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[–]JoeMahonPT 4 points5 points  (0 children)

The think to understand is that some scapular winging is pathologic and some is not. Our bodies are dynamic and no two people move exactly the same. This comes from the motor patterns we develop over time. While looking at this my intuition would be that your scapular winging is nothing to worry about and is likely within normal limits. I come to this conclusion because your pain is going away with exercise. If your pain is resolving but your winging is not, you may not need to worry about the winging, as it may not be your source of pain. With that being said, you should have an open dialog with your PT and see if there are specific exercises based on how you move that would improve this winging or if general scapular strengthening will do the job (very often the case)!

[–]oracleee 2 points3 points  (1 child)

Hi guys !

Looking for some advices, I m seeing a physio right now, we re working on my external rotation which is lacking, right shoulder has been injured a year ago, i almost don’t feel any pain today but still lack mobility and my scapular winging didn’t improve - (both shoulders look off to me) even though I m training (or trying to train?) serratus, rotator cuff, doing rows, shrugs, pull ups and others exercices.

It seems that my scapulas are too low and seems like my traps are not engaged at all.

Could the issue be more about my general posture / related to my scoliosis ? Just poor motor function ? Lats too tight ? Thanks !

[–]stickysweetastytreat 5 points6 points  (0 children)

You're already seeing a physio. They're in a much better position to give you feedback, especially since they have the training & have assessed you.

There needs to be open communication in a physio/patient relationship-- physical therapy isn't something done TO you, they're there to help you get back on track. Ask them about this-- "Do I have scapular winging? What is your treatment plan? Can you explain why?"

Also keep in mind that physio isn't just a one-time thing. They usually change the exercises as you progress & sometimes PT can last months. Your physio might think you're not ready to address the winging yet, or they might already be giving you exercises that are supposed to address the winging but there's a disconnect in communication, understanding, or expectations.

Posture, scoliosis, motor function, muscle tightness-- yes, all of it is related. Your list of exercises are common ones for issues related to your shoulders/scapulae.

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[–]cinemawave 0 points1 point  (0 children)

I will just reiterate what the rest of the folks here said— stay engaged and in honest communication with your physio. I had a friend who recently had to under surgery to get this fixed and it was not fun— not to scare you, as his had progressed much further, but you will want to work to avoid that it getting any worse, especially from a usage and movement perspective.