Constant pain in the shoulder blade on the right side. Pain under the right shoulder blade from the back - causes and treatment

Most people are familiar with the feeling of back pain. What are the causes of pain? right shoulder blade from behind from behind? This question is asked quite often. Pain under the right shoulder blade is a harbinger of many different defects, since this part of the body has a huge number of nerve plexuses and endings. Therefore, when a feeling of pain appears in this area, there is not always a relationship between this pain and the scapula.

The scapula area does not have a single organ that can cause pain. As for the functioning of the musculoskeletal system, it is not always the culprit of unpleasant sensations. There are several possible options, which can become the instigators of pain in the scapula area. We'll look at which ones below.

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Etiology of manifestations

When a person begins to be bothered by an unpleasant feeling under his right shoulder blade, he must first determine its origin. This will help determine what problem has appeared in the body. It is difficult to independently determine the reason why the shoulder blade hurts, as well as where the pain actually comes from. Therefore, you need to visit your family doctor or therapist so that he can refer you to a specialist. Pain under the right shoulder blade is the first call to a person who says there may be dangerous diseases. In this situation, it is undesirable to waste time.

Negative sensations in the shoulder and under the right shoulder blade are often hidden behind serious illnesses. Very often, in the place where the right shoulder blade is located, a It's a dull pain. This most unpleasant symptom greatly affects the quality of daily work, so it is necessary to say goodbye to such a defect as quickly as possible, since in many cases painful sensations can provoke dangerous complications in the future.

To find the cause of the pain, you need to consult a doctor as soon as possible.

Modern medicine has divided all sources of pain in the scapula area into several groups, namely:

pathological bone defects;
negative changes occurring in the functioning of human organs;
inflammation in supporting and motor joints.

The culprits that provoked negative sensations under the right shoulder blade are also classified according to the painful feelings that appeared in this area:

1. Drawing pain. Such a harbinger can warn that certain ailments have appeared inside a person, acquiring chronic forms located far from the place of manifestation of negative sensations.
2. Sharp pain, stabbing in places. Gives a hint about the inflammation of such ailments as pancreatitis, cholecystitis and pleural perforation.
3. Pain radiating to the neck. A sign of gallstone disease.
4. Severe and acute pain. This is the very first bell indicating the possible development of liver disease, bile duct dysfunction and cholelithiasis.

It is necessary to understand that the negative sensation under the right shoulder blade is dangerous because it manifests itself much further from the location of the disease. And patients ignore this symptom, preferring to blame everything on a hard day at work. This is where the danger lies for the person himself.

In order to get rid of negative feelings in this area, it is necessary to apply correct therapy. Only qualified specialists can prescribe and carry out treatment. It is important to understand that therapy is carried out only after diagnosis and establishment of the true cause of the disease. Therefore, when negative feelings appear, self-medication is extremely dangerous.

Pain caused by bone defects

The human shoulder blade has the shape of a triangle. Its function is human body complex and irreplaceable, since it is involved not only in the musculoskeletal structure, but also in other very important processes. Therefore, a painful feeling in the scapula area is caused by several reasons, namely:

1. Trauma. A person may break a bone when falling. Sometimes such a defect also occurs with a displacement into the vertebral part. The first sign of this injury is a dull pain that occurs when you try to move your arm. And from the back, swelling or even a hematoma will be visually visible. In this case, a compaction will appear at the site of the injury. If the patient has all the symptoms described above, then hospitalization is urgently required.
2. Synovitis. Inflammation of the subscapularis so-called bursa. It is characterized by a sound resembling a crunch when a limb is manipulated. At the first suspicion, you should get advice, since this defect causes serious complications.
3. Osteomyelitis. May appear due to severe damage to muscle tissue pathogenic microorganisms. They enter the bone tissue, changing its integrity. If you do not seek advice in a timely manner, the consequences can be catastrophic for a person.
4. Pterygoid scapula. An illness that has a pathological form. With this disease, the shape and size of the bone is deformed. The disease can be congenital or acquired after improper treatment during healing of a fracture.
5. Tumor. A neoplasm that can be detected not only in the soft material of the body, but also in the bone. There are 2 types of tumors: benign (osteoma) and malignant (chondrosarcoma). The last of them is extremely dangerous for human life. Upon visual inspection this pathology It is impossible to detect, so only x-rays are used to establish it. It is extremely important to find out the origin of pain in a timely manner, this will serve as the key to a person’s recovery.
6. Bone tuberculosis. This disease can affect the entire human skeleton or just the shoulder blade. This disease is detected through an MRI examination or tests.
7. Hypertonicity. This defect appears in people whose work directly depends on heavy physical activity, or in people who spend a lot of time in a sitting position. First sign of this disease- This is a constant aching pain under the right shoulder blade.

