Your shoulder is composed of three bones: the scapula (shoulder blade), the clavicle (collar bone), and the humerus (upper arm bone). These bones come together to form a shallow ball-and-socket joint that relies heavily on the surrounding muscles for support. For your shoulder joint to remain healthy and stable, all the muscles must work in a coordinated manner. When the normal rhythm of your shoulder blade is disrupted, it creates abnormal strain on your shoulder and rotator cuff, a condition known as “scapular dyskinesis.” This dysfunction can crowd the area where your rotator cuff tendons reside, potentially causing painful pinching of the tendons or bursa each time you raise your arm. Many shoulder issues, including sprains, strains, tendinitis, bursitis, or rotator cuff irritation, can result from this often overlooked condition.

Scapular dyskinesis most commonly arises from weakness or imbalance in the muscles that control your shoulder blade. Other times, it can be caused by shoulder conditions such as prior fractures, arthritis, or instability. In about 5% of cases, irritation of the nerves that control the shoulder muscles is the underlying cause.

Despite its potential to cause various shoulder problems, scapular dyskinesis may initially go unnoticed. Studies show that up to 75% of healthy college athletes exhibit some form of abnormal shoulder blade movement. If left untreated, you may begin to experience pain near the top of your shoulder, which can sometimes radiate toward your neck or down your arm. Patients often report a tender spot on the front of their shoulder. Over time, these altered mechanics can lead to more serious issues, including rotator cuff injuries, shoulder instability, and arthritis.

Effective management of scapular dyskinesis involves a multifaceted approach, including consistent exercise, posture awareness, and chiropractic care. Exercises designed to strengthen and balance the shoulder muscles are crucial and must be performed regularly. Additionally, maintaining good posture and avoiding slouched positions can prevent aggravation of the condition.

Chiropractic care plays an important role in the treatment of scapular dyskinesis. Chiropractors are skilled in assessing and addressing musculoskeletal imbalances, including those affecting the shoulder. Through targeted adjustments and therapies, chiropractic care can help restore proper alignment and function to the shoulder blade and surrounding muscles. This approach not only alleviates pain but also prevents the development of further complications by ensuring that the shoulder joint moves correctly.

Chiropractors can also provide valuable guidance on exercises and stretches tailored to your specific needs, enhancing the effectiveness of your rehabilitation efforts. By addressing the root causes of scapular dyskinesis, chiropractic care can help you achieve better shoulder stability and overall joint health.

In summary, scapular dyskinesis is a common but often overlooked cause of shoulder problems. It results from muscle imbalances or weakness, previous injuries, or nerve irritation. Left untreated, it can lead to significant pain and further complications. Consistent exercise, good posture, and chiropractic care are essential components of an effective treatment plan. By incorporating these elements, you can manage scapular dyskinesis effectively, improve shoulder function, and prevent future issues.