Does physiotherapy treat scapular dyskinesis?

Scapular dyskinesis means the shoulder blade does not move or rest in its usual coordinated way during arm movement. You may notice aching around the shoulder blade, fatigue with overhead work, clicking, reduced reach, or visible winging. The altered motion can relate to weakness, stiffness, pain, nerve irritation, posture, or a problem within the shoulder itself. A physiotherapist compares both sides and observes reaching, pushing, pulling, and lifting before choosing exercises.

Book an assessment when shoulder symptoms persist, recur during sport, or interfere with dressing and work. A programme may include gentle mobility, rotator cuff and upper-back strengthening, serratus anterior control, and practice of smooth shoulder blade motion. Begin with the prescribed range and resistance, then progress gradually. Reduce repeated painful overhead activity for now, but keep comfortable movement so the shoulder does not become unnecessarily stiff.

Get prompt care for sudden inability to lift the arm, a deformed shoulder, major swelling after an injury, chest pain, or new numbness and weakness in the arm. A medical review is also needed for rapidly worsening winging, marked muscle wasting, or symptoms that began after a neck or shoulder injury.

Is the altered movement coming from the shoulder, neck, nerve, or muscle? Which exercises match my movement pattern? When can I return to overhead work or sport? Should the shoulder be examined further if weakness persists?