Scapular Winging - Overview
A condition where the shoulder blade protrudes outwards due to weakness or dysfunction of stabilizing muscles. Early physiotherapy guidance improves pain control, movement confidence, and safe return to daily activity.
Symptoms
- Visible scapular protrusion
- Shoulder instability
- Pain with arm elevation
- Reduced shoulder strength
Causes & Risk Factors
- Serratus anterior weakness
- Long thoracic nerve injury
- Poor shoulder mechanics
- Repetitive strain
Diagnosis
- Scapular motion observation
- Wall push-up test
- Manual muscle testing
Effective Treatment Options
- Strengthening serratus anterior
- Neuromuscular re-education
- Scapular stabilization exercises
- Addressing shoulder kinematics
Frequently Asked Questions
Is scapular winging permanent?
Mild cases often improve with physiotherapy; severe nerve damage may require surgery.
Which exercises help scapular winging?
Wall slides, push-up plus, and serratus activation drills are commonly used.