People tend to underestimate the seriousness of these diseases, and attribute the unpleasant sensations that appear at the location of the shoulder blade to a normal muscle strain. It is precisely this kind of negligence towards one’s own health that costs the patient very dearly in the future. It is important to remember a simple truth: the appearance severe discomfort- this is a harbinger of negative processes occurring in the human body. And the sooner the patient receives consultation, the greater the hope of getting rid of the disease without consequences.

Back pain in the area of the shoulder blades - possible reasons and treatment methods

Painful sensations as a result of inflammation of internal organs

Very often a person feels pain in the place where the shoulder blade is located. This may be a sign of an inflammatory process in one of the organs due to the fact that the scapular region is concentrated a large number of nerves. In such a situation, pain at the location of the shoulder blade will be a message to the person that there is a problem in his body that requires immediate intervention.

There are a number of organs and their ailments that trouble a person with severe pain on the right side under the scapula, namely:

1. Gallbladder. Acute pain, resembling a seizure, appearing as a result of colic in bile ducts. If the duct is blocked due to a stone, a spasm appears, radiating from the side of the scapula and moving to the right hypochondrium.
2. Subphrenic abscess. With the formation of such a defect, the patient is bothered by severe pain under the right shoulder blade. A sign of such a disease is an increase in a person’s body temperature, a state of weakness, and the appearance of a spasm with every breath and movement of a limb.
3. Bronchitis and pneumonia. When the respiratory organs become inflamed, painful sensations appear that spread to the shoulder blade. The thing is that all diseases belonging to this group are accompanied by a severe cough.
4. Kidney diseases. The appearance of salts and kidney stones can cause colic. This disease often provokes pain in the right shoulder blade. And to confirm that the radiating pain belongs to this particular disease, you can easily slap the area where the kidneys are located. And if severe pain appears, then the culprit is obvious.
5. Intercostal neuralgia. On this moment is a fairly common disease. Accompanied by sharp and sudden pain in the lower back, radiating to the shoulder blade, and dull and aching pains radiating between the ribs. The main problem is pinched roots or a viral infection. It is quite easy to identify this defect; for example, pain may appear on palpation. Almost always, unpleasant discomfort manifests itself during sneezing, deep breaths and during physical activity.

If a person is worried about pain in the area of the shoulder blade, these symptoms should not be ignored, since such a negligent attitude towards one’s own body is fraught with complications.

Disorders of the musculoskeletal system

Diseases of the musculoskeletal structure can be the culprits of painful sensations radiating to the right shoulder blade. The culprit may be either an inflammatory process or pinched nerve processes in the vertebra.

Osteochondrosis. The appearance of this defect is marked by a slight negative feeling under both shoulder blades. This disease Severe pain is not typical. Basically, the pain is not severe, it goes away if you simply change the position of the patient’s body.

Scoliosis. A chronic defect characterized by curvature of the vertebra. People who have become the owners of this disease feel pain under both shoulder blades, which sometimes radiates into the arm.

Intervertebral hernia formed at the location of the chest. This disease can manifest itself as a result of constant and heavy loads on the vertebra. With prolonged physical labor, wear occurs on the discs. If the culprit is a hernia, then negative discomfort will radiate not only under the right shoulder blade, but also to the chest and shoulder.

How to identify the culprit of discomfort?

It is almost impossible to “find the culprit and neutralize it” at home. Therefore, in order to understand the origin of pain in the back of the shoulder blade, you must definitely go to the doctor. Do not forget that by engaging in “shamanism”, you can not only not cure the disease on your own, but also receive serious complications as a bonus.

Therefore, in order to get rid of painful symptom, you need to visit specialists. We look at which ones exactly below:

cardiologist;
gastroenterologist;
traumatologist;
neurologist.

