Scapular dyskinesis

Altered movement or control of the shoulder blade affecting shoulder function.

Overview

Scapular dyskinesis describes altered position or movement of the shoulder blade. It is often a contributor to shoulder pain rather than a stand-alone diagnosis, and improves with strengthening and movement retraining.

Symptoms

  • Aching around the shoulder blade
  • Fatigue with overhead activity
  • Visible winging or abnormal shoulder-blade movement
  • Associated shoulder pain

Causes

  • Muscle imbalance and weakness
  • Poor movement habits
  • Pain-related changes in muscle control

Treatment

  • Scapular strengthening and control exercise
  • Posture and movement retraining
  • Addressing the primary shoulder problem
  • Graded return to overhead activity