Often people complain of back pain under the shoulder blades, and the reasons that cause it, can be very different. As a rule, the perpetrators of these sensations come from diseases of the gastrointestinal tract, the cardiovascular and respiratory systems, as well as problems with the spine. In addition, such symptoms may be triggered by trauma and movement of the nervous system.
Among the list of possible reasons, a special place is occupied by diseases of the spine. This is due to the fact that the ridge is to hold the entire weight of the human body, and thereby ensure, in a straight position. Often the pain under the shoulder blade may also be explained that the anatomy of this region. The blade is the articulation of the humerus with the clavicle and its attached muscles responsible for movement in the shoulder area. In addition, together with the frame ribs it protects the vital organs.
Aches and pains
Pain under the shoulder blade can be very different in different patients. It can be divided into several groups:
- Localization of pain (below the right /the virgin of the blade in the middle, at the bottom or top).
- The nature of the pain (sharp, pulling, aching, burning, pulsating, fragmented, spasmodic, radiant).
- Duration (long or short attack abrupt, moderate, or increasing the intensity, frequency of appearance).
Sometimes, back pain (dorsalgia) occurs after a long stay in an uncomfortable posture or awkward movements. Typically, these sensations quickly pass without consequences, so there is no reason to sound the alarm. But if dorsalgia began to worry constantly and however, had other symptoms, so it is possible that this masks a serious illness. To ignore such feelings is impossible that the lost time has not led to serious consequences.
Together with dorsalgia of the placenta in the area of the patient should be warned of the following symptoms
- fever (temperature more than 38 degrees);
- the emergence of the complex symptoms of "acute abdomen";
- the hands and fingers;
- disturbances of sensation in the upper limbs, tingling and "pins and needles";
- shortness of breath, cyanosis of the skin;
- vomiting;
- dorsalgia continue even at rest;
- hypotension, bradycardia, syncope.
In this case, to postpone a visit to the doctor is impossible, because it is necessary to remove not only the symptoms but the root causes that lead to their manifestations.
On the left side
Among the complaints patients can often find the left sided pain under the shoulder blade. It can cause of the following reasons:
- Shoulder bariatric left-sided localization. This inflammatory reaction, which affects the tissue next to humerum common. The main symptoms of the pathology are pain of a different nature, involving the neck, shoulder and scapula. Pathology occurs most often in the background of the injuries.
- Thoracalgia (pinched, inflamed nerve processes costarum space). As a rule, it is the surrounding characters, but often gives a lot of subscapular area on the left side. Generally symptoms improve when changing body position or increased physical activity.
- Recurrent pain in this area is typical of gastric ulcers. Its intensity usually increases rapidly, when the patient is sick, and he opens the vomiting. The attack may happens after meals or on an empty stomach. The first impression is observed in the epigastric region, and then the patient complains of pain under the left side of the articulation of the humerus with the clavicle and left side of the front under the ribs.
- Cartilage damage of the intervertebral discs of the spine, cervical or thoracic spine. In addition to the pain syndrome view symptom of this disease is severe dizziness and weakness and numbness in the upper extremities.
- Left-sided subscapular pain can be called autonomic crises. Patients who suffer from panic attacks, often complain about nagging, aching pain under the left shoulder blade, accompanied by anxiety, tachycardia, and sudden weakness.
- Impetum angina pectoris or myocardial infarction. The pain mostly occurs on the chest, but also a reflection of subscapular area on the left side. The patient experiences numbness in the extremities and nausea.
Not in all cases, when patients complain of pain under the shoulder blade, the problem is more skeletal. Often this symptom shows neuralgia (affects peripheral nerves), muscular ache (muscular hypertonicity of the cells in a state of stress or peace).
On the right side
Pain under the right scapula can occur for the following reasons:
- Colic and liver area. They happen in the background blocked out the flow of bile from the body or the spasms of smooth musculature. Sharp, cutting pain felt in the subscapular area on the right, or collarbone, and surrounded quadrant, depending on the reason for their formation.
- Subdiaphragmatic abscess. This is usually a secondary disease, complicating any primary disease of the abdominal cavity. This pathology typical hiccups and severe pain, which has also felt the subscapular area to the right and increases when breathing.
- Acute inflammatory process in the kidneys. The pain is dull, aching on the affected side in the lower back or at the bottom of the blades. Patients usually have symptoms of augmented fever, nausea and vomiting.
- Myofascial syndrome. This condition implies a reflexive spasm, which can occur in various muscles. And painful sensations are felt as at the stage of convulsions, and muscle fibers.
- Shingles. The causative agent of this disease is the herpes virus ⅲ type. The most common form, which begins with fever, accompanied by severe pains in the field of future eruptions. Dermatology part occurs only after 4 to 12 days.
- On the right side pneumonia. If the inflammatory process affects the right lung, the pain can spread to any part of the chest and it may radiate to the back, neck, under the shoulder blade. The pain is usually constant and aching, and sharp movements, deep breathing or coughing increases.
Colic urinary-excretory and pay systems are quite often accompanied not only spilled into the abdominal pain and digestive disorders, but also in the stabbing pain under the right articulation of the humerus with the clavicle, the proximal segment of the right arm and up the right side of the neck.
Irradiation pain
Irradiating (radiating) pain according to the shoulder blades can be due to such causes and pathological conditions:
- duodenitis and gastric ulcer and duodenum;
- colic and liver area;
- angina pectoris;
- necrosis of the heart muscle on the background of thrombosis of one of the arteries of the heart the atherosclerotic plaque;
- cardiovascular disease, which is characterized by the presence of inflammatory processes in the outer membrane of the heart;
- saccular aneurysm of the aorta;
- spontaneous stoppage of air in the pleural region of the thorax;
- pancreatitis in the acute form;
- muscle spasms the kidneys;
- osteochondrosis of the cervical spine.
Dorsalgia in subscapular area can be very different. The dull pain usually appears when the abnormalities in the muscle and the connective tissue of the parts, which connect them to the bones of the skeleton. Aching pain may indicate the moderately difficult process of the ridge, striated and smooth muscles and internal organs. Such symptoms can not be ignored, it deserves to make the comprehensive diagnosis and to choose appropriate therapeutic tactics.
Pregnant
During pregnancy the expectant mother is experiencing considerable load on the ridge, so he might be suffering from dorsalgia, including under the articulation of the humerus with the clavicle. But if the patient before fertilization was diagnosed with degenerative disc disease, in later stages, the situation is worse.
In addition, the emergence of a pain syndrome can cause the following factors:
- compression or irritation of the intercostal nerves on the background of stress, increased physical exertion or suffering acute respiratory disease;
- indolent pneumonia or pleural plates;
- after the growth level of relaxin' going on an excessive relaxation of ligaments;
- muscle tone caused by changing center of gravity while increasing fruit;
- exacerbation of pathological processes in the kidneys.
In any case, regardless of whether the patient is pregnant, or someone else, if the pain in the subscapular region's strong enough, it is necessary to seek the help of a medical facility. Rarely, it can be a sign of a critical condition of the body, that absolutely can not be ignored.