Winging Scapula

What Is a Winging Scapula?

A winging scapula occurs when one of the muscles that attach to and stabilise the shoulder blade (scapula) becomes weak or damaged. The scapula relies on multiple muscles working together to maintain proper movement and support of the shoulder. If one muscle is impaired, it disrupts the normal rhythm of scapular motion, a condition known as ‘scapular dysrhythmia.’ As a result, the scapula protrudes outward from the back instead of lying flat, creating the characteristic “winged” appearance.

Above: Physiotherapist supervising scapula setting exercises

How Does a Winging Scapula Happen?

A winging scapula can develop for several reasons, including:

  • Loss of function in a specific scapular muscle
  • Weakness of the muscles that stabilise the scapula
  • Shoulder instability
  • Shoulder pain or injury
  • Damage to the brachial plexus, the network of nerves supplying the shoulder and arm

Symptoms of a Winging Scapula

Symptoms may vary. Some people experience pain or weakness during shoulder movements, while others may have no noticeable symptoms. Even when asymptomatic, a winging scapula can indicate underlying shoulder issues or potentially lead to future problems.

What to Do If You Have a Winging Scapula

If you suspect or notice a winging scapula, it is advisable to consult a physiotherapist. Even in the absence of symptoms, an assessment is valuable to identify any underlying shoulder problems and to implement preventive strategies to maintain shoulder function and stability.

Above: Therapist massage and realignment around a winging scapula

What Not to Do If You Have a Winging Scapula

If you suspect or have a winging scapula, avoid using the affected shoulder for heavy activities until you have been assessed by a physiotherapist. Using the shoulder without guidance may worsen the condition or delay recovery.

Physiotherapy Treatment for a Winging Scapula

A physiotherapist will first assess your shoulder to identify the underlying cause of the winging scapula. Treatment is tailored to the specific cause but may include:

  • Shoulder muscle imbalance correction exercises
  • Shoulder muscle strengthening exercises
  • Scapula setting exercises
  • Shoulder range of movement exercises
  • Long term management if the problem cannot be completely resolved

Long-Term Effects of a Winging Scapula

Most cases of winging scapula can be effectively rehabilitated with physiotherapy. However, certain causes, such as nerve-related issues, may have longer-term effects. In these instances, symptoms can usually be managed, and physiotherapists provide long-term strategies to control and minimise the impact of the condition.

Above: Scaupla setting exercises apllied by therapist

To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.

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