Does pain below left scapula is SW?

Left-sided scapular pain along with scapular winging usually indicates that the muscles responsible for stabilizing your shoulder blade—especially the serratus anterior, lower trapezius, and sometimes rhomboids—are either weak, overworked, or not coordinating well. In many cases, the underlying issue is related to postural overload, desk work, or muscle imbalance, but sometimes the long thoracic nerve can also contribute to winging.

1. Get a proper physiotherapy assessment This will help confirm whether the winging is due to muscular weakness, nerve irritation, or poor movement mechanics. 2. Check serratus anterior and lower trap strength These are the primary stabilizers that usually need targeted strengthening. 3. Rule out cervical and thoracic spine issues Sometimes pain near the scapula comes from the spine or nerve roots. 4. Begin corrective exercises Wall slides with serratus activation Scapular protraction exercises Lower-trap strengthening Postural correction and thoracic mobility drills 5. Modify activity Avoid heavy overhead lifting or pushing until stability improves.

Avoid slouched posture during long sitting hours. Warm up shoulder blade muscles before gym sessions. Use heat therapy and gentle stretching if pain flares up. Consistency is key, scapular winging improves gradually with the right exercises. If pain worsens or there is increasing weakness, consider nerve conduction study to rule out long thoracic nerve involvement.

Thank you for sharing your concerns. You mentioned experiencing left scapular pain along with some visible scapular winging. It’s important to understand that posture on its own is not usually a direct cause of pain. Pain is typically influenced by multiple factors such as muscle strength and endurance, flexibility, movement control, repetitive activities, sustained positions, and even stress levels. Posture itself is dynamic and naturally changes throughout the day, so there’s no need to worry excessively about having a “perfect” posture. In many individuals around your age, scapular discomfort can develop when certain muscles are overloaded—often due to repetitive sports activities, prolonged desk or mobile use, or general overuse patterns. When some muscles overwork and others are underactive, imbalances can develop that contribute to pain and reduced control. I would recommend visiting a qualified physiotherapy clinic so a therapist can assess your scapular muscle strength, endurance, and coordination, as well as your thoracic mobility. Based on the assessment, they can guide you through a structured rehabilitation process. This typically includes: 1. Deep muscle activation and stabilization exercises To improve control around the scapulothoracic region. 2. Flexibility exercises To address any tight or overloaded muscles contributing to your discomfort. 3. Progressive strengthening exercises To build balanced strength around the shoulder and scapula. 4. Endurance training To help prevent recurrence of symptoms during daily or sports activities. 5. Dynamic stability training To restore proper movement patterns and improve overall shoulder function. With consistent work over the course of about six weeks, many people experience significant improvement in symptoms and function. Try not to worry—scapular issues like this are common and very manageable with the right guidance. A physiotherapist will help you understand the specific factors affecting you and support you in a safe, progressive recovery plan.

Meet your near by Good Physiotherapist

Do Neck and scapular movements regularly, avoid sustained posture give mini breaks.

Hey as you have mentioned pain comes and goes means this is related to your posture. Also few Biomechanical things need to be corrected along with work to be done on  strength of muscles like trapezius lower fibers ,Serratus Anterior .But planning a Rehabilitation protocol for you needs to be planned with Nearby physio

let the pain subsides first ..then go for assessment

avoid heavy lifting for shoulder as this may affect the shoulder in long run ..Go for Rehab

Consult in person with nearby physiotherapist for proper assessment to get proper treatment

Hey there! I need to know few more details. Kindly consult me online for better diagnosis. Just click the consult now button on your right to connect with me. Regards Your physio

Please consult online for proper assessment n treatment plan accordingly

Need to check some clinical movement plz consult online

Maintain posture