What to expect from physiotherapy for scapular dyskinesis

The therapist may watch your shoulder blades during arm elevation, pushing, pulling and weight-bearing. They may also check neck movement, shoulder range, strength, posture and the effect of previous injury or repetitive activity. Exercises can begin with awareness and controlled shoulder-blade positioning, then move toward strengthening the serratus anterior, trapezius and rotator cuff as suitable. The goal is useful control, not forcing the blade into one rigid position.

Practise slowly enough to notice whether the shoulder blade moves smoothly, and keep the prescribed range rather than chasing a larger movement. Follow guidance on reaching, lifting, desk work and sport. Your therapist may alter repetitions, resistance or arm position when technique breaks down. Mention clicking, neck symptoms, numbness, weakness or pain that changes with a particular task, because these details can refine the plan.

Arrange prompt assessment for sudden shoulder weakness, a new visible change after injury, inability to raise the arm, or rapidly increasing swelling. Seek urgent help for chest symptoms, breathing difficulty, or sudden neurological changes. Return to your clinician if the shoulder becomes less functional despite following the programme or if pain becomes severe and persistent.

Ask whether the altered movement relates to pain, muscle weakness, nerve function or another shoulder condition. Clarify which activities to modify, how technique will be checked, and when overhead or sport-specific training can progress.