Question
I have this pain in my right side scapula on the side closest to the spine about half way up underneath the scapula it seems
First question if it due to muscle tightness just what musce is in this location?

I do have slight scoliosis at 9 degrees as also have asymmetrical facet joint at l3-l4
The scoliosis is one big mild C shape as this right side hip is slightly higher too

Now I have done tons of great excerszies I found for the thoriac spine which have helped

Such as thoracic extension, thoracic rotation and done excersizes for the serrates anterior

Still this ongoing pain

Also that right side the 1st rib is quite hypermobile. If I am sitting I move around just a bit and then

It clicks

Now my neck also has some problems. Not so great but is kind of tight. I also do excersizes for the neck
And use my bands to loosen it up.

I am almost thinking but not sure that maybe the neck problem could be somewhat causing the scapula pain

But am unsure

Do you think this scapula pain is caused by the scoliosis for sure or could it be from the neck and or both?

And the long thoracic nerve do you have any nerve flossing movements for this?

And just what excersizes could I be doing to help it go away but I have really tried about everything already?

Thanking you in advance

Answer
Jii,

Thank you for your question.

Multiple muscles attach to the scapula. Please see this link for an illustrated guide to the muscles of the shoulder girdle which describes their attachment sites and their functions:

http://www.getbodysmart.com/ap/muscularsystem/shouldermuscles/menu/menu.html

I could not tell you definitively whether your neck and scapular symptoms are the direct result of your scoliosis, but in general, the interplay between muscle groups of related body regions often affect each other in cases of regional musculoskeletal dysfunction.

Here are some links for videos dealing with upper extremity neural flossing & shoulder strengthening:

http://www.youtube.com/watch?v=4X3SF8eJ6s0

http://www.youtube.com/watch?v=ZtvdmN9Dt_A

Before actually performing therapeutic exercises, I recommend that you consult with the appropriate health care provider in your community to be certain that you do not have a more serious underlying problem. You might consider seeing a doctor of chiropractic, particularly one who is versed in soft-tissue manipulation techniques, a physiotherapist, a massage therapist, and an acupuncturist for additional evaluation and treatment.

I hope that this helps to answer your question.