Initially, the patient makes a visit to his general practitioner. He will perform an initial examination, and then, based on the data obtained, decide which doctor to refer the patient to.

Conclusion on the topic

A person’s health is only in his hands. And if pain occurs, then this is the first sign that negative processes are occurring in the body. In fact, pain is a signal for certain actions that a person must take. close attention. It is always necessary to remember that the disease is much easier to cure if you seek help in a timely manner.

As described above, pain under the right shoulder blade can “speak” of many diseases, and some of them are very dangerous not only for a person’s health, but also for his life. Therefore, it is very important to seek help from a specialist in time to prevent the most dangerous complications. Take care of yourself and your health!

Pain under the shoulder blades is often not a sign of any separate disease shoulder blades

As a rule, such a symptom indicates the development various pathologies in organism.

Timely diagnosis of pain under the shoulder blades will help the doctor choose the most appropriate treatment.

Pain in the back under the left shoulder blade: symptoms and diagnosis

Pain under the left shoulder blade is characterized by the following symptoms:

1. Aching (squeezing) pain that becomes stronger when walking.

2. Cutting pain, attacks of which can appear even in a supine position.

3. Attacks of acute tingling pain, which become more pronounced when running and frequent deep breathing (this usually occurs in athletes during training).

4. Compressive pain that increases when you raise your arms up.

To diagnose diseases associated with pain under the left shoulder blade, the following examinations are prescribed:

X-ray of the lungs;

ECG of the heart;

CT scan;

Ultrasound abdominal cavity;

Blood test for sugar levels;

General urine analysis.

The most common causes of pain under the shoulder blade (left) are the following diseases:

1. Development of stomach ulcers. With a chronic ulcer, pain under the shoulder blade in a person can develop gradually and be periodic. When the ulcer worsens, on the contrary, the pain will be shooting and stabbing. Also, in this condition, a person may experience frequent nausea and vomiting.

2. Often psychological problems, especially vegetative-vascular dystonia, cause pain under the shoulder blades. A person may also feel shortness of breath, heat in the chest, heaviness throughout the body and pain in the heart. Sometimes attacks are accompanied by trembling and pain in the neck, which radiates to the shoulder blades.

3. Heart attack and others serious illnesses hearts may cause severe pain. In this condition, the patient needs urgent hospitalization.

4. Osteochondrosis, usually characterized by a dull pain in the lower neck.

5. Pinched nerves can cause a person not only pain under the left shoulder blade, but also pain when walking, coughing and lifting heavy objects.

It is important to know that in addition to the above diseases, pain under the shoulder blade on the left side can be caused by:

1. Diseases of the musculoskeletal system:

Trauma or severe bruise shoulder blades;

Spinal injury;

Fracture of a rib or several ribs;

Myofascial syndrome;

Neck injuries;

Neck sprain;

Sprengel's disease.

2. Diseases respiratory system:

Chronical bronchitis;

Severe pneumonia.

3. Heart diseases:

Arrhythmia;

Acute angina;

Aneurysm;

Bradycardia.

Pain in the back under the right shoulder blade: diagnosis

Pain under the right shoulder blade indicates a possible development serious illnesses.

To determine the cause of unpleasant sensations under the right shoulder blade, you need to come to the following: diagnostic procedures:

Fluorography;

X-rays of light;

Ultrasound of the abdominal cavity;

General blood analysis;

General urine analysis.

Pain under the right shoulder blade is most often caused by the following diseases:

1. Osteochondrosis can cause pain in the shoulders and head. Osteochondrosis often manifests itself as dull pain, localized in the area of the shoulder blades.

2. Myocephalic syndrome. It is one of the types of chronic muscle pain. These sensations are associated with hypersensitive points located on the muscles. When they are pressed, a person feels deep muscle pain and stiffness. shoulder joint. In addition, myocephalic pain can spread anywhere (any part of the body).

3. Diaphragmatic abscess(characterized by very acute and cutting pain under the right shoulder blade during inhalation).

4. Right-sided pneumonia, which was not treated in time, can cause complications in the form of pain under the scapula. It can also cause additional symptoms such as cough and elevated temperature bodies.

5. Gallstone disease is characterized by a very acute pain syndrome that spreads to the shoulder area and right shoulder blade. Also, sometimes it can negatively affect the functioning of the heart, causing a person to acute attacks angina pectoris.

