Back pain in shoulder blades: causes and treatment

But the term "pain in the blades," is a collective one. This is used if the pain is localized:

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

Pain in the shoulder blade

Pain in the shoulder blade can be held in the right or left. According to this, a variety of reasons.

Peptic ulcer

The most common cause of pain in the blades of the 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, is characterized by the frequency, seasonality, progressively increased, as well as the complete elimination or impairment after the vomiting.

The last and leads to the conclusion that the cause of the pain – disorders in the digestive tract. Vomiting that occurs at the height of the pain, that is, when the pain is strongest.

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

Psychological problems

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

  • sense 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 shoulders, pain in the back and neck;
  • concern.
  • feel the fear.
  • a lump in the throat (a rare symptom);
  • breathing difficulties (rare symptom).

Myocardial infarction

It occupies only the third place of popularity. Myocardial infarction is before the severe attack of angina. Sudden and severe pain behind the breastbone that typically radiates to the left 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 occur 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 up;
  3. the pain increases with sudden flexion extension of the neck, under the severe loads on the cervical spine;
  4. after the heat impact of the pain disappears, for example, take a warm bath;
  5. the pain radiates to the head and arm;
  6. paresthesia in the shoulder area;
  7. dizziness.

Intercostal neuralgia

intercostal neuralgia

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

This is because this pain is not only refers to the area below the shoulder blade, and the cross, heart, back. Often with intercostal neuralgia also tingling, burning, numbness.

Perforation of gastric ulcers

Pain, syndrome is characterized by:

  • unbearable severe pain, which radiates to the supraclavicular region;
  • nausea and vomiting;
  • the person, the experience, the feeling of fear, of excitement, his face covered with cold sweat;
  • the patient takes the forced position is to lie on your right side or back, pressure on the thighs, the abdomen, which is tense from the pain;
  • minimum 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, the development of colic:

  1. It seems the unbearable pain of an intense character;
  2. Depending on the patients 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 a pain usually restless. He is all the time changing their position in search of a minimally morbid option. As the characteristics of the pain, it should be noted the fact that the phenomenon is usually accompanied by nausea and vomiting.

Subphrenic abscess

In 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 an additional symptoms of an abscess is called leukocytosis, and fever.

Kidney disease, the inflammatory nature (pyelonephritis, nephritis).

In the presence of such a disease that is almost always present pain in lower back and right shoulder blade. At the same time, frequent urination, and pain that produce.

Damage to the spatula

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

In some cases, damage to the blades (and sometimes breaking) represent the result of a failure falls on the knee or on the arm straightened.

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

When a person is present severe pain, which intensified with every movement of his hands.

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

Winged scapula

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

However, it is a traumatic winged scapula, developed as a result of repeated injury to the forearm or due to damage to the long thoracic bread. This situation often occur in practice, athletes and circus performers.

Shoulder crunch

shoulder crunch

In this case, as the name suggests, is a crunch, sometimes supplemented with the pain of moderate character and a sense of weight.

Osteomyelitis with a spatula

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

Pain between the shoulder blades

Finally, consider those cases, when the pain occurs between the shoulder blades.

Features common to all these situations is the presence of feelings of numbness, some ice, and the feeling of pins and needles. The causes for the pain are:

  • Diseases of the heart and the circulatory system;
  • Kyphosis and kyphoscoliosis;
  • Humeroscapular periarthrosis;
  • A hernia in the thoracic spine;
  • Osteochondrosis;
  • Intercostal neuralgia;
  • Scoliosis;
  • Spondiloarthrosis;
  • Angina pectoris;
  • Disk protrusion is placed in the thoracic spine;
  • Peptic ulcer 12 duodenal ulcer, stomach;
  • Many of the diseases of the liver and gallbladder.

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

In any case, it is impossible to ignore the pain, it is important to immediately contact an expert, which will prevent the development of side effects, and quickly to eliminate the cause. Even if the pain is gone, you need to see a doctor. Because really, the problem will not go away by itself, it is to be welcomed.

30.08.2018