Long Thoracic Nerve Palsy: Anatomy, Assessment & Recovery

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 clinically How cervical compression, thoracic outlet mechanics, and breathing patterns may contribute to scapular winging Why upward rotation mobility is just as important as strengthening in serratus anterior rehab Practical strategies for restoring upward rotation strength, scapular control, and thoracic mobility This 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 Paralysis My Online Course I Mentioned - The Nerve Workshop with Missy Bunch and Anna Hartman My Online Shoulder Course - Never Treat The Shoulder First Learn the LTAP® In-Person in one of my upcoming courses The Missing Link in Orthopedic Rehab: 2-part virtual training Learn how ONE change to your assessment can get your clients better results, faster. 📅 Sept 22nd + Sept 24th, 2026 ⏰ 12 pm – 1:30 pm PT ONLY $97 FOR A LIMITED TIME (REG. $197)- ENROLL NOW ================================================= 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