6. Herpes zoster can cause long-term pain localized under the right shoulder blade. This disease manifests itself as a rash on the skin. It's caused by a virus chickenpox. Despite the fact that herpes zoster is not a threat to human life, it can provoke the occurrence of severe pain in the muscles, including under the right shoulder blade.

7. Kidney disease (nephritis). These diseases can be recognized by painful urination, and indicators of general urine analysis.

8. Oncological diseases are the most dangerous diagnoses, the success of treatment of which largely depends on timely diagnosis. As a rule, the development of tumors is accompanied by weakness, fever and severe pain.

There are a lot of diseases that can cause pain under the right shoulder blade. As a result, the attending physician must collect a complete medical history before starting treatment.

First of all, the patient is checked for oncological pathologies. If the problem is different, then doctors continue the diagnosis until the root cause of the pain under the shoulder blade is discovered.

Pain in the back under the shoulder blade: how is it treated?

Treatment for pain under the shoulder blades depends on the person’s specific illness.

General drug treatment provides for the prescription of the following drugs:

1. Analgesics to reduce pain.

2. Anti-inflammatory drugs.

3. Antipyretic drugs (if high temperature in the patient).

If a patient has problems with the stomach (exacerbation of an ulcer) or pancreas, then he is prescribed antiulcer medications, as well as drugs that will promote better absorption of food.

In addition, the patient must follow a strict diet so as not to worsen his condition further. To do this, he should stop taking the following products:

Smoked meats;

Sausages;

Semi-finished products;

Fatty and fried foods;

Cakes, sweets and other confectionery products;

Carbonated drinks.

The basis of the diet for stomach diseases and digestive tract should include vegetable side dishes, porridges, dried fruit infusions and soups. Meats you can eat include chicken, beef and rabbit. From fish - only low-fat varieties.

When diagnosing diseases of the respiratory system (bronchitis, pneumonia, etc.), the patient is prescribed various antibacterial and mucolytic drugs. In addition, the patient is recommended to do steam inhalations and maintain bed rest.

If the cause of pain under the shoulder blades is osteochondrosis, then the patient is prescribed physiotherapy in the form of magnetic therapy, massage and treatment with healing waters. In addition, with this diagnosis, it is recommended to regularly do therapeutic exercises and take calcium.

For psychological problems (VSD, neuroses, depression) that provoke pain under the shoulder blades, the patient is prescribed sedatives and antidepressants. Also, the patient is recommended to undergo hypnotherapy sessions and consult with a psychotherapist.

If the pain under the shoulder blade was caused by the development of a tumor, then in this case the patient must be urgently hospitalized and undergo a biopsy. Based on its results, the patient will be prescribed radiation therapy or chemotherapy.

For kidney diseases, diuretics and anti-inflammatory drugs are used.

The duration of therapy for pain under the shoulder blades depends on the severity of the disease and general condition patient.

Pain in the back under the shoulder blade - how to prevent complications

In order not to cause complications due to pain under the shoulder blades, you must adhere to the following tips:

Do not put off going to the doctor for too long, even if the pain under the shoulder blades is periodic, but not very acute (over time, even mild pain can develop into unbearable);

Treat diseases in a timely manner, complications of which can cause pain under the shoulder blades (especially for diseases of the respiratory system);

Lead an active lifestyle (moderate load on the body will reduce the risk of developing osteochondrosis and arthritis several times).

Painful sensations under the right shoulder blade not only cause discomfort to a person, but can also signal the presence of a serious pathology.

To correctly diagnose a disease, it is necessary to describe as clearly as possible clinical picture, identify the nature of the pain, establish the cause of the disease. Competent treatment can only be prescribed by a competent specialist after studying the patient’s medical history.

In the area of the scapula from the back of the back it can manifest itself in different ways, have a different character and degree of severity. As a rule, during the initial examination, the doctor asks the patient how it hurts, after which it happens, how long the pain lasts. All this helps to form a clinical picture.

Constant aching pain can occur if a person has taken an uncomfortable position or spends a long period of time with his head tilted down. This symptom is typical for those who lead a sedentary lifestyle. This mainly applies to office workers who spend a lot of time at the computer.

