I read this and wanted to clarify:
Pyramiding: A single condition can only be rated once! However, if a nerve condition or other condition exists that is additional to the shoulder or arm condition (not simply caused by it), then it can also be rated
My current rating for my shoulder:
20% A/C Separation
20% Long thoracic nerve partial paralysis.
After some years the straining, pain, and numbness has started affecting the muscles around it. (rhomboids and upper trapezius). By the statement above does this mean there is no room to claim the residual muscle strains (Or Accessory nerve and dorsal scapular nerve conditions)? I know a typical 'winged scapula' could affect multiple muscles so wasn't really sure if would just classify this under the rating I already have.
Thanks for your help!