Back pain in shoulder blades: causes and treatment

But the term "pain in the blades" is a collective. It is used if the pain is localized:

pain in the blades
  • under the blade;
  • directly in the shoulder blades;
  • between the shoulder blades.

Pain under shoulder blade

Pain under the shoulder blade can be localized to the right or to the left. Depending on this, different reasons.

Peptic ulcer

The most common cause of pain in the blades is a peptic ulcer. The pain is localized in the epigastrium, but may also extend in the thoracic spine, left scapula and left nipple.

Pain in gastric ulcer are characterized by the frequency, seasonality, gradual increase, as well as the complete elimination or weakening after vomiting.

The last and leads to the conclusion that the cause of the pain – disruptions in the gastrointestinal tract. Vomiting appears at the height of pain, that is, when the pain is strongest.

The majority (70%) patients have the following symptoms: heartburn, salivation, belching, regurgitation.

Psychological problems

The second most common reason is psychological problems. Pain syndrome describe patients:

  • the feeling of "pouring" of the heart with blood and sensation that the heart stood still, patients say that in the time of pain attack it seemed that the heart will jump out of the chest;
  • tingling;
  • the feeling of compression;
  • pressure;
  • the severity;
  • heat in the chest;
  • a cold shiver;
  • the pain constantly radiates to the right arm, in the groin, the shoulder, with sore back and neck;
  • concern.
  • the feeling of fear.
  • lump in the throat (rare symptom);
  • shortness of breath (rare symptom).

Myocardial infarction

It occupies only the third place of popularity. Myocardial infarction is preceded by a severe attack of angina. Sudden and severe pain behind the breastbone that typically radiates to the left part of the shoulder blade, back, neck, jaw.

Painful sensations do not disappear even after taking vasodilator drugs (nitroglycerine, validol), only with the help of narcotic analgesics. In most cases, pain in the blades occurs after emotional or physical stress.

Osteochondrosis of the cervical spine

Pain attack patients describe as follows:

  1. the pain is dull, unilateral, localized just below the nape of the neck;
  2. painful sensations arise in the morning, what is the cause of the wounded waking;
  3. the pain increases with sudden flexion extension of the neck, under severe loads on the cervical spine;
  4. under thermal influence the pain goes away, for example, take a warm bath;
  5. the pain radiates to the head and hand;
  6. paresthesia in the shoulder area;
  7. dizziness.

Intercostal neuralgia

intercostal neuralgia

Pain under scapula when intercostal neuralgia, shingles is paroxysmal in nature. Pain is worse when walking, deep breathing, coughing, sneezing, physical exercise and on palpation. In some cases, found another symptom is excessive muscle tension.

It is because of this pain covers not only the area under the shoulder blade, and lower back, heart, back. Often with intercostal neuralgia also tingling, burning, numbness.

Perforation of gastric ulcer

Pain syndrome is characterized by:

  • unbearable severe pain, which radiates to the supraclavicular region;
  • nausea and vomiting;
  • the person experiences the feeling of fear, excitement, his face covered with cold sweat;
  • the patient takes a forced situation is to lie on your right side or your back, pressing the thigh to the abdomen, which is tense from the pain;
  • the slightest activity leads to a sharp increase in pain.

Muscle spasm of the gallbladder (or bile ducts)

In this case, the pain usually occurs under the right shoulder blade and due to the fact that the ducts are clogged with a rock. As a result, developing colic:

  1. Appear unbearable pain of an intense character;
  2. According to patients the pain is "stabbing, cutting";
  3. The epicenter of pain is located in the area of the right hypochondrium;
  4. In some cases the pain radiates to the right shoulder, neck, jaw, eyes.

The person suffering from such pain usually restless. He constantly changes his position in search of a minimally morbid option. As features of pain, it should be noted the fact that the phenomenon is usually accompanied by nausea and vomiting.

Subphrenic abscess

For this case, characterized by acute pain in the right shoulder blade, which is constantly increasing during inspiration. Quite often, the pain radiates to the shoulder (right). As additional symptoms of an abscess should be called leukocytosis, and fever.

Kidney disease an inflammatory nature (pyelonephritis, nephritis).

In the presence of such diseases is almost always present pain in lower back and right shoulder blade. Simultaneously with this, there is frequent urination, producing soreness.

Injuries of the scapula

Trauma to the shoulder blades can occur as a result of a strong blow to the shoulder blades or in the fall on the blades.

In some cases, injuries to the shoulder blades (and sometimes fracture) represent a consequence of failure falls on the elbow or on a straightened arm.

There are situations when the fracture of the blades is complicated due to the displacement of the lower fragments in the result of the impact exerted on them by the surrounding muscles.

While a person constantly present severe pain, which intensified with every movement of his hands.

In most cases the fracture of the blades is accompanied by puffiness or swelling. Sometimes changes in the shoulder joint can be observed visually.

Winged scapula

This phenomenon is pathological. As a rule, a wing paddle is a consequence of the paralysis that hit the trapezius, rhomboid or anterior serrated muscle. Paralysis, in turn, may be the cause of myopathy, infection, or nerve damage.

However, there is a traumatic winged scapula, developing as a result of repeated injuries to the forearm or due to damage to the long thoracic bread. Such case often occur in practice, athletes and circus performers.

Shoulder crunch

shoulder crunch

In this case, as the name implies, there is a crunch, sometimes supplemented by pain of moderate character and sense of gravity.

Osteomyelitis of the scapula

This phenomenon is growing as a result of overt bone injury (the most notable example of a gunshot wound). Usually, the additional symptoms are present all the signs of intoxication.

Pain between the shoulder blades

Finally, it is necessary to consider those cases, when the pain occurs between the shoulder blades.

Common features for all these situations is the presence of feelings of numbness, some icing, and feeling of pins and needles. Causes of pain are:

  • Coronary heart disease;
  • Kyphosis and kyphoscoliosis;
  • Humeroscapular periarthrosis;
  • Hernia of the thoracic spine;
  • Osteochondrosis;
  • Intercostal neuralgia;
  • Scoliosis;
  • Spondiloarthrosis;
  • Angina;
  • Disc protrusion placed in the thoracic spine;
  • Peptic ulcer 12 duodenal ulcer, stomach;
  • A number of liver diseases and gallbladder.

It should be noted that pain associated with shoulder blades, often occur on the background of professional activity, or otherwise associated with excessive tension of the relevant muscles.

In any case it is impossible to ignore the pain, it is important to promptly contact a specialist that will prevent the development of adverse effects and promptly eliminate the cause. Even if the pain is gone, you need to see a doctor. Because the true problem will not disappear by itself, it needs to be cured.

30.08.2018