Severe, acute pain on the right side in the area where the shoulder blade is located will manifest itself when coughing, sneezing, or intensively inhaling air. Sharp, lightning-fast pain can occur if a person makes a sudden movement or engages in heavy physical labor.

Nagging pain may be present constantly; it intensifies if the patient changes position or accelerates in movement. The pain, which is dull in nature, worsens when changing the position of the body and head, during coughing and sneezing, can radiate to the arm on the corresponding side.

Important: colic under the right shoulder blade has no relationship with existing pathologies and is considered a disorder in the field of neurology. They appear spontaneously and also disappear unexpectedly without the use of therapy.

The pulsating sensations can increase, causing severe, unbearable pain to the patient. They go away if you take a lying position.

Concomitant pathologies

Painful sensations are only a symptom that is provoked by existing diseases. To eliminate unpleasant symptoms, it is necessary to identify the cause. Let's consider the classification of diseases that cause pain of a different nature in the area under the scapula with right side.

Blunt pain

Dull pain on the right side of the shoulder blade can be caused by the following factors:

Muscle spasm of the scapular nerve on the right side.
Illnesses nearby internal organs.

Experts identify the following diseases that are characterized by this symptom:

Pyelonephritis.
Cholecystitis (chronic or during the acute period).
Oncology of the kidney (right), in the pancreas.
Cirrhosis of the liver.

If the pain becomes prolonged, then we can talk about serious dysfunction of the gallbladder or right kidney. If a patient suffers from pancreatitis, then the pain occurs suddenly, the patient can neither sleep nor just lie quietly. Every movement leads to severe pain and discomfort. With pyelonephritis, pain moves into the chest area.

Aching and nagging pain

Aching pain, characteristic of increased tingling and pulling sensations, is a signal that the spine is not functioning properly and there are serious problems.

If there is a strong pull in the area of the right shoulder blade and under it, then diseases such as:

Chondrosis.
Spondylosis.
(disorders of the joints).
(dystrophic-degenerative disorders of the lumbar region).

Important: One of the most terrible diseases with such symptoms is spinal osteoporosis.

Osteoporosis – pathological process that leads to change bone structure, she becomes too thin, fragile and vulnerable. As the disease progresses, the risk of fractures increases significantly.

Following the statistical data, it can be noted that osteoporosis occurs in 51% of the female population and 34% of the stronger sex, mainly older people suffer from the disease, much less often the pathology is diagnosed at a young age.

The disease poses a huge danger because it has virtually no severe symptoms in the early stages. In fact, the disease is diagnosed at the moment when a fracture has already occurred.

Osteoporosis of the spine begins to develop with a decrease in the level of activity of the functioning of osteoblasts, cells that carry out the process of renewal in bone tissue. This occurs due to the increased work of osteoclasts, cells that prevent the reconstruction of the bone structure by destroying it.

Thus, tissues are subject to rapid destruction, after which they do not have time to fully recover. This is why bones become so fragile, such osteoporosis is typical for people with low bone turnover. High bone turnover occurs only in women, as it is characterized by a decrease in estrogen in the blood plasma.

The onset of the development of spinal diseases can be facilitated by:

Lack of physical activity, refusal to play sports.
Passive lifestyle, professional activity, which involves constantly being in front of a computer.
Too little body weight.
Calcium deficiency in the body.
Genetic predisposition.
Constant consumption of caffeine.
Low immunity, loss of protective functions.
Permanent colds, contributing to the weakening of the body.
Constant stress, chronic fatigue.
Lack of sleep.

As a rule, pain in the scapular area on the right side is not the only sign of spinal pathology. There will also be headaches and numbness in the limbs.

Acute pain

Acute pain usually involves severe burning and tingling. In most cases, the cause is serious damage to internal organs. The category of the population who suffers from violations heart rate, diseases of the vascular system, digestive pathologies and imbalance of intestinal microflora.

Acute pain localized under the shoulder blade on the right can develop due to:

Colic in the liver.
Acute cholecystitis.
Kidney stones.
Biliary dyskinesia.
Subphrenic abscess.
Mechanical damage to the abdominal organs.

Important: may radiate to the scapular part during internal abdominal bleeding. In this case, vomiting, diarrhea, and fever may occur.

Throbbing pain

Throbbing pains have strong pressure to the scapular area. They may indicate the presence of an abscess or renal colic. Levels may drop sharply blood pressure and the pain will intensify.

