How do you treat scapular Dyskinesis?

Asked By: Oneida Schimmoller | Last Updated: 20th June, 2020
Category: medical health bone and joint conditions
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The mainstay of treatment for the scapular dyskinesis is physical therapy to relieve the symptoms associated with inflexibility or trigger points and to re-establish muscle strength and activation patterns.

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Thereof, does scapular Dyskinesis require surgery?

Labral injury, internal impingement, rotator cuff injury, clavicle fractures and AC separations can cause muscle inhibition, which eventually results scapular dyskinesis. In these cases, the surgical intervention such as arthroscopic plication should be considered primarily.

Also Know, what causes scapular Dyskinesis? Causes of scapular dyskinesis include: Weakness, imbalance, tightness, or detachment of the muscles that control the scapula. Injuries to the nerves that supply the muscles. Injuries to the bones that support the scapula or injuries within the shoulder joint.

Also to know is, what is scapular Dyskinesis?

Scapular dyskinesis (which may also be referred to as SICK scapula syndrome) is an alteration or deviation in the normal resting or active position of the scapula during shoulder movement. For most people, the scapula moves in abnormal ways due to the repetitive use of the shoulder.

How common is scapular Dyskinesis?

Scapular dyskinesis, or alterations in dynamic scapular control, is present in as many as 67% to 100% of athletes with shoulder injuries. However, it is also present in many asymptomatic individuals.

31 Related Question Answers Found

How do you treat a sick scapula?

Treatment Options
Treatment of SICK Scapula is conservative physical therapy and focused on kinetic chain- based rehabilitation to regain normal muscular activation patterns. Physical therapy will begin immediately after evaluation with an initial focus on improving pain-free range of motion.

What causes winged scapula?

Scapula winging is caused by severe injury to the muscles that control the scapula or to the nerves that supply these muscles. One common cause is injury to the serratus anterior muscle. Without this muscle, the arm cannot be raised above shoulder level.

Why is my scapula uneven?

Uneven shoulders can also happen when you have structural issues or muscular skeletal imbalances in the body. Asymmetrical sports such as tennis, golf, and baseball are especially likely to cause uneven shoulders and postural imbalances. Other common causes of uneven shoulders include: poor posture.

What muscle pulls the scapula down?

To achieve the correct scapular position, you need to use your mid and lower trapezius muscles to retract the shoulder and pull the scapula down medially.

What causes scapular elevation?


The elevation is accomplished by the trapezius, levator scapulae, and rhomboid muscles. Depression is accomplished through the force of gravity and the actions of the latissimus dorsi, serratus anterior, pectoralis major and minor, and the trapezius muscles.

How do you relieve scapular pain?

Relieving the Pain Under Your Shoulder Blade
  1. Rest your upper back from activity. If your pain worsens when you do certain movements or physical activities, such as household chores or exercise, rest for a day or two.
  2. Apply ice and/or heat.
  3. Take over-the-counter (OTC) medication.
  4. Massage it out.
  5. Visit a health care provider.

Is swimming good for winged scapula?

How Swimmers Can Strengthen the Serratus Anterior Muscle. Its main job is to hold the scapula in place against the rib cage to stop the scapula from winging out when doing other movements such as push ups, or swimming for example (it is also involved in protraction and upward rotation).

What does the scapula do?

The scapula is commonly referred to as the shoulder blade. It connects the humerus bone of the arm to the collarbone. There are only three muscles that are responsible for enabling the movement of the shoulder blade. The trapezius muscle implants into the collarbone.

What causes pain under shoulder blade?

A frequent and common reason for shoulder blade pain is a muscle strain, also known as a pulled muscle. This may result from overuse or stress on the arms or upper back. A muscle may also become strained if you've slept in a new bed, a new position, or even recently started a new exercise program.

What does a torn shoulder ligament feel like?


Symptoms include pain, a decrease in range of motion, and instability, which can feel like your shoulder may shift out of place. You may not notice a very small tear, whereas a complete tear can cause persistent, aching pain accompanied by weakness or even paralysis in the affected arm.

What does a winged scapula feel like?

Scapular winging often affects your ability to raise your arm above your shoulder. It may also be associated with other symptoms, including: pain or discomfort in your neck, shoulders, and back. fatigue.

What does a scapular tear feel like?

The most common symptom of a subscapularis tear is shoulder pain, especially in the front of the shoulder. You might also hear or feel “clicking” in your shoulder when you rotate your arm. Some symptoms of a subscapularis tear are very similar to symptoms of other rotator cuff tears. pain that gets worse at night.

What are the symptoms of a dislocated shoulder blade?

What are the symptoms of a dislocated shoulder?
  • Severe shoulder pain.
  • Swelling and bruising of your shoulder or upper arm.
  • Numbness and/or weakness in your arm, neck, hand, or fingers.
  • Trouble moving your arm.
  • Your arm seems to be out of place.
  • Muscle spasms in your shoulder.

What causes a dropped shoulder?


The most common causes of radiculopathy are cervical disc herniation followed by cervical spondylosis. Compression of the cervical roots by muscle spasm has been proposed as the cause of dropped shoulder syndrome; this possibility is discussed herein.

Why do I have a pain in my shoulder blade?

Musculoskeletal Causes
The most common cause of shoulder blade pain is a muscle strain. 2? Short-term overuse of your arms and upper torso may be experienced in your scapula. Other muscular conditions which may cause shoulder blade pain include rotator cuff tears and a condition known as snapping scapula syndrome.

What is scapula syndrome?

Snapping Scapula Syndrome, also known as scapulocostal syndrome or scapulothoracic syndrome, is described by a “grating, grinding, popping or snapping sensation of the scapula onto the back side of the ribs or thoracic area of the spine” (Hauser). Disruption of the normal scapulothoracic mechanics causes this problem.