Axillary nerve injury evaluation by Paul Marquis PT

Can i rebuild muscle after after nerve damage has been fixed

What type of doctor would be able to test for this or similar injuries? I was injured in 2021 and was told by an orthopedic doctor after the quickest exam that "nothing was wrong" and a PT told me I just strained my muscles. After weeks and weeks of physical therapy, it got worse but the therapist didn't want to investigate further. In your videos I see you perform tests that were never performed on me. I feel I received substandard care and I'm so incredibly weak now that I can't perform everyday tasks like reaching behind my head or pushing/pulling a door. I don't know what type of medical professional to seek out who is thorough and knowledgeable.

Hello Doctor. Last month, I fell off the motorbike and got a Humours fracture. Now nearly 6 weeks after the accident, I still cannot raise my injured arm without the help of my healthy arm and the region is super painful, even though the follow up X ray imaging shows significant improvement in healing the fractured bone. Could it be a sign of a serious nerve injury or damage? Thanks very much.

Mnd maybe ? I hope not but looks like it with the deltoid atrophy

Looked painful for him.

Came here to see how a nerve damage affects arms for drawing reference, I hope Romeo doing better now!

This was so sad, I hope this man found some relief in treatment.

Same issue with my shoulder doc..how can I do?? My deltoid is also losing..

Do you know if there is a surgery to repair the axillary nerve and get the deltoid muscle back?

Hey doc, I dislocated my shoulder 2 weeks ago. Now I have full functioning of my arm and can do any movement. But the skin is still a bit numb. Could this lead to something serious ?

My GOD.GET WELL.

Hi, just want too share my story as I am confused currently and hitting a very stale state of recovery at the age of 25, went to work one morning and did some windmills with my arms, without really knowing there was a fracture in my right shoulder, once the shoulder tore it also aggravated the fracture. I went to hospital in Melbourne, Australia.. when I went to the emergency room I was put too sleep as they popped my shoulder back in, when I woke up I was out in a MRI machine and told that it popped back out sometime while I was under anaesthetic. I then waited in the hospital with my shoulder dislocated and obviously in a great deal of pain. I then felt my nerves give out from the top of my shoulder all the way down to my fingers. Step toward 3 days I went into surgery and woke up with no use of my hands and arm completely stiff.
It has now been 12 weeks and under physiotherapy I have hit a stale point where I have limited movement in my shoulder (can’t get it above my head), my arm is numb from my deltoid to my tricep all way down into the ulcer nerve in my hand, very very weak even after 12 weeks.. I’m wondering if anyone here has had major nerve damage through shoulder surgery and any advice as I’m getting worried by the lack of answers I’m receiving from the hospitals and physios

Quintessential physical therapist. Best of the best.

hope he’s completely recovered.

I've had my axillary nerve damaged years ago, and I've been working out, (as much as I can do) without pain, can movement make it worse?

Hello Dr. I have a story to share about my experience with this. When I was 16-years-old I was on crutches and did not know how to use the properly. I ended up getting what was probably this same nerve damage from goofing around on my crutches and letting them dig and spin pretty hard into my axillary region. About a week or two after I got off the crutches, I developed EXTREME pain in my right deltoid. It was so severe that I had to sleep in the bathtub many nights: something about it being submerged in water made the pain go away. But as soon as I got out of the water the pain returned. it was an 11/10 on the pain scale, worst pain I have ever felt by far. The doctor took some x-rays and put me in a sling for a few weeks and had me apply icy hot for the pain (no real diagnosis provided). When I took the sling off, I had lost all mobility associated with my deltoid. And my deltoid muscle was disappearing just like this patient. As time progressed, I had lost 100% of the deltoid muscle and my ROM was far, far worse than this patient's (if you can even imagine). I could raise my arm in any direction even 1 degree. When my friend would hold my arm out for me, he would let go and my arm would flop to my side like a dead weight. It was so sad and scary, because this went on for months. I will add that I have no idea what my parents were thinking at the time or why I was never taken to see a specialist. All that I knew was when I returned to the doctor he then diagnosed me with "frozen shoulder." After about 6 months of living with this completely dead arm, I decided to do some "wrist curls" with some weights (that is the only exercise I had enough strength to do with the injured arm wit any type of weights, I could bicep flex with no weight only.) After about a week of wrist curls, I realized I could ever-so-slightly being to do a bicep curl with light weight (very minimal ROM bicep flexion with weights). As I kept doing those small bicep flexion movements, I was eventually able to do a full bicep flexion "curl" with weights. As I kept doing the bicep curls, I began to ever-so-slightly be able to abduct and flex my deltoid out in front of me, again very, very minimal ROM. As I kept doing bicep curls, I continued to gradually, slowly regain ROM in my deltoid abduction and flexion. The longer I did the curls over time, the more I regained ROM in my deltoid, and eventually my arm was no longer "dead." I know this is such a long post, but I hope you find it interesting Dr. I certainly do. To this day, I am still weaker in deltoid abduction and deltoid flexion exercises in the injured arm (even though it is my dominant arm). The ROM came back, but there is some chronic damage in there somewhere. If you bothered reading all of this, I would really love to hear some of your thoughts about what happened to me. Do you think that I got lucky and may have otherwise lost ROM forever? Physiologically did I just damage some nerves? And how/why did the ROM come back?