Pulsation usually occurs along with sharp pain. The cause may be a serious illness such as pneumothorax. It is important to contact a qualified doctor in time.

Pain with burning

Often severe pain symptoms are accompanied by a burning or tingling sensation. As the patient's illness progresses, the pain intensifies, sometimes becoming constant and unbearable.

With pain of this nature, the following pathologies may be present:

Intervertebral disc displacement.
Manifestation of pancreatitis.
Pinching in a nerve root.
Advanced pneumonia.
Angina pectoris.
Violation motor functions gallbladder.

The listed ailments require immediate hospitalization and initiation of appropriate treatment.

Diseases of the digestive system – pain on the right under the shoulder blade

Pain localized in the scapula on the right, radiating to the back from behind, can be caused by diseases of the digestive organs. Doctors include the most common causes of such symptoms:

Diagnostic methods

From what was written above, it follows that pain under the shoulder blade on the right side can be a sign of various diseases, blows, falls, mechanical damage internal organs. So that the doctor can quickly determine the type of disease and the nature of the pain, the patient can help supplement the anamnesis if he can correctly describe his sensations.

Necessary:

Before going to see a doctor, try to clearly formulate your thoughts and remember your previous condition.
It is most accurate to determine those areas of the body where pain is most pronounced.
Try to understand whether the pain really radiates to other areas of the body or is localized in one area.
Describe the sensations, tell the doctor what kind of pain occurs (dull, sharp, aching, sharp, constant, periodic, shooting, etc.).
Remember under what circumstances the pain syndrome intensifies, what movements cause discomfort.
Identify the presence of accompanying symptoms.

As a rule, a specialist prescribes a series laboratory research including general urine and blood tests. This helps to determine the presence of an inflammatory process inside the body and determine the degree of its severity. Ultrasound and x-rays determine the presence of deformations and pathologies.

Remember that during diagnosis, the smallest detail matters. Help your doctor prescribe the right treatment for you.

Treatment methods

Therapy should be comprehensive and aimed not only at eliminating symptoms, but also directly eliminating the causes. Pain under the shoulder blade can be the cause of a wide variety of diseases. That is why it is necessary to consult a doctor and full examination.

If a person has spinal disorders and an inflammatory process is present, the doctor may prescribe analgesics, corticosteroids, chondroprotectors, and anti-inflammatory drugs.

At neurological pathologies Doctors advise using warming ointment and anti-inflammatory gel. For example, “Voltaren”, “Fastum-gel”, “Diclofenac”. Pain-relieving patches that provide heating to the damaged area are also considered effective.

If a fracture of the scapular neck occurs, it is necessary surgical intervention doctor During the operation, the abscess that has arisen under the diaphragm, which is the source of pain, is removed.

Infectious diseases causing pain under the shoulder blade on the right, are treated by using antibacterial medications. If the doctor has diagnosed “scapular tuberculosis,” then anti-tuberculosis medications are used.

If you have kidney, liver or gall bladder diseases, the doctor advises taking a course of antispasmodics and analgesics. When stones are found in the genitourinary system, they try to do everything so that they come out naturally.

After the pain symptom has been eliminated with medication, Doctors advise to consolidate the result and prescribe exercise therapy, physiotherapy, and acupuncture.

Acupuncture

Acupuncture came to us from ancient China, where the method of acupuncture was considered traditional way treatment various diseases. Today, many doctors resort to this method to eliminate pain in the patient’s back, under the ribs, in the shoulder blades, in the lower back, etc.

During the procedure, a specialist inserts needles into specific areas of the body. Studies have shown that the insertion of a needle ensures the restoration of blood through the capillaries and releases biologically active substances that activate the restoration of damaged cells.

For pain under the shoulder blade, acupuncture helps to relax tense muscles, relieve spasms and restore cellular balance.

Physiotherapy

Physiotherapy offers a huge arsenal of methods for treating ailments that cause pain under the shoulder blade. Experts divide physiotherapy into the use of electrotherapy and exercise therapy.

(therapeutic Physical Culture) – a whole therapeutic complex, including physical exercise and massage that promote active recovery after various diseases.

