What is scapular dyskinesis?
Scapular dyskinesis is a condition where the normal movement and position of the shoulder blade (scapula) is altered. This can lead to pain, weakness, and limited range of motion in the affected shoulder.
What are the symptoms of scapular dyskinesis?
The symptoms of scapular dyskinesis can vary, but they often include:
Pain or tenderness in the shoulder or upper back
Weakness or loss of strength in the affected arm
Limited range of motion in the shoulder joint
Clicking or popping sounds when moving the shoulder
Abnormal shoulder blade movement, such as winging or tilting
What causes scapular dyskinesis?
Scapular dyskinesis can be caused by a variety of factors, including:
Poor posture or body mechanics
Injury to the long thoracic nerve
Poor motor control of the serratus anterior
Shoulder instability or weakness
Shoulder joint degeneration or arthritis
Structural abnormalities in the shoulder joint
Overuse or repetitive stress on the shoulder joint
How is scapular dyskinesis diagnosed?
If you think you may have scapular dyskinesis, your healthcare provider will likely perform a comprehensive history and physical exam. They may also order imaging tests, such as X-rays or an MRI, to help confirm the diagnosis.
How is scapular dyskinesis treated?
Treatment for scapular dyskinesis will depend on the severity and underlying cause of your symptoms. In many cases, self-care measures can help alleviate pain and discomfort, such as:
Chiropractic adjustments to the spine and shoulder girdle to improve function and ROM
Manual therapy techniques to decrease muscle hypertonicity
Dry needling to decrease muscle hypertonicity and to promote healing
Proper loading techniques to increase strength, stamina, motor control and proprioception of the affected muscles
Systematic review citation:
Kibler WB, Ludewig PM, McClure PW, Michener LA, Bak K, Sciascia AD. Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the 'Scapular Summit'. Br J Sports Med. 2013 Aug 1;47(14):877-85. doi: 10.1136/bjsports-2013-092425. Epub 2013 Jun 28. PMID: 23813512.
Lewis JS, Green AS, Dekel S. The aetiology of subacromial impingement syndrome. Physiotherapy. 2015 Jun 1;101(2):243-8. doi: 10.1016/j.physio.2014.10.003. Epub 2014 Oct 27. PMID: 25443756.
Information on this website is for general informational purposes and should not be considered medical advice. It is not intended for the purpose of diagnosis, and no doctor-patient relationship is formed. Always consult with your physician or other qualified health professionals regarding your medical condition.
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