Winging Of Scapula

Definition:-

Scapular winging is a distortion of the proper positioning of the shoulder blade. Scapular winging not only causes pain, but also decreases function in the associated arm. If left untreated, this condition can interfere with normal daily activities such as pulling a shirt on and off and brushing the teeth.

Causes:-

1- injury 2- dysfunction of the muscles themselves 3- dysfunction of the nerves that supply the muscles

Symptoms:-

1- Pain in Some Cases 2- Noticeable Protrusion of the Scapula 3- Difficulty with Lifting, Pushing, and Pulling Motions 4- Muscle Weakness in the Affected Arm

how we can try to correct the winged scapula

When starting exercise to reduce winged scapula through a rehabilitation program, some of the following areas need addressing: - Work on serratus anterior activation to hold the medial border of the scapula down.

- Work on lower trapezius activation to hold the inferior angle of the scapula down.

- Work on scapula adduction/retraction which will improve posture.

- When starting any rehab program it's important to work on muscle activation before strengthening, as you cannot strengthen a muscle if it does not have the ability to activate consistently.

Ruba Saud AlQabani

I have some basic exercises you can start doing to work on muscle activation which are listed below:  Serratus anterior activation Push up plus This exercises as it is only body weight and allow's you to include a normal push up into it. Note I have slight winged scapula's so the press up looks exaggerated.

 Lower trapezius activation dumbbell hold be done on the floor or on a bed. If your arm is shaking slightly while you're doing it, it can be due to triceps brachii weakness which will Can improve over time if the exercise is done regularly.

Ruba Saud AlQabani  Scapula adduction/retraction Thoracic hyperextension over foam roller This exercise adduction and shoulder flexion range, which can improve your ability to reach overhead.

If you have a severe case of winged scapula or are unsure about starting an exercise program, always consult a medical professional such as a physio before commencing.

Surgery for Winged Scapula:-

If nerve conduction studies confirm significant damage to the long thoracic nerve the patient undergoes surgery called a long thoracic nerve decompression. The goal of the surgery is to help the affected nerve recover. This is a highly successful procedure with excellent results. The surgery is performed under general anesthesia and includes a small incision line which allows the surgeon to reach for and decompress the affected nerve.

After the surgery patients regularly undergo rehabilitation in a form of physical therapy. If there are problems related to pain in the operated area patients are usually prescribed painkillers .

THANK YOU

Definition Causes Symptoms

Physical treatment

Surgery

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