When a doctor prescribes exercises, he takes into account the type of disease, the nature of the pain, the form of the disease and the severity of the pain syndrome. basis therapeutic therapy Exercise therapy includes physical activity, which is performed strictly under the supervision of a doctor and prescribed individually.

The lesson is divided into two stages:

General training that promotes healing and strengthening of the body.
Special exercises that eliminate disorders and causes of illness.

Electrotherapy is aimed at improving blood circulation in deep tissue and eliminating muscle block, which is the main source of pain in the scapula area.

Most often, patients are prescribed electrophoresis, which improves conductivity levels nerve fibers periphery. The use of infrared laser and magnetic therapy is widespread, which significantly reduce pain and relieve swelling.

The French current “Darsonval” will relieve itching and spasms. Another method, phonophoresis, provides high-frequency ultrasonic vibrations, relieves inflammation and performs micromassage at the cellular level, which increases the elasticity of soft tissues.

Useful video

Watch this video on the topic: Pain under the shoulder blade

Conclusion

The most important thing is to identify signs of pathology in time and consult a doctor. Self-medication can aggravate the course of the disease and change the clinical picture. Only a doctor can prescribe proper treatment.

Sooner or later, we all experience pain under the shoulder blade on the right side of the back.

But the cause of the disease can be different: osteochondrosis, joint pathology, heart problems or simple hypothermia.

Usually, what hurts on the side of the right shoulder blade or in the muscles, we attribute to awkward position during sleep or for long periods of time at the computer.

Although there is often sharp and sharp pain between the shoulder blades, redness or swelling in the back may indicate diseases that are not related to the spine.

Reasons and background

The causes of pain in the right shoulder blade are divided into two categories:

Diseases of the spine and bones;
Problems with internal organs.

The influence of internal organs on the spine

If the right shoulder blade is pulled, it aches, the pain is dull, aching, then the cause may lie in a fracture or injury to the bones. But this rarely happens. Usually it is infections and inflammations that are diagnosed.

Changing Hue skin on the shoulder blade

Then the usual symptoms are added:

Heat;
Weakness;
Change in skin tone at the site of the lesion;
Feeling like the right shoulder blade is being pulled.

We should not exclude tumors that develop in lymph nodes, on bone tissue or in the muscles. Therefore, it is important to go to the hospital when the first symptoms appear.

Pain in the shoulder blades can be:

Strong;
Short term;
Long lasting;
Periodic;
Aching and dull;
Sharp and sharp.

If the right side of the back, under the shoulder blades, hurts for a long time, but periodically, then the problem may lie in:

Inflammation of the gallbladder, then pain appears on the right under the shoulder blades and ribs, sometimes accompanied by nausea or vomiting;
Inflammation genitourinary system and kidney stones. Then aching pain appears on the right under the shoulder blades, radiates into the muscles, and proceeds along with high fever and vomiting;
Ulcers and stomach pathologies. Then patients consult a doctor because of other pronounced symptoms;
Damage to the pleura due to trauma;
Abscess and inflammation of wounds, injuries under the shoulder blades, ribs, on the right side of the back. This phenomenon is characterized by dull and aching pain, but often symptoms do not appear at all;
Lung diseases (inflammation, pleurisy, cancer, pneumonia);
Damage to the spine and joint pathology, such as osteochondrosis or rheumatism, scoliosis. This is precisely the main cause of pain under the scapula, on the right, but its nature depends on the disease and stage.

Where to go for help?

Severe pain between the shoulder blades requires immediate medical attention.

A visit to the hospital begins with a therapist, because there can be several causes of the disease. If lung diseases are ruled out, then you need to go to an orthopedist, traumatologist, neurologist and gastroenterologist.

They suggest going through the following tests and diagnostics:

General analysis of urine and blood;
Cytological analysis;
X-ray or tomography;

Photos on the topic:

Only on the basis of all these tests can the cause be established and treatment prescribed.

Pain treatment

You can get advice on the treatment of pain between the shoulder blades or under the shoulder blade on the right side of the back from a certain specialist after tests (cardiologist, traumatologists, surgeon).

They usually prescribe painkillers that relieve only the main symptoms.

Therefore, treatment also includes:

Taking anti-inflammatory drugs;
Physiotherapy, magnetic therapy;
Massages and hardware procedures;
Manual therapy;
Diet and giving up bad habits;
Operations.

