Mr A was presented to the clinic with acute left upper back pain near to the medial border of his shoulder blade. Pain was aggravated due to a sudden quick overhead lifting during work. On examination, patient had full range of shoulder range of motions with mild pain at the back particularly during flexion and abduction. The left scapula was observed and palpated to have delayed upward rotation and winging pattern. Scapular assistance and retraction tests both reduced his pain during arm elevation. Shockwave, soft tissue release and exercises were provided. Shockwave therapy was used to revascularize the injured axioscapular muscles to promote healing and reduce pain. Exercises with an emphasis to promote scapular control and scapulohumeral rhythm such as scapular setting, supine punching and wall push up were incorporated. The patient had shown significant improvement after the treatment and was able to return to lifting activities at work.