What Is Snapping Scapula Syndrome (Scapulothoracic Bursitis)?
The scapula, commonly known as the shoulder blade, is responsible for providing a wide range of motion to the upper body and shoulder joint. One important component of the scapula is the scapulothoracic bursa, a fluid-filled sac that allows for smooth and pain-free movement of the scapula against the ribcage. However, when this bursa becomes inflamed due to repetitive overuse or a shoulder injury, it can lead to a condition called scapulothoracic bursitis, also known as snapping scapula syndrome.
Scapulothoracic bursitis, or snapping scapula syndrome, occurs when the muscles underneath the scapula weaken, causing it to sit in close proximity to the ribcage. This condition leads to a grinding, grating, or snapping sensation of the scapula against the back area of the ribcage. Active individuals, particularly those engaged in activities that require continuous overhead motions, are commonly affected by scapulothoracic bursitis. Additionally, shoulder injuries such as ligament tears or past shoulder separations can also contribute to the development of this condition.
What Are Scapulothoracic Bursitis Symptoms?
Snapping scapula syndrome can cause discomfort and pain for patients. The condition is often characterized by symptoms such as a dull, constant ache and a grinding, grating, and snapping sensation under the scapula as it moves against the ribcage. Some patients may also notice a bone mass on the scapula that causes a visible or palpable bump.
How To Treat Snapping Scapula?
Non-surgical interventions are usually recommended as the first-line treatment for snapping scapula syndrome. Rest, ice, medications, and a personalized physical therapy program to strengthen the scapular muscles are the typical measures prescribed to patients. To optimize their rehabilitation, patients are strongly advised to work with the in-house physical therapists at Howard Head Sports Medicine.
In some cases, a corticosteroid may be recommended by the physician to reduce bursa inflammation and provide long-term pain relief. If non-surgical treatment is unsuccessful, or if the condition is caused by a soft tissue or bony mass, surgery may be necessary. An arthroscopic shoulder surgery is typically performed by the physician to remove the inflamed bursa, bone spurs, or other abnormalities responsible for causing shoulder pain and loss of motion.