Symptoms, including pain, the feeling of skipping the shoulder blade, and the presence of an audible click when moving the shoulder may be a sign of the so-called snapping scapula syndrome. The cause of the disease is structural changes leading to a mechanical conflict of the bone or soft tissues lying under the scapula. Pain under the scapula without the feeling of skipping may be related to the inflammation of the subscapular bursa. In order to determine the cause of the ailments, you should go to an orthopedist who will perform a detailed clinical examination and order additional imaging tests. Early diagnosis and treatment of "popping scapulae syndrome" is very important - ignoring the symptoms can lead to a progression of structural changes that can only be treated with surgery.

The main goal of rehabilitation is to restore the correct movement patterns of the scapula, which will not overload the tissues lying in the subscapular area. The first stage of physiotherapy includes methods to normalize muscle tension and to extend the shortened muscles to restore the normal mobility (mobility) of the shoulder blade. The crackling scapula exercises involve activating the appropriate muscles to achieve the required scapula stabilization. Gradually, the patterns of the entire upper limb are included, while maintaining the correct biomechanics of the scapula and the shoulder joint. The last stage of rehabilitation is strength and endurance exercises of the upper limb and elements of the sports discipline. The therapy process should be carried out under the supervision of an experienced physiotherapist.

The indication for surgical treatment is the presence of degenerative-productive bone changes, free bodies in the scapulo-costal space and other pathologies that cannot be rehabilitated. The most common procedure is the excision of the bone growths of the upper or lower edge of the scapula and the release of connective tissue adhesions that cause jumping and pain under the scapula. If necessary, the pathologically thickened synovial bursa are also removed.