Are these linked?
Could be!
Can winged scapula make your shoulders look broad? Also can it be fully cured?
Depends on the cause of the winging
For the last 5 months I’ve been having pain on my left side in between my shoulder blade & spine…at first my shoulder blade was sticking out, I had bad muscle spasms… I noticed my scapula is still winged, could this be causing my pain? I also hear and feel clicking/ popping when I raise my arm in my shoulder.
Could be! Best to get onto that with some strengthening work. www.physiorehab.com/rehab-programs-shoulder-injury-surgery-rehab
Shannon did you end up seeking treatment for this?
Plz plz help me I have that problem in my right shoulder but its a little different my shoulder blade stick out from upper par not too much from its bottom and i can take my hand up as much i want but not to the side of the body mean my hand cant come to the oppisite side of my body and i always feel alot of pain plz help how can fix it i amsuffering from many years
Sure! Follow my shoulder rehab program at physiorehab.com
كم يستغرق وقت العلاج بعد القيام بهذه التمارين
Heal what?
Damn i have that exact problem
Then you should try physical therapy. If that doesn't work, then you probably damaged your long thoracic nerve, which is what happened to me. If so, then you'll need low level laser therapy (also called cold level laser therapy). A lot of doctors, chiropractors, and physical therapists are now offering it. veterinarians also use it. I swear to God the stuff works. en.wikipedia.org/wiki/Low-level_laser_therapy
Joe T are you can just do the exercise no need for surgery i fixed mine by doing a few exercises
Hi, i have the same problem . I have it for 15 years . Can it still be fix?
Did you do an MRI or EMG test to see if it was a nerve or muscle issue?
@@belltonix3614 can you tell without one. My serratus fires when I do the correct overhead glenohumeral motions. But when my arms are at my sides I have winging. I also do lower trap things
I have the same problem, but my right scapula "winging" more when I sit down. The tip of right scapula hit the chair. I've tried some exercises, but the right side still unfixed (I'm right handed and study and do hand wright a lot).
Sounds like you need more stability exercises. Have a look at our rehab programs online at physiorehab.com
This is a clear case of Neuralgic Amyotrophy and requires very specialised treatment.
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
Sounds like you need a consistent rehab program for the shoulder that you can do regularly at home. Have a look at the rehab programs at physiorehab.com or we can to a personal program for shoulder and neck through a Telehealth appointment.
@physiorehab what's the fee, and did this patient have bone misplacement, too ?
What if this situation is left untreated? Will it be serious?
Please respond
Only it it produces pain in the shoulder. Usually a good sign somethings going wrong
I had strained my left shoulder. I take pictures for my school. My camera weighs 13 pounds. I'm fine right now, but when I start using my camera more than one day it hurts. There's one spot if you touch, I have pain and sometimes tingling. There's times that It goes to wrist. The our athletic trainer (I'm girls basketball manager, which I take pictures for them) he Sid it spazed. My camera strap had soft lining on it. What can I do, I'm doing pictures almost every day during school. Especially during basketball season.
i can stick my shoulder blade out pretty far. it feels like I'm stretching one thing i don't get is it bad for you?
I have same problem plese how to solve this problem
Have you seen the other scapula exercises on my Channel? Also have a look at physiorehab.com for exercises and programs
When I press away from the wall my traps take over.
Same. This is just horrible
Same
Is sticking your shoulder blade out bad?
no he explains the scapula is not firing complete motion when you rise your arm, due to lack of communication of one muscle serratus anterior and his nerve, just sports performance will be a little moderate in that arm
I have one and its horrific pain wise, caused by a nerve issue. So yep it is kinda bad tbh!
I was told that I have winged scapula as a result being rear ended in MVA. what do you think healing time with physio for this would be ? it's unbearable at times and pain medications don't really... work
Try physical therapy. If that doesn't work, then you probably damaged your long thoracic nerve, which is what happened to me. If so, then you'll need low level laser therapy (also called cold level laser therapy). A lot of doctors, chiropractors, and physical therapists are now offering it. veterinarians also use it. I swear to God the stuff works. en.wikipedia.org/wiki/Low-level_laser_therapy
i can stick my shoulder blade out and i have had no pain or problems with it at all i found out i could do it in primary school
Ava Plows no one cares
@@dancena2 I care.
Ginam M this is a video on how to treat a problem, so the two of you can leave the forum since you guys are alright.
