I Don't Know About The Winged Scapula And Shoulder, But Yes, If Part Of The Scalene Muscles Were Not Removed, There Is Still Compression. Thus, More Headaches, Etc. Correct Me If I Am Wrong, But The Scalene Muscles Attach To The First Rib.....dr. Saxton Is Now Asking Dr. Ahn To Perform His Surgeries Above The Collar Bone And Under The Arm Pit As A Means For Releasing The First Rib And All Of Or Most Of The Scalene Muscle. Dr. Saxton Is A Neuro Who Works With Dr. Ahn, Vascular Surgeon At Ucla. I Am Still Having Some Problems Since My Surgery, And She Stated That My Scalene Muscles May Have Formed Fiberous Tissues Around The Nerves And Arteries.....however, Post Surgery, My Headaches Have Decreased By 85%. Good Luck To You!!!