Symptoms
Shoulder clicking
Painful clicking with motion often has a scapular dyskinesis contributor with overactive upper trapezius and weak lower trapezius/serratus.
Overview
Painful clicking with motion often has a scapular dyskinesis contributor with overactive upper trapezius and weak lower trapezius/serratus. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Motor control retraining over passive interventions.
Red flags — when to refer
Acute trauma, locking, gross weakness — refer.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction