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Spinal Accessory Nerve Injury Video

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This young lady has a very interesting presentation After 2 shoulder dislocations she now presents with positive signs of a spinal accessory nerve injury. She has obvious neurologic injury and scapula-humeral dyskinesis.
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Опубликовано:

21 авг 2024

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Комментарии : 101

@subbuxy 4 года назад

I am an Orthopedic surgeon.Nice video on forward flexion and medial winging of scapula. Make more such teaching videos. Best wishes.

@HananGrow 3 месяца назад

You are an amazing doctor. I am learning a lot from you better than my PT uni. Thank you from the bottom of my heart.

@slingbladejeff 5 лет назад

HOPE SHE GETS A GOOD RECOVERY.

@AmericanLady1 9 лет назад

That was an excellent example of spinal accessory nerve damage, along with all kinds of good information. Thank you!

@sabinealexis9839 2 года назад

Amazing! Thanks for sharing. I am currently a DPT student, and I truly enjoyed hearing how you explained everything.

@nmania3 4 года назад

Good luck, sweetie!! You'll get better with time!

@mohammedelqahtani3843 Месяц назад

holy moly that what they call obvious winging of scapula

@CarloYanez 2 года назад

Fantastic presentation of this very interesting case. Thanks for sharing!

@bushragauher7312 Год назад

Hope her a speedy recovery 😢

@shoottokill100 8 лет назад

Great video! Glad to hear her recovery is going better than expected. Not sure if your allowed to say so but was it the accessory nerve or long thoracic nerve that was damaged?

@kathyh2733 2 года назад

very interesting ! I would have missed that

@HQLifeChanging 3 года назад

I have this also, did everything. From prolotherapy, chiropractic, training and even more… keeps weak and feel that nerve from neck to wrist.,.

@juniorledesma2240 Год назад

Way better than my doctor my doctor just seen me did test and did communicate nothing to me just said come back in two months

@qerqeteqtcaq 6 лет назад

I have definitely same lesion with her in my shoulder, upper trapezius. I got dislocated and then had surgery, both of bankart and slap repair. Doctor diagnosed i have some nerve lesion in accessory nerve but they doesnt have any idea to me get better. They said just wait for getting better of nerve. Can you let me know what did you do for her and what was effective?? Plz

@grigoriskointosis4945 3 года назад

i want to learn how she got better too

@TheCPelsor 5 лет назад

Thanks for this video!

@vandavo 2 года назад

i have this condition look for impingement of the spinal accessory nerve at the first rib and then C7 to T5. Avoid the surgery using stretching techniques through the mid trapezius muscles

@vincentg2618 2 года назад

Have you recovered from it? I have this condition but I cant seem to make any progress

@Shady-79 Год назад

@@vincentg2618 I recovered it's only get stuck or pinche by first rib make sure stretching the right way

@bejo.gatotkacanew Год назад

Terima kasih sudah memberikan informasi yang sangat bagus sekali🙏👍🏽

@user-kt1hj8hm7c 6 месяцев назад

very nice !!!!!!! thank you

@moonglow757 9 лет назад

pretty great presentation of the san damage though thanks for sharing this .

@OrthoEvalPal 9 лет назад

Thanks. This young lady actually did quite well with therapy and responded way better than expected.

@hayfa482 6 лет назад

I learned a lot of that video ! Than u

@EricMark Год назад

What's the report of EMG study? spinal accessory nerve or long thoracic nerve injury?

@Crochetsue_z 6 лет назад

Great video!

@OrthoEvalPal 6 лет назад

Thank you Sue!

@mhmdaz3089 Год назад

I have the same condition, but with marked atrophy of the trapezius and cleidomastoidal muscle. Doctors here not figuring out how to deal with it. Saw one who told that is irreversible. Any help

@tetricko 3 года назад

Doc thank you alot for this informative video. is there a pdf or something you can recommend something to do at home for people who have this but not as serious as her.

@tetricko 2 года назад

also is possible to make a full recovery with time?

@user-rb2jz6dx1d 2 года назад

I have the same problem for this nerve. Even mri and emg ,Still cannot find a way to cure, do you have any suggestion"¿ Since I consult 2 doctors respectively.

@jeremycornett7632 6 лет назад

i have a very similar problem with my left shoulder. been researching for awhile to fix it. maybe you could help.i have video if you could view it.

@HQLifeChanging 3 года назад

Me too

@Bloody_Antichrist238 3 года назад

I think that I broke mines from head banging to my music

@jessicatomkoski8788 3 года назад

Hey there I'm a PT and wanted to thank you for some general treatment ideas. I identified this on a patient the other day and was trying to find validation of some of my treatment ideas. Did you end up using NMES with her or was taping/strengthening rhomboids and serratus and functional exercise effective on it's own?

@OrthoEvalPal 3 года назад

Hi Jess, Not sure if this will work but check out this link. instagram.com/p/CON3oZmHmn1/? Planning on doing a beginners, intermediate and advanced scapular series of exercises soon.

