Wellness Osteo

Wellness Osteo

At Wellness Osteo, we are osteopaths who focus on achieving optimal health and wellness, which means treating you and sharing our expertise with you. Read on for the ins and outs of osteopathy.


Winged Scapula

Winged Scapula Shoulder Pain Sore Back Victoria Wellness osteo Richmond Carlton

Winged Scapula


Go stand in front of a mirror. Turn so your back is facing the mirror.

Now take one hand and place it behind your back and see how far up your back you can reach with your hand.

How much does your shoulder blade stick out? A little? A lot?


Everybody’s shoulder blade will stick out off your back to varying degrees, but if the bottom corner of your shoulder blade sticks out alot, and you get pain in your shoulder, this is called Scapular Dyskinesis or winged scapula.


This is when the scapular does not sit on the rib cage properly, and the malpositioning of this causes other structures of the shoulder to become painful and more susceptible to injury. 


Now don’t panic if your shoulder blade sticks out alot, it doesn’t mean that you are injured or will injure yourself, you are just more susceptible to shoulder injuries. 




What causes winged scapula?

The most common cause is weakness, misfiring or even overuse/fatigue of the serratus anterior muscle that is located on the lateral border of your shoulder blade (outside edges), and wraps around your ribs to the chest.


Winged scapula can also be caused by a nerve injury which controls the muscles around your shoulder blade. 


Scapular Dyskinesis is very common in overhead throwing athletes and hairdressers. 


Other causes include tight muscles at the front of your shoulder, including your pecs and your biceps




How to treat Winged scapula:

Our osteopaths have a lot of experience treating this condition, we can achieve some pain relief and an increase in shoulder range of motion through manual handling techniques such soft tissue massage, stretching and manipulations.


But most importantly winged scapulas are treated with a specifically tailor exercise rehabilitation program, directed at the serratus anterior, pecs, biceps and rotator cuff muscles.


If left untreated this can lead to rotator cuff tears, due to shoulder instability, and further complications of loose ligaments within the shoulder.