Long Thoracic Nerve Palsy: Anatomy, Assessment & Recovery episode artwork

EPISODE · May 28, 2026 · 41 MIN

Long Thoracic Nerve Palsy: Anatomy, Assessment & Recovery

from Unreal Results for Physical Therapists and Athletic Trainers · host Anna Hartman

In this episode of the Unreal Results podcast, I share the case of a Navy SEAL candidate with severe scapular winging and progressive serratus anterior paralysis after months of failed treatment. I walk through the anatomy of the long thoracic nerve and serratus anterior in detail, including the entrapment sites, fascial relationships, and neural connections that can completely change how you assess and treat these cases. I also share how integrating neural manipulation, visceral treatment, mobility work, and targeted strengthening helped this athlete regain function far faster than expected.In This Episode, You’ll Learn:The most common entrapment locations for the long thoracic nerve and why they matter clinicallyHow cervical compression, thoracic outlet mechanics, and breathing patterns may contribute to scapular wingingWhy upward rotation mobility is just as important as strengthening in serratus anterior rehabPractical strategies for restoring upward rotation strength, scapular control, and thoracic mobilityThis case is a great example of why treating the body as a whole organism instead of isolating a single muscle or diagnosis can completely change clinical outcomes. Resources & Links Mentioned In This Episode:Ep. 99: Navigating The Complex Case Of Diaphragm ParalysisMy Online Course I Mentioned - The Nerve Workshop with Missy Bunch and Anna HartmanMy Online Shoulder Course - Never Treat The Shoulder FirstLearn the LTAP® In-Person in one of my upcoming courses=================================================Watch the podcast on YouTube and subscribe!Join the MovementREV email list to stay up to date on the Unreal Results Podcast and MovementREV education. Be social and follow me:Instagram | Facebook | Twitter | YouTube

Episode metadata supplied by the publisher feed · Published May 28, 2026

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In this episode of the Unreal Results podcast, I share the case of a Navy SEAL candidate with severe scapular winging and progressive serratus anterior paralysis after months of failed treatment. I walk through the anatomy of the long thoracic nerve and serratus anterior in detail, including the entrapment sites, fascial relationships, and neural connections that can completely change how you assess and treat these cases. I also share how integrating neural manipulation, visceral treatment, m...

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Long Thoracic Nerve Palsy: Anatomy, Assessment & Recovery

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