Thanks doctor I had the ECG test and left shoulder was 0.9 (injured shoudler torn labrum and shoulder impingement throughout my 20s.). Doctor didn't say I needed surgery. He said to start therapy. The PT doctor of Rehabilitation and Physical Medicine said i shouldn't do overhead. He even said don't play basketball. This sucks. I'm upset and wish this could go away. Any tips.

Good video I have similar issues presented. I had full strength pre shoulder replacement last December. Haven't been able to lift arm past shoulder since. Orthopedic doc said deltoid was atrophied in July. EMG/NCV scheduled for Monday finally.

Hello Doctor! Great explanation, I got a question, does it get worse by time and what are the probable causes?

I have the same loss of function but without pain . No idea as of now what it could be . Had exray, Mri, and now waiting for EMG

Jees not fun.

What causes his injury

My father has same problem but his pain got relief but after two months he is feeling a sudden warm sensation in body thourgh back to brain please provide support

I have this. Parson Turner syndrome from a vaccine. 9 months later I have the same exact symptoms. Same atrophy and scapula winging. I have pain when I lift my arm laterally I have no deltoid after 6 months of PT I feel worse.

I have syringomyelia from which I eventually ended up in a chair approximately 9 years ago. Since then I've developed pretty much exactly what this guy has with almost the same amount of atrophy though my range of motion is better though it is getting worse. Moving my left arm across my body to the right I've noticed is getting harder. I don't seem to get the amount of pain he gets though when I lift my arm above my head I notice it and after pushing my chair or lifting something or even randomly I will get an extremely intense shooting/stabbing like pain that will radiate down my left arm into my fingers. I kind of have to hold my arm out a little bit. tilt my head to the right and grit my teeth until it stops. Is the atrophy fixable if the nerve can be repaired? Thanks in advance.

oh my god, i have the same issue and struggle everyday.
can this be fixed? I've consulted several doctors.

Ha 69... nice

Thank you Paul for putting this video up. Good job. My 65 y.o. brother has the same injury as Romeo in the video, axillary nerve, from a skiing accident 8 months ago. He had surgery 6 months ago to repair the shoulder but still has nerve injury. Just wondering what the man in the video did to treat his nerve injury? PT? Surgery? And, was it successful? Thanks so much.

Poor guy. Had labrum tear arth surgery 4 years ago, and pain just got exponentially worse. The shoulder and arm function and I’ve strengthened both as much as possible. Phys therapy and rehab the entire time, but zero pain relief. Neck, arm, shoulder are all filled with nerve pain and the cartilage in the shoulder has completely degenerated. Feels like little needles poking but it hurts like all hell

axuel nurve cumpresse and muscle vestage pls reply sir

These videos are the best.

Thank you doctor for this informative video
But if you show by camera the comparison between two shoulder will be better thank you again it's very useful

Great work Paul, love your videos.

Amazing work Paul.