Did you know... Scapular winging is when there is an excessive amount of forward movement of your shoulder blade against your rib cage? It can be caused by numerous factors and isn't actually that uncommon; most people will have a little asymmetry from one side to the other and is nothing to worry about, but bigger differences (as demonstrated below by one of my patients) can indicate more than just a cosmetic change and can lead to significant pain and functional impairment. It's the job of your osteopath to find these differences and determine whether they might be doing damage.