What are the treatment options for scapular dyskinesis?

Scapular dyskinesis means the shoulder blade does not move or rest in its usual coordinated pattern during arm movement. It may be linked with weakness, stiffness, pain, posture, altered nerve function or an underlying shoulder problem. Assessment looks at the neck, shoulder, ribs and arm, not only the visible edge of the shoulder blade.

Physiotherapy may address pain and stiffness before building control. A programme can include gentle range-of-motion work, strengthening of the shoulder-blade muscles, rotator cuff and trunk, and practice of reaching or lifting with better coordination. Exercise Therapy is progressed from controlled movements to tasks relevant to work, sport or home life. Avoid repeatedly forcing painful overhead motion, but do not keep the shoulder completely still unless advised.

Arrange an assessment when winging, weakness or pain persists, limits reaching, or follows an injury. Seek prompt care for sudden inability to lift the arm, a visibly deformed shoulder, marked swelling, fever, new numbness or weakness in the hand, or severe pain after trauma.

Ask what may be altering the movement, which exercises should come first, how to modify work or sport, and what change would show that rehabilitation is progressing.