Scapular Dyskinesis

What is scapular dyskinesis?

Scapular dyskinesis is an alteration or deviation in the normal resting position or movement of the scapula during shoulder movement which can overload tissues that are working too hard, or cause tendons or bursa to be impinged or pinched with each raise of the arm.

Common Symptoms

Common symptoms of scapular dyskinesis are:

  • Pain on the front of the shoulder
  • Pain on the upper-back side of scapula
  • Pain on top of shoulders
  • Pain in inner arm
  • Any combination of the above

Causes

Scapular dyskinesis is an overuse syndrome prominently experienced by overhead athletes and desk workers. It is most commonly experienced by those doing repetitive overhead tasks.  Overworked muscles often become tight and develop knots or “trigger points.”  If this tightness becomes chronic, it can produce inflammation and swelling that leads to the formation of adhesions or scar tissue between tissues.

Treatment

Joint manipulations are helpful in restoring joint motion which can help scapular dyskinesis.  This means that your chiropractor will apply pressure with their hands or with tools in order to restore motion to any restricted joints.  Soft tissue dysfunction/restrictions will also be addressed with a variety of treatment options like A.R.T., graston therapy, or Acupuncture. You will be provided with exercises to restore proper mobility and strength to the muscles surrounding the area.

References

Panagiotopoulos, A., & Crowther, I. (2019). Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701878/

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