It flows through the Lower Silesian Voivodeship in Poland and through the Hradec Králové Region in the Czech Republic.

[2] The average discharge at the Czech-Polish state border, before the river returns to Poland, is 1.91 m3/s (67 cu ft/s).

The longest tributaries of the Ścinawka are:[2][3] The river flows through the territories of Jedlina-Zdrój and the Gmina Mieroszów in Poland, through Meziměstí, Jetřichov, Hynčice, Hejtmánkovice, Heřmánkovice, Broumov, Křinice, Martínkovice and Otovice in the Czech Republic and then through the territories of the gminas of Radków and Kłodzko in Poland.

The upper course of the river crosses the Sudety Wałbrzyskie Landscape Park.

The entire flow of the river in the Czech Republic is located within the Broumovsko Protected Landscape Area.