Often people complain of pain in the back under the shoulder blades, and the reasons that cause it, can be very diverse. As a rule, the perpetrators of these sensations become diseases of the digestive, cardiovascular and respiratory system, as well as problems with the spinal column. Furthermore, these symptoms can be caused by trauma and mobility of the nervous system.
Among the list of possible reasons for a special place is occupied by pathologies of the spine. This is due to the fact that the ridge is forced to hold the whole weight of the human body, thereby providing an upright position of the body. Frequent pain below the shoulder blades can also be explained by the anatomy of this region. The blade is the articulation of the humerus with the clavicle and attached to it muscles that are responsible for the mobility of the shoulder girdle. In addition, together with the frame of the ribs protects the vital organs.
The aches and pains
The pain in the shoulder blade can be very diverse in different patients. It can be divided into several groups:
- Localization of the pain (under the right/the virgin knife in the middle at the bottom or at the top).
- The nature of the pain (sharp, pulling, aching, burning, throbbing, diffuse, spasmodic, radiating).
- Duration (long or short attack abrupt onset, moderate or growing intensity, frequency of occurrence).
Sometimes, back pain (dorsalgia) occurs after a long stay in an awkward posture or awkward movements. Usually, these sensations quickly pass without consequences, so there is no reason to sound the alarm. But, if dorsalgia began to worry constantly and however, there were other symptoms, then it is possible that this masks serious disease. To ignore such feelings it is impossible that the lost time does not lead to serious consequences.
Along with dorsalgia in the Chuck area of the patient should be warned of the following symptoms
- fever (temperature over 38 degrees);
- the emergence of the complex of symptoms of "acute abdomen";
- swelling of the hands and fingers;
- disturbance of sensation in the upper limbs, tingling and "pins and needles";
- shortness of breath, cyanosis of the skin;
- vomiting;
- dorsalgia persists even at rest;
- the reduction in blood pressure, bradycardia, fainting.
In this case, to postpone the visit to the doctor is impossible, since it is necessary to eliminate not only the symptoms, but the root causes that led to their events.
The left side
Among the complaints of patients can often be found left side pain under the shoulder blade. It can cause the following reasons:
- Shoulder bariatric with left-sided localization. This inflammatory reaction that affects the tissue in the immediate vicinity of humerum common. The main symptoms of the pathology are pain of a different nature, pertaining to the neck, shoulder and scapula. The pathology most often appears on the background of the injuries.
- Thoracalgia (pinched, inflamed nerve processes in costarum space). As a rule, it is about character, but often gives a lot in the subscapular region on the left side. Usually the symptoms are enhanced when changing body position or with increased physical activity.
- Recurrent pain in this area is characteristic of the occurrence of ulcers. Its intensity usually increases quickly, while the patient is sick and he opens the vomiting. The attack may occur after a meal or on an empty stomach. First impressions are 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 the left front under the ribs.
- Cartilage damage of the intervertebral discs of the spine in the cervical or thoracic spine. In addition to the pain syndrome of the distinguished symptom of this disease is a pronounced dizziness and weakness and numbness of 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 or myocardial infarction. The pain most commonly occur in the chest, but also has a reflection in the subscapular region on the left side. The patient experiences numbness of extremities and nausea.
Not in all cases, when patients complain of pain under the shoulder blade, the problem is more on the skeletal system. Often, this symptom indicates neuralgia (affecting the peripheral nerves) or myalgia (muscular hypertonicity of the cells in a state of tension or peace).
On the right side
Pain under the right shoulder blades can occur for the following reasons:
- Colic of the hepatobiliary zone. They appear in the background of obstructed outflow of bile from the body or a spasm of the smooth musculature. Sharp, cutting pain is felt in the subscapular region on the right or in the clavicle, and to encircle the quadrant, depending on the reasons for their formation.
- Subdiaphragmatic abscess. This is usually a secondary disease, complicating any primary disease in the abdominal cavity. For this pathology typical hiccups and severe pain, which is also felt in the subscapular region on the right and increases when you inhale.
- The acute form of the inflammatory process in the kidneys. The pain is dull, aching on the other side of the lower part or bottom of the blades. Patients are usually the symptom of increased fever, nausea, and vomiting.
- Myofascial syndrome. This condition implies a reflexive spasm that can occur in the different muscles. And painful sensations are viewed as the point of spasm, and in the course of the muscle fibers.
- Shingles. The causative agent of this disease is the herpes virus ⅲ type. The most common form, which begins with fever, accompanied with severe pains in the field of future eruptions. The dermatological component are manifested only after 4-12 days.
- Right-side pneumonia. If the inflammatory process affects the right lung, the pain can spread to any part of the chest and may radiate to the arms, the neck, under the scapula. The pain is usually constant and aching, and sharp movements, deep breathing or coughing increases.
Colic urinary-excretory and hepatobiliary systems are very often accompanied not only poured the pain in the stomach and dyspepsia, but also stabbing pain under the right articulation of the humerus with the clavicle, the proximal segment of the right hand, and even in the right part of the neck.
Irradiating pain
Irradiating (radiating) pain under shoulder blades can be caused by such causes, and pathological States:
- duodenitis and peptic ulcer of the duodenum;
- colic of the hepatobiliary zone;
- angina;
- necrosis of the heart muscle on the background of thrombosis of one of the arteries of the heart of the atherosclerotic plaque;
- cardiovascular disease, which is characterized by the presence of inflammatory processes in the external membrane of the heart;
- saccular protrusion of the aortic;
- spontaneous stagnation of air in the pleural region of the chest;
- inflammation of the pancreas, in the acute form;
- cramps in the kidneys;
- osteochondrosis of the cervical spine.
Dorsalgia in the subscapular region can be very diverse. The dull pain usually occurs when abnormalities in the muscles and connective tissue parts, which connect them with the bones of the skeleton. Pain pain may indicate a moderately severe processes in the ridge, in the striated and smooth muscles and in the internal organs. Such symptoms cannot be ignored, he deserves to undergo a comprehensive diagnosis and to choose appropriate therapeutic tactics.
Pregnant
During pregnancy the expectant mother is faced with the significant burden of the ridge, so she may be suffering from dorsalgia, including and according to the articulation of the humerus with the clavicle. But, if the patient before insemination was diagnosed with degenerative disk disease, in the later stages, the situation is worse.
In addition, the appearance of the pain syndrome may cause the following factors:
- compression or irritation of the intercostal nerves on the background of stress, increased physical exertion or suffering acute disease of the respiratory system;
- indolent pneumonia or pleural sheets;
- by increasing the levels of relaxin' going on the excessive relaxation of ligaments;
- increased muscle tone caused by a change of the center of gravity while increasing the fruit;
- the deterioration of the 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 intensively enough is a reason to seek help in the medical institution. Very rarely, it may be a signal of the critical status of the body, that absolutely can not be ignored.