@RJ-lk5pj 4 года назад

How often do you see or experience nerve injuries that after treatment(injections & decompression) still have a positive injury still present to the nerve ?

@OrthoEvalPal 4 года назад

This is not a common injury. I saw an axillary nerve decompression and about 25% improvement only. Cubital tunnels and carpal tunnels do well.

@RJ-lk5pj 4 года назад

Ortho EVAL Pal With Paul Marquis I actually have had 4 different injection ( for nerve issues into thumb and pointer/bicep) from Pain management where on the last set from the side (not the back side) experience and involuntary bolt into my right arm. What I expected was a nerve that was accidentally hit by the doctors needle. Fortunately this was the last set of injections for a total of 10 total injections- (4) neck (1) rotar cuff- partial tear (3) PRP for rotar cuff & (2) for lumbar Who would of thought you went to a specialist to get helped and actually get hurt more in the process. I noticed that I have trouble swallowing which I later learned that the nerve receiving treatment; actually controls that part of my throat area.

@ChiChisAwsm Год назад

I'm going through the same symptoms atm after a neck dissection and thyroid/parathyroidectomy. Any suggestions for Denver orthos?

@OrthoEvalPal Год назад

Sorry to hear this. You should probably start with neurodiagnostics (EMG, NCV) and identify th source.

@onetouchgraphicdesign9058 4 года назад

Where can you buy a s3 compression shirt?

@kellylamping9146 4 года назад

Are your videos available for download? We'd like to utilize this video as part of a nursing education video we're working on at our hospital.

@OrthoEvalPal 4 года назад

Hi Kelly, can you connect with me at paul@orthoevalpal.com and I am sure I can help you out. Paul

@dharmareddy1008 5 лет назад

How to treat this problem sir

@ReelEC Год назад

I had a san injury for the last 6 months. Still not 100% but recovering. Trapezius atrophy and supraclavicular fossa are recovering. Winging has disapated. Shrugging and shoulder impingement recovered. Stabbing neck pain shut off 3 weeks ago. Off painkillers. Very painful injury. I suspect a few more months if not longer before all atrophy is recovered. Emg confirmed impairment of San and mri yielded negative for mass or lesion of the brachial plexus. Hit me up if anyone needs advice on their journey while coping with San palsy. Exercise is key! Goodluck!

@BlackMesaTrainee Год назад

Hi, did you have problems lifting weights above your shoulder, and was your neck pain more intense when you turned your head to the contralateral side? I cant even tell where my pain ls located, its somewhere in the neck/shoulder, and its stinging like hell. Shrinkage of the trapezius is present, but almost no lateral winging of the scapula. I pray i can recover

@ReelEC Год назад

@@BlackMesaTrainee , yes, I had bad shoulder impingement. Couldn't move my arm above the plain of my shoulders. Could only form a 90-degree angle with my body.

@ReelEC 10 месяцев назад

1 year in. I look symmetrical in the mirror, but I can feel that the muscles above my clavicle are still not as dense. Still dealing with residual pain in right trap that impairs quality of life. Sitting for long periods is uncomfortable. Still need to stretch my scms as they can get quite tight. Feels like my right arm is the dominant arm again. Can throw a baseball again. Lol. Still exercising!

@jesusmagallanes5835 4 месяца назад

What specific exercises do you perform

@ReelEC 4 месяца назад

@jesusmagallanes5835 shoulder shrugs, trap 3 raises, lateral raises, shoulder press, rear delt flys, cable rear delt fly, external rotation with a pully, face pulls. I started off with strictly mobility exercises to deal with my frozen shoulder and then switched to weight lifting.

@MrHantoi 6 лет назад

The tests you did was way out of the title u gave to this video spinal accessory? Let her shrug shoulder. The scapular winging is obvious but again not spinal accessory nerve. The right on the spot test was u were able to emphasize SCM muscle wich would tell about spinal accessory. Shoulder dislocation could tear a lot of nerves along the way and if you say she had repeat dislocation its a probability. But again its misleading to title rhis spinal acceaaory n.

@grigoriskointosis4945 3 года назад

Did cameron full recover without surgery?thank you...

@OrthoEvalPal 3 года назад

Yes she did.

@tetricko Год назад

@@OrthoEvalPal this is impossible can we actually see her now picture? This looks like smthg that needs surgery

@Brizzo200 10 месяцев назад

Maybe she has detatchment of trapezious or rhomboid

@davidsusanto413 4 года назад

Hello. How is the first symptom of this? Is it had been long time not treatment or new?

@OrthoEvalPal 4 года назад

progressively worse after shoulder dislocation

@davidsusanto413 4 года назад

@@OrthoEvalPal how is the symptom of shoulder dislocation? Because my left shoulder had been get smashed by hand very hard 10 years ago. Now my left shoulder is more weak than right. And my left shoulder more bigger than right and have nodul when i move my left shoulder. If i palpate my left shoulder, it be pain in there (upper trapezius). I dont know why is it. Do you have email doct? Please help me. Thank you

@davidsusanto413 4 года назад

@@OrthoEvalPal is it because of shoulder dislocation?

