Back pain under shoulder blades: on the left, on the right, with the two sides, causes and treatment

Due to the lack of knowledge of the specificity of the diagnosis of diseases of the spine begins to self-treatment (poultices, ointments, compresses), but often without success, only a doctor can find the cause and prescribe treatment. Why back pain under shoulder blades?

pain in the back

What could be the pain?

A blade lies close to the clavicle and the humerus, localizes in the back of the back. In fact, it is a paired bone which has the shape of a triangle, which is attached to the muscles responsible for the mobility of the shoulder girdle. Ribs and shoulder – is a framework for the muscles around the back, pain under shoulder blades is not valid, you must immediately diagnose the cause and begin a course of therapy.

Types of pain under shoulder blades can be divided into several subgroups:

  • Depending on the location of pain (according to which one of the blades; in the middle; it gives pain in the chest or between the ribs; localized above or below the shoulder blade);
  • The nature of the sensations (pulling, burning, sharp, cramping, throbbing, give, whining, glasses, etc);
  • The duration of pain symptoms (occur with a frequency that begins suddenly, how long the attack increase or reduce the pain).

For an accurate diagnosis and identify the cause of the doctor must ask the details and understand what can be the factor that causes pain (e.g., spinal injuries), and treatment of the patient.

The causes for the pain

Why back pain in the blades? The main causes, which are rooted in diseases of the gastrointestinal tract, diseases of the spine, the lungs and the heart. An important factor is the psychological condition of the patient, and injury.

As a general rule, if the patient carries out a sharp pain, then the reasons lie in acute inflammation, the tissue or the muscles (e.g. in autumn). To relieve the symptoms of nagging and not very strong, so that the causes of pain in chronic diseases of the patient. The blunt nature of pain symptoms common companion to heart attack or problems with the bladder.

Reasons for pain in the back below the shoulder blades, associated with abnormalities of the vertebral column occupy the leading place among other factors. Since the spine holds the entire weight of the human body, thanks to him a man walks upright, and not on the legs, like animals.

If the back muscles are loosened, the person moves a little, the problem starts with the spine.


If the muscles on the back and chest of the corset atrophy, and the person moves a little, the spine loses its role in the maintenance of the body and accompanied by pain. The vertebrae pressure on the discs between them, do not allow the core of the discs to fill with fluid. The disks begin to sink, bulges, gaps that appear. This causes unnecessary irritation of the nerve roots, the vertebral column loses its elasticity and develops pain in the low back. The body in its sole discretion, strengthens the spine, strengthening his bone growths.

The spine loses mobility and pain in the back below the shoulder blade on the right and left side of the page. The pain symptoms are localized in the side where the pinched nerves.

Osteochondrosis in the neck, which starts with pain in the nape of the neck, on the area of insufficient blood supply to the numb, the pain starts in the back below the shoulder blades. Often the pain is localized on the left side. Osteochondrosis in the thoracic spine starts with pain in the back below the shoulder blades. With pain in the sternum. The patient complains, the feeling of weight in chest, when breathing. The pain caused from osteochondrosis of the thoracic, he often put with the heart.

Back pain cause and other reasons, it is often the osteochondrosis from the loin. This will identify the impact of pain in the toes, such as electric shock, discomfort with the progression of osteoarthritis has moved from the left shoulder blade. And with a long position in the body without changing position, most when the patient is sitting waist covers girdle pain. Causes of pain just below the shoulder blades, associated with abnormalities of the spine, recognised the doctor with complaints about all the major relief of symptoms with movement.

Diseases of the internal organs

Often the pain due to heart disease. For pain under the shoulder blade can myocardial infarction, and his companion and pressing sensation in region of heart. If the pain persists during exercise and workout and with a deep breath, the patient should be hospitalized immediately in the hospital. Another important symptom of the pain associated with a myocardial infarction serve pain in left shoulder blade radiating to neck, jaw, left or left hand.

Causes of pain in the back below the shoulder blades lie in problems with the gastrointestinal tract. First and foremost, it is the stomach ulcers.

With the progression of the disease on the mucous membranes of the body, is exposed to destruction by acid, resulting in irritation of the nerves from the diaphragm and begin to attacks of pain in the shoulder blade. Are periodic in nature, increases after a meal or when fasting. The pain disappears after a vomiting attack and the use of warm compresses. The patient is sick and vomits, when he is reaching the peak of pain.

Another important symptom is belching, severe heartburn. Pain away from the blades, it starts to make in the region of the heart. The complete destruction of the walls of the stomach, the patient complains that pain in the shoulder or collarbone, sweating, pale. Often the cause of pain in the back of the back due to problems with their lungs, for example, diseases of the lung. If it hurts the right lung, localized pain under the right shoulder blade. The patient cough, wheezing in the lungs, trouble breathing.


Psychological problems the man may also cause pain below the shoulder blade. When people experience chronic stress, the tension is transferred to the muscles of the back and the patient becomes hard to stand for long or sit due to pain the pain. Often these reasons are chasing people with a sedentary lifestyle, high level of stress and aggression (managers, representatives, sales advisors, administrators).


Can cause pain and damage to the bones resulting from a fall or blow. It is often the cause of damage to the blades due to the elbow or falling on the arm straight. The pain symptoms will manifest themselves in the movement of the hands, and the area of the blade red and swollen. There is and inflammation of the synovial bags, then the movement of the blades you hear a crunch, and the patient experience in this area, the burden and the pain.

The next factor, that is before the pain – osteomyelitis. This results in purulent inflammation of tissues, pain, poisoning. Occur due to injury or stab. Less likely to cause pain become cancerous tumors in this region affect the tissues around the scapula.


Of the factors, that is, before the syndrome of pain, a lot of diagnostics to determine the causes for the pathology of a complex process. The diagnosis is complex, using several methods. In the first phase, the doctor listens carefully to the patient for the presence of of complaints and manufactures its rating. The second stage: palpation of the painful area of the spine, orthopaedic testing to determine the symptoms.

If the doctor who is willing to make a diagnosis, then directed the patient to the physician with a more narrow profile (cardiologist, oncologist, orthopedic).

Depending on the factors that produce the x-ray of the chest or spine, MRI, the ECG is removed, and the heart examination with ultrasound. If the factors causing pain lies in diseases of the gastrointestinal tract, the patient is instructed to go through fibrogastroduodenoscopy. If it was for pathology, respiratory physicians performing bronchoscopy. In addition, the patient is dealt a number of tests: urine, feces, blood, etc ..


back treatment

If the patient carries out a sharp pain, that it is impossible to endure, the medical staff, which focuses on relief of pain symptoms. The patient was prescribed drugs, soothes inflammation and relieves pain in the form of injections, ointments, pills.

The main task of the doctor to cure the root cause that caused the disease, not the result. Treatment prescribed by a specialist after all the tests and analyses. Do not forget that pain and the long-term nature, regardless of the location and nature is not going to disappear, should be treated until it is complicated by inflammation.

If the root cause of are diseases of the musculoskeletal apparatus, for treatment using a course of massage or manual therapy is completed with electrophoresis. In exceptional cases, patients, surgery with a course of anti-inflammatory drugs or antibiotics.

If back pain from myositis or problems with low tone back, is enough to do exercises at home to warm up the muscles ointments, tinctures grind. Other problems and diseases which are treated only by a doctor who recommends treatment, in accordance with the root cause of the disease. Do not neglect the advice of a doctor when all types of pain in the back, because they can be a result of chronic or acute disease that should be treated immediately.