@@dancena2 The person is telling an experience that they have that is like the video, it's relevant. It's helpful cause someone might be in the same boat as them. Not everyone shares your perspective.
I was doing it at the same age, always had it and never had pain. Eventually through age it has become an unbearable issue. I always thought it was cool and here i am going to a doctor 15 years later smh
I have the same problem.it hurts me every time.
You have paralysis of serratus anterior
How long it take to fix?
Years of training
@@physiorehab years???
Behaviour Animalistic I haven't been able to lift weights with my right side for 3 years now.
Thanks you Long thoracic nerve or scapular winging shit...Totally depressing
does hanging helps with this ?
No it’s a neuromuscular issue
Very good unfortunately you didn't show us the exercise to fix it.
Does winged scapula decrease height or affect body growth?
Not that I am aware of!
@@physiorehab ok thanks
Me watching this after retracting my shoulder blades 🤦🏻♂️
Bro ong 😭😭
Me tooo 😂
Can you apply for disability when having a winged scapula ?
Not exactly sure what you mean
Is this correction possible at the age of 50?. Also all the range of motions and exercises can be done by me without any discomfort but the shoulders don't seem to get fixed. Plz advise.
I am sure it’s possible - all comes down to consistency in doing the exercises! Are you following one of my shoulder programs online?
@@physiorehab what is your program and is this paid
@@geekygirl648 physiorehab.com
How to adjust this solder scapula plese help me i am shick tast four year and diprrest
Sorry can you please explain ?
And how can we treat this?
See the serratus anterior / scap press videos
so how to fix it?
Maybe have a look at our rehab program for all the exercises physiorehab.com/rehab-programs-shoulder-injury-surgery-rehab
how much time does it take to fixe it ?
Ok but how do you fix it
Have a look at the other serratus / scapula press videos
but how we fix it??
Have a look at all my scapula press videos
Crystal
I kinda have that on both scapulas since childhood and I'm scared. Is it normal to have both do that or not?
I'm the same
Same do you also feel pain in your shoulders even when your sitting
@@baxkw006s nope
@@baxkw006s I do ,when I'm trying to straighten my back
Has it affected your self confident? It's made me too uncomfortable to wear both tight and revealing clothes.. sigh..
I know there is a link between shoulder impingement and scapula stabilisation, but which one causes which? Does a lack of scapula stabilisation lead to shoulder impingement because the rotator cuff muscles can't control to humerus correctly, or does shoulder impingement lead to a lack of scapula stabilisation?
Since the arm in the socket of the shoulder isn't functioning well and thus hurts, this is caused by scapular instability.
So looks like this:
1. Scapula is not stable
2. Thus ball in socket doesn't move well
3. You feel the pain
same pinch
I hv same problem
Hope it improves!
I wonder how it looks in a x ray of her moving her shoulders
what a sexy shoulder blade😆
I have this...😪
Rehab is the answer
how to fix it plzz ?
Try physical therapy. If that doesn't work, then you probably damaged your long thoracic nerve, which is what happened to me. If so, then you'll need low level laser therapy (also called cold level laser therapy). A lot of doctors, chiropractors, and physical therapists are now offering it. veterinarians also use it. I swear to God the stuff works. en.wikipedia.org/wiki/Low-level_laser_therapy
Anyone here has an elevated shoulder pushing forward plus one breast is smaller than the other?
Same
A way to pop this b@stard if it's giving you h €ll...... 1st stretch your shoulders in every direction, then grab a long bungee cord(or exercise resistance band), and loop the band around a ceiling beam (something similar), then with both hands on opposite ends of the band, swing and rotate your arms backwards and upwards in a rotation movement until you hear a couple of loud pops.....instant relief.
She'll need surgery I think
It's coming right - no nerve transplant needed (if thats what you mean)
that looks nasty
Ha you think that's bad. You should see my shoulder blades
beautiful girl
him moving her vest straps and shit like that makes me so uncomfortable man maybe it's just me but it made this so hard to watch
Using a dressed woman for this video is not smart. We see nothing.
Neither is leaving comments like that. It’s not appropriate
something is fuked up with my shoulder/back it grinds and pops and acts weird. doest hurt 95% of the time I wonder if this is what I have
Jimmy, that could be impingement of your rotator cuff, or a list of other things.. i have both a winged scapula, and an impinged rotator cuff.
Go see an orthopaedic doc, if possible, and ask to get an MRI prescrbied. Those scans will show abnormalities, in every layer of your shoulder.
BmoreBusker dude thanks :)