Case 17: Scapular Pain and Breathing Restriction Mimicking Cardiac Symptoms

A female client presented with severe scapular pain that had not responded to emergency care or multiple treatments. Symptoms progressed to include chest tightness and episodes of breathlessness, raising concerns similar to cardiac pain.

Improving breathing control restored shoulder movement and eliminated scapular pain — without treating the shoulder directly.

The key phrase she used — “I can’t catch my breath” — shifted the assessment away from the scapula itself. Functional testing indicated impaired activation of the Serratus Anterior and altered breathing mechanics rather than a primary shoulder issue.

Intervention focused on restoring breathing control and Serratus Anterior function. No direct treatment was applied to the scapular region. The client was also taught self-management strategies to reinforce functional change.

Following this approach, scapular pain resolved completely. She reported full comfort during standing, sitting, and lying, and was surprised that treatment away from the painful area led to complete relief.

This case highlights that the site of pain is not always the source, and that breathing-related muscle dysfunction can present as severe musculoskeletal or chest-related symptoms.

Clinical Practice: Heal Young Massage

Evidence-based remedial massage and movement rehabilitation services.