Winging Scapula Treatment in Sinnamon Park

What is a winging scapula?

The shoulder blades – known as thescapula– should typically rest flat against the back of the chest wall/ribcage. These bones are responsible for overall stability and general movement of the shoulders, arms and upper body. A winging is a condition characterised by the scapula sticking out or protruding from the back. This can be caused by nerve entrapment or muscular dystrophies and/or muscular dysfunction of either theserratus anteriorortrapeziusmuscles. It can also occur if movement is not synchronised or correct, calledscapula dysrhythmia.

What are the causes?

Diagnosis of a winging scapula is rare, with ‘true’ winging of the scapula marked by an obvious physical deformity even rarer. This condition can be asymptomatic, however, certain factors and/or differential diagnoses which influence this condition include:

• Nerve damage– nerve damage to the long thoracic nerve palsy, trapezius palsy or rhomboid palsy
• Traumatic/sports-related injuries– car accidents, falls
• Occupational injuries– carrying heavy loads, overuse/overloading of muscles/structures
• Post-infection– diagnosis after contracting influenza, tonsilitis, poliomyelitis, etc.; allergy reactions; post-exposure to toxins
• Post-surgery– after a masectomy, surgical complications
• Congenital– muscular dystrophy/other contributing factors present at birth/childhood
• Differential diagnoses– presence/history of other shoulder conditions including fractures, shoulder instability, brachial plexus injury, cervical radiculopathy, etc.

Treatment for a winging scapula

If you suspect you have a winging scapula, it is important to see a medical professional. You will likely be referred for ultrasound or nerve conduction tests to determine the extent of the condition.

Physical therapy can be beneficial in managing symptoms. At Vitalis Physiotherapy, we tailor a unique treatment plan to aid in your recovery through:

If the pain and reduced movement is severe, driving and strenuous activity should be avoided. Your physiotherapist may also advise heat or ice application, rest and if necessary, pain medication. Additionally, they might recommend for you to use neck support or a suitable pillow.

• Stretching, strengthening and/or conditioning exercises
• Restoring range of movement
• Postural improvement
• Soft tissue mobilisations (massage)
• Shockwave Therapy
• Dry needling
• Taping
• A unique home exercise program
• Graded Exposure to load program