Back pain shoulder blades: causes and treatment

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

• below the blade;
• directly to 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, for various reasons.

Peptic ulcer

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

The pain of peptic ulcer is characterized by the frequency, seasonality, gradual increase, as well as the complete removal or deterioration after vomiting.

The last and leads to the conclusion that the cause of the pain – disorders of the gastrointestinal tract. Vomiting appears the height of the pain, that is, when the pain is strong.

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

Psychological problems

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

• the feeling of "pouring" heart and blood and feeling, that the heart stood still, patients say that during the pain attack I feel that the heart jumps out of your chest;
• tingling;
• the feeling of compression;
• pressure;
• the severity;
• heat in the chest;
• a cold shiver;
• the pain radiates continuously to the right, arms, in the groin, shoulder, sore back and neck;
• concern.
• the feeling of fear.
• lump in the throat (a rare symptom);
• shortness of breath (rare symptom).

Myocardial infarction

It takes only the third place in 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 pain medications. In most cases, pain in the blades occurs when emotional or physical stress.

Osteochondrosis of the cervical spine

Pain attack patients describe as follows:

1. the pain is dull, one-sided, localized below the nape of the neck;
2. painful sensations arise in the morning, what is the cause of the wounded waking up;
3. pain increases with sudden flexion-extension of the neck, under the severe loads of the cervical spine;
4. under the heat affect the pain going 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

Pain under the shoulder blade, when intercostal neuralgia, shingles is paroxysmal in nature. The pain is worse when walking, deep breathing, coughing, sneezing, exercise and palpation. In some cases, whereas the second 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 intercostal neuralgia also tingling, burning, numbness.

Perforation of gastric ulcer

Pain syndrome is characterized by:

• unbearably severe pain, which radiates to the supraclavicular region;
• nausea and vomiting;
• a person experiences that feeling of fear, excitement, his face covered with a cold sweat;
• the patient takes a forced situation is to lie on your right side or back, press the thigh into the stomach, which is tense the pain;
• the slightest action will lead to a sharp increase in pain.

Muscle spasm of the gall bladder (or biliary)

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

1. Look unbearable pain strong character;
2. According to patients the pain is "stabbing, cutting";
3. # Pain in the region of the right hypochondrium;
4. In some cases the pain radiates to the right shoulder, neck, jaw, eyes.

A person suffering from such pain usually restless. He is constantly changing his position to seek some morbid option. Characteristics of the pain, it should be noted that the phenomenon is usually accompanied by nausea and vomiting.

Subphrenic abscess

In this case, which is characterized by acute pain in the right shoulder blade, which is a constant inspiration. Quite often, the pain radiates to the shoulder (on the right). Because of the other symptoms of an abscess should be called leukocytosis, and fever.

Kidney disease, of an inflammatory nature (pyelonephritis, kidney infection).

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

Injuries of the scapula

Blow to the shoulder blades can occur as a result of a strong blow to the shoulder blades or fall to the blades.

In some cases, injuries to the shoulder blades (and sometimes fracture) are the result of the fault falls on the elbow or straighten the arm.

There are situations, when the fracture of the blades is complicated, because of the displacement of the lower fragments of the result of the impact against the surrounding muscles.

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

In most cases, fracture of blades is associated with swelling or bloating. Sometimes changes in the shoulder joint can be detected 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 of the anterior serrated muscle. Paralysis, in turn, can cause myopathy, infection, or nerve damage.

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

Shoulder crunch

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

Osteomyelitis of the scapula

This phenomenon is growing as a result of the open bone injury (the most notable example of a gunshot wound). Usually other symptoms are present all the symptoms of poisoning.

Pain between the shoulder blades

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

Common features in all these situations is the presence of numbness, some frosting, and tingling sensation. Causes of pain are:

• Coronary heart disease;
• Kyphosis and kyphoscoliosis;
• Humeroscapularis periarthrosis;
• Hernia of the thoracic spine;
• Osteochondrosis;
• Intercostal neuralgia;
• Scoliosis;
• Spondiloarthrosis;
• Angina pectoris;
• Disc protrusion placed in the thoracic spine;
• Peptic ulcer 12 duodenal ulcer, stomach;
• Several diseases of the liver and gall bladder.

It should be noted that the pain associated with the 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, which prevents the development of harmful effects, and quickly eliminate the cause. Even if the pain is gone, you need to see a doctor. Because the real problem does not disappear by itself, it needs to be improved.