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Scapular Dyskinesis

Restore Shoulder Stability, Mobility, and Function

What is Scapular Dyskinesis?

Scapular dyskinesis refers to abnormal movement or dysfunction of the shoulder blade (scapula) during arm motion. The scapula plays a critical role in shoulder stability and proper arm movement. When the muscles surrounding the scapula are weak, imbalanced, or injured, it can lead to abnormal positioning or movement of the shoulder blade, which can contribute to shoulder pain, instability, and impaired function.

This condition often arises due to muscle imbalances, poor posture, or previous injuries. It can also occur as a result of overuse or repetitive movements, particularly in athletes who participate in sports involving overhead motions, such as swimming, baseball, or tennis.

Who Needs Treatment for Scapular Dyskinesis?

  • Overhead Athletes
  • Post-Injury Individuals
  • Poor Posture
  • Chronic Shoulder Pain

Diagnosis of Scapular Dyskinesis

Physical Examination
  • Your doctor will assess the range of motion, muscle strength, and the movement of your scapula during arm motion.
  • Scapular Dyskinesis Test: This test evaluates the abnormal movement of the scapula by observing the shoulder during specific motions.
Imaging Tests
  • X-rays: To rule out any bone-related issues like fractures, arthritis, or malalignment.
  • MRI or Ultrasound: To assess the soft tissues (muscles, tendons, and ligaments) around the shoulder joint and the scapula.
  • CT Scans: In some cases, to get a detailed view of the bone and soft tissue structure.

Treatment Options for Scapular Dyskinesis

Non-Surgical Treatments
  • Strengthening Exercises: Focusing on strengthening the muscles around the scapula, including the serratus anterior, trapezius, and rhomboids.
  • Postural Correction: Correcting poor posture habits that contribute to scapular dysfunction.
  • Proprioception Training: Helping the brain better control and coordinate the movement of the scapula through sensory feedback exercises.
Surgical Treatments
  • This involves fusing the scapula to the ribcage to eliminate abnormal movement of the scapula. This is typically only used in severe cases where other treatments have failed.
  • If scapular dyskinesis is caused by or associated with a rotator cuff tear or other structural damage, a rotator cuff repair may be necessary.
  • If the scapular dyskinesis is due to instability or other structural problems in the shoulder joint, surgical stabilization may be required.
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