In most throwers the scapula moves in an abnormal way. This occurs because of the repetitive use of the shoulder, and the changes that develop in any muscle that is used strenuously again and again. However, these changes are detrimental to shoulder function and can increase the chances of injury. Another very common condition in throwers is contracture / tightness of the shoulder capsule on the back portion (posterior) of the shoulder. This is very common in throwers, and contributes to the “SICK” Scapula problem. Lifting weights, particularly chest exercises such as bench press, can aggravate this condition. The athlete with “SICK” Scapula Syndrome will hold the affected shoulder lower than the other and also rotated forward. This looks like a slouched position, but with one shoulder more slouched than the other. If you look around you will see a lot athletes with this posture.
The patient’s right shoulder sits lower when he has his arms at his side, but rises higher as he raises his arms to the side or to the front. This is a telltale sign of “SICK” Scapula Syndrome.