Is Your Shoulder “S.I.C.K.”?
March 16, 2009

What is a S.I.C.K. Scapula?

A term first coined in this 2003 study:

SICK 20Scapula 20Study 20Title


A SICK Scapula is a shoulder blade that has "swung out" to the side (note the red outline compared to the black outline):

SICK 20Scap 20Drawing

and looks like this (note the lowered Right Shoulder in "A" and "B"):

SICK 20Scapula 20PatientSICK 20Scapula 20Patient2

as well as having a shoulder blade that sticks out on the bottom (note the left shoulder blade):

What Causes a SICK Scapula?

Tightness of a chest muscle called the Pec Minor muscle:


Pec 20Minor

Weakness of the Lower Lat Muscle:


Lower 20Lat

and Serratus Anterior muscle:

Serratus

allowing the bottom of the shoulder blade to stick out:

SICK 20Scapula 20Patient3

How Can I Heal My "SICK" Scapula?

  • NOTHING BEATS JUMPING ROPE. click here to find out how it can strengthen your shoulder.


  • Rubber Tubing Exercise - External Rotation with towel under arm

Standing 20Infraspinatus


and this can be done with a 5-lb. dumbbell while lying down:

Laying 20Infraspinatus


  • Dumbbell exercises. Face-Down Row with 2-lb dumbbell:
Face 20Down 20Row

Face Down Arm Extension:

Face 20Down 20Extension


Make sure to do the exercise along the line of the shoulder blade:

Face 20Down 20Extension 20Diagram


Side Shoulder Raise (Thumb-Up) with 2-lb. dumbbell:

Side 20Shoulder 20Raise


  • Scapula Push-Up:
Standing 20Scap 20Retraction

Note the flattening of the shoulder blade (left) and the squeezing of the shoulder blades in the finished position (Right)


  • The "Sleeper" Stretch:

Sleeper 20Stretch


Have A Question About This Newsletter?

Email (PitchingDoc@msn.com) or call (631-352-7654)
Dr. Arnold!