Postural issues
Hello doctor, my height/weight is 174 cm/58 kg.
I have noticed that my scapulae have a noticeable shape when I stand.
I usually exercise and care about my posture, so I often remind myself to stand up straight, but my scapulae protrude and I look somewhat hunched over when I look in the mirror.
I'm not sure if this is due to being naturally thin or if it’s caused by poor posture in the past.
Can I improve this on my own, or do I need to seek treatment? If treatment is necessary, which specialty should I consult?
Steven, 20~29 year old female. Ask Date: 2017/09/23
Dr. Liao Yaopan reply Family Medicine
Hello, based on your height and weight, it appears that your BMI is on the lower side.
To determine if you have true kyphosis, it is advisable to have an evaluation by an orthopedic physician.
Appropriate exercise and increasing muscle mass can also help maintain your posture.
Changhua Hospital cares about you.
Reply Date: 2017/09/23
More Info
Improving posture, particularly addressing issues like shoulder blade protrusion, is a common concern for many individuals, especially those who are conscious about their body alignment and aesthetics. The protrusion of the shoulder blades, also known as scapular winging, can be influenced by various factors, including muscle imbalances, poor posture habits, and even anatomical variations.
To address your question, yes, it is possible to improve shoulder blade protrusion on your own, but it often requires a dedicated approach that includes exercises, stretches, and awareness of your posture throughout the day. Here are some strategies you can implement:
1. Strengthening Exercises: Focus on strengthening the muscles that stabilize the shoulder blades, particularly the rhomboids, trapezius, and serratus anterior. Exercises such as rows, scapular push-ups, and wall angels can be beneficial. These exercises help to pull the shoulder blades back and down, promoting better alignment.
2. Stretching Tight Muscles: Often, tight muscles in the chest and front of the shoulders can contribute to poor posture. Incorporating stretches for the pectoral muscles and the anterior deltoids can help open up the chest and allow the shoulder blades to sit more naturally against the rib cage.
3. Postural Awareness: Being mindful of your posture throughout the day is crucial. Practice standing and sitting with your shoulders back and down, and avoid slouching. Setting reminders to check your posture can be helpful, especially if you spend long hours sitting at a desk.
4. Ergonomic Adjustments: If you work at a desk, ensure that your workstation is ergonomically set up. Your chair should support your lower back, and your computer screen should be at eye level to prevent leaning forward.
5. Regular Movement: Incorporate regular movement into your day. Taking breaks to stand, stretch, and move around can help prevent stiffness and promote better posture.
While self-improvement is possible, if you find that your efforts are not yielding results or if you experience pain or discomfort, it may be beneficial to seek professional help. A physical therapist can provide a tailored exercise program and manual therapy techniques to address specific issues related to your shoulder blade protrusion. They can also assess your posture and movement patterns to identify any underlying problems that may need to be addressed.
If you decide to seek treatment, you would typically want to consult with a physical therapist or an orthopedic specialist. They can evaluate your condition and guide you through a rehabilitation program designed to improve your posture and alleviate any discomfort associated with shoulder blade protrusion.
In summary, while you can certainly take steps to improve shoulder blade protrusion on your own through exercises and posture awareness, professional guidance can be invaluable, especially if you encounter challenges along the way. Remember, consistency is key, and making small adjustments over time can lead to significant improvements in your posture and overall comfort.
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