What is the first treatment tried for scapular dyskinesis?

Scapular dyskinesis describes altered movement or positioning of the shoulder blade during arm motion. It may be linked with pain, weakness, stiffness, posture, a shoulder injury or irritation of nearby nerves. A physiotherapist observes the shoulder blade while you lift, reach and push, then checks strength and range of movement. The findings guide an exercise plan rather than a single standard routine.

Early work may include gentle movement, chest and shoulder flexibility, and controlled strengthening of muscles that guide the shoulder blade. The aim is smoother movement and better tolerance of daily activities.

Book an assessment with a physiotherapist and describe which movements trigger pain, clicking, fatigue or visible winging. Practise the prescribed exercises slowly, keeping the shoulder relaxed and stopping if sharp pain or new weakness appears. Avoid repeatedly testing the shoulder with heavy overhead work while symptoms are being assessed. Learn more about [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) and [Exercise Therapy](/treatments/physiotherapy-and-rehabilitation/exercise-therapy/).

Seek prompt medical assessment for sudden shoulder-blade winging, marked loss of strength, numbness, severe injury-related pain, or inability to raise the arm. Arrange review if symptoms continue despite following the plan, or if night pain and loss of movement are worsening. These signs may point to a nerve, joint or structural problem requiring a broader examination.

Ask what is affecting the shoulder blade, which exercises are appropriate, how to modify work or sport, and when strength and movement should be reassessed.