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(8-14-17) Nationwide’s Childrens Hospital has several helpful item on sports related injuries. Scapular Dyskinesis is a condition that effects numerous volleyball athletes.

What is Scapular Dyskinesis?

Scapular rotation is important for proper shoulder function. The Scapula (shoulder blade) also serves as a stable base for rotator cuff activation and functioning. Any bony or soft tissue injury around the shoulder can alter the roles of the scapula in motion or at rest. Scapular dyskinesis (which may also be referred to as SICK scapula syndrome) is an alteration or deviation in the normal resting or active position of the scapula during shoulder movement. For most people, the scapula moves in abnormal ways due to the repetitive use of the shoulder. These changes, though sometimes asymptomatic, can increase the chances of injury.

Common Signs and Symptoms

  • Pain and or tenderness around the scapula when using the arm overhead or carrying heavy objects with the arm at the side.
  • Snapping or popping sensation around the scapula with shoulder movement
  • Loss of strength with shoulder and arm use.
  • Asymmetrical posture (effected side usually sits lower)
  • Winging of the scapula
  • Instability of the shoulder (feels like it moves out of place)

To a non-professional medical person it could remind you of an injury that a baseball pitcher faces from continual throwing and overuse in a game or a season. In volleyball serving is often how Scapular Dyskinesis can develop over a long time.

General Treatment Considerations

Initial treatment consists of medication and ice to relieve the pain, stretching and strengthening exercises, and modification of the activity that initially caused the problem.  It may be necessary to take some time off initially after the diagnosis to allow time for the shoulder to rest. Often times, referral to a physical therapist or athletic trainer may be recommended.

To see complete details on the problem visit Nationwide Children’s details on Scapular Dyskinesis.

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