@csb.2513 5 лет назад

I have this, is there any cure, it's truly disabling

@OrthoEvalPal 5 лет назад

These can take over a year to get better.

@csb.2513 5 лет назад

It's been almost 2 years for me, emg shows mild old axon degeneration.

@csb.2513 5 лет назад

Can this getter better with just physio and braceing Had emg and it shows mild old spinal accessory nerve damage which is 1.5 years old

@meghanbratt4130 3 года назад

My SCM was removed in 2015 and my SAN permanently damaged ( dead ) I am chronically miserable. Not sure if anyone can help me.

@OrthoEvalPal 3 года назад

Hi Meghan, Have you seen a physiatrist? They often do a great job with the diagnosis and management of issues like this.

@RC-wf9si 3 года назад

how to correct scapula winging

@OrthoEvalPal 3 года назад

check these out. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-zTP4uwvxPzw.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-WoP0-kLXsRo.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-VcR3RmdkVUI.html

@nasirreki5270 3 года назад

Sir how to recover it plz give answer

@OrthoEvalPal 3 года назад

This recovered over time and with a full regime of strength training of the shoulder blade muscles and shoulder muscles.

@mmaomar3919 2 года назад

Hi doctor, I am Looking to do eden lenge procedure since I have asn damage due to lymph node biopsy 10 years ago.. I tried physical therapy but it didnot improve that much since I didnt start the treatment early. Do you recommend the eden lenge procedure? Which cases should do the procedure?

@OrthoEvalPal 2 года назад

The nerve will not re-heal on it's own at this point.

@mmaomar3919 2 года назад

@@OrthoEvalPal so from what you said.. I have to get the sergury right?

@michellebletcher1856 2 года назад

I am in the same boat as you. I am scared to get the surgery. Are you going to do it?

@mmaomar3919 2 года назад

@@michellebletcher1856 when i did the nerve test. It was normal but thr muscle is almost gone. It was baffling. So iam still not dignosed. However, the the 3t surgery is still an opition. Iam waiting for my genetic test then i will do it. I dont know about you but iam desperate since the injury fucked up my life.

@mmaomar3919 2 года назад

@@bartkrysiatys5101 not much

@DKVerma-pz3ys 4 года назад

SIR FROM THE LAST 6 MONTHS OR SO ,I HAVE NOTICED MY LEFT SHOULDER IS GETTING SMALL ,I PUT THE STRAPS OF MY COLLEGE BAG ON MY SHOULDER AND ,STRAP ON MY LEFT SHOULDER KEPT ON FALLING THEN I SAW ON MIRROR THAT MY LEFT SHOULDER IS GETTING SMALLER ,WHAT IS THE SOLUTION FOR THAT

@OrthoEvalPal 4 года назад

There are so many things that could cause that. Hard to tell without a full evaluation

@DKVerma-pz3ys 4 года назад

@@OrthoEvalPal I have always been left hander since my childhood, never used right hand much ,recent mri showed mild neural pressure on C5/6 C6/7

@garykemp6532 6 лет назад

I have this did she fully recover

@OrthoEvalPal 6 лет назад

Yes she did with a comprehensive strengthening program..

@garykemp6532 6 лет назад

Ortho EVAL Pal With Paul Marquis awesome

@iqraaaliya1230 6 лет назад

Ortho EVAL Pal With Paul Marquis kindly upload video comparising of therapeutic program for this condition

@stewaer1 5 лет назад

I call BS. It is highly unlikely that she "fully" recovered with a "comprehensive strengthening" program. Those were severe neurological defecits. Define "fully" recovered. No way she has normal use of her trapezius or entire shoulder girdle.

@ahmadkhawaja7853 4 года назад

What is that comprehensive strengthening program

@kanav_fitness 3 года назад

Sir how to cure this problem........ How much required to cure this completely........ Please reply...... 🙏🙏

@OrthoEvalPal 3 года назад

Well I wish it was a simple answer. We spent months treating her. it did take about 6 months to completely resolve.

@ralphpal 3 года назад

How do you fix that

@OrthoEvalPal 3 года назад

We did a lot of shoulder stability exercises, rotator cuff strengthening and it eventually returned.

@menikmatimoe 4 года назад

hows she doin now?

@OrthoEvalPal 4 года назад

Hi Onkel, Full recovery!

@Faesharlyn Год назад

Looks like her ac joint is dislocated...

@ambientsounds1416 3 года назад

Eewwwww wtf i didnt expect that.

@moonglow757 9 лет назад

yeah but thats a chronic pain everyday therapy nobody has money for so the eden lange procedure surgery is best while shes young it will work in her favor without her going bankrupt