Diagnosis occurs primarily through patient reporting, with additional data often derived from imaging techniques such as X-ray and computed tomography.The choice of treatment for this condition varies according to the underlying or causative problem. If a physician believes the snapping of the shoulder blade is due to poor posture or other motor problem, a conservative program of treatment will most likely be prescribed. This conservative approach usually includes a program to improve posture, strengthen the muscles surrounding the shoulder blade, avoid voluntary snapping
of the scapula, or other physical therapy. Additionally, if the incidence of snapping is associated with a job-related function or motion, the physician may advise avoidance of that behavior.
In cases where scapular snapping hasn’t responded to non-invasive treatments or a bony projection has been identified, a more aggressive treatment program may be pursued. This usually involves administration of non-steroidal anti-inflammatory drugs, subcapsular injection of local anesthetic and steroids, or surgery. Arthroscopic bone surgery may be performed to eliminate the offending projection or roughness on the
scapula, or if necessary, the inflamed bursae. Regardless of the choice of treatment, proper posture is critical for avoidance of future problems with snapping scapula.
