MRI Findings in Scapular Pain
Adults with scapular pain often show specific shoulder and neck abnormalities on scans, which is worth discussing with a doctor.
Updated on Oct. 16, 2026 in Arthritis
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A recent analysis of 503 patients with scapular pain identified high rates of shoulder and neck abnormalities on MRI scans. These findings help clarify which issues are most commonly detected in patients seeking care for this type of pain.
Why it matters
Understanding which structural abnormalities appear on imaging helps clinicians differentiate between shoulder and neck issues in patients with scapular pain. This research aims to address the lack of standardized data regarding which imaging findings are most prevalent in this population.
A retrospective study of 284 patients who underwent MRI exams for scapular pain revealed that 88% had supraspinatus tendinopathy, while 66% showed C5-6 foraminal stenosis and 65% displayed C5-6 degenerative changes. The study found no instances of scapulothoracic bursitis.
The players
Stanford University
An academic institution where lead researchers conduct orthopedic and medical studies.
Interventional Pain Medicine
A peer-reviewed medical journal that publishes research on pain management and orthopedic interventions.
The details
Researchers reviewed MRI images of the cervical spine, thoracic spine, shoulder, and scapula to identify structural abnormalities in patients presenting with scapular pain. While supraspinatus tendinopathy and neck-related spinal changes were highly prevalent, the study found no link between the side of the pain and these specific spinal findings. These results highlight a significant presence of neck and shoulder issues in symptomatic patients, though the clinical relevance of these findings for individual pain management is not yet defined.
Timeline
2015-2025: Period of patient data collection at orthopedic clinics.
October 16, 2026: The research findings were published in Interventional Pain Medicine.
Health Landscape
The study provides essential data to address the current lack of standardized imaging protocols for patients suffering from scapular pain. It serves as a necessary precursor for future prospective research to define the clinical utility of diagnostic imaging.
If you are experiencing ongoing scapular pain, this research highlights that your symptoms could be linked to either shoulder or neck issues. Discuss these potential findings with your doctor to determine if imaging is an appropriate diagnostic step for your specific case.
The takeaway
Scapular pain is frequently associated with shoulder tendon issues and neck-related spinal changes, which are common findings on MRI scans. When discussing persistent pain with your physician, ask whether your symptoms suggest a potential shoulder or cervical spine origin to help guide your care plan.
Further reading
For more information on managing joint and musculoskeletal conditions, visit Arthritis.
Source note: This article includes information reported by AuntMinnie.
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