It is better to use combination therapy, which includes several techniques. But you can choose between them only after the doctor has grown up. Sometimes hospitalization and treatment of floor pain with shoulder blades in a hospital setting are required.

Differences in shoulder blade pain

If there is a shooting or pulling in the area of the shoulder blades, a strong tension is felt, then the cause can be determined by the location of the foci of inflammation.

This is how discomfort arises:

To the right and left of the shoulder blades;
Between the shoulder blades;
In the shoulder blades themselves.

Photo gallery:

In the first case, inflammation and problems with internal organs (heart, lungs) are common causes.

If pain occurs on the left, between the shoulder blades, then the reasons lie in:

Deformities of the spine and bones;
Stretching;
Nerve damage;
Problems with breathing and aorta;
Inflammation of the lymph nodes;
Problems with the kidneys or intestines.

Useful video:

If you feel pain under the shoulder blade, pain and discomfort on the right or in the back intensify, it becomes difficult for you to breathe, you need to urgently call ambulance. After all, this indicates the worsening of the disease and its development.

If problems worsen during deep breathing or movement chest, then the reason lies in tuberculosis, pneumonia, scoliosis and myositis.

Why do the pains become strong and sharp?

If acute and sharp pain appears from the back of the right shoulder blade, we can talk about spasm of the gallbladder and blockage of the channels with a stone. Exactly right rib suffers the most. And the patient is also susceptible to high fever and vomiting.

If there is a kidney problem or an abscess, the pain may radiate to the abdomen, shoulder, or lower back. Then it appears frequent urination, numbness, problems with sensitivity.

Sometimes pain under the shoulder blades or between they arise for the following reasons:

Injuries and fractures of the scapula;
Pathology of the pterygoid scapula after paralysis, sports or gymnastics;
Osteomyelitis due to severe bone damage.

Characteristics of the causes of pain under the scapula

If you experience pain under the shoulder blade, between the shoulder blades or on the back, you should not put off visiting the hospital for long, but go to the doctor immediately.

Often the cause is injury or myositis, but sometimes it is much more serious. But even at home you can determine why the pain arose on the right side of the back, under the shoulder blade.

Video from an expert:

Let us immediately determine that the bone looks like a right triangle that covers the muscles from the back and the lung from the front of the body. Many capillaries, veins, and nerves pass between it.

Causes of pain and their classification

Below in the table we will talk about the causes of pain and their characteristics. Often this helps to independently determine the cause of the problems.

Cause	Manifestations
Injuries and damage	Pain under the shoulder blade appears due to its fracture or complete destruction, which often provokes a strong blow. This is accompanied by problems with the functioning of the hand.
Infections and inflammation	Infection occurs through muscle tissue or hematogenously. Then ulcers form on the shoulder blade or in the spaces between the tissues, an increase in temperature, weakness and dull pain are observed.
Tumor	A new growth develops on the bone tissue, gradually destroying cartilage and bones. Pain may appear on late stage illness, then it aches and makes breathing difficult.
Osteochondrosis	Accompanied by destruction of discs and vertebrae, discomfort and acute pain when moving the scapula.
Protrusion	Develops due to loss of elasticity of the fibrous ring, cracks and gaps between the bones. Therefore, pain does not appear immediately and is characterized by sharpness and severity.
Hernia	When a hernia develops, the pain intensifies when you inhale, and even painkillers are not able to relieve them.
Ankylosing spondylitis pathology	Fusion of the vertebrae occurs, when discomfort in the area of the shoulder blades increases every day.
Rib injuries	The bone can then put pressure on the shoulder blades, causing back pain.
Neuralgia in the ribs	Develops due to pinched nerve, inflammation and lumbago. The pain is sharp or aching.
Pneumonia	In this case, pain appears during coughing or deep breathing.
Colic	Pain on the right side under the ribs is considered the most striking symptom of liver colic.
Abscess	Observed during complications peptic ulcer, then the pain becomes nagging and aching.
Inflammations and stones in the genitourinary system	Sharp and sharp pain radiating to the lower abdomen and back.
Heart problems	Pain in the shoulder blades and under the ribs occurs due to arrhythmia or myocardial infarction.
Furunculosis	Pain occurs on the shoulder blade itself due to the appearance of an abscess, wound or ulcer.

Pain under the shoulder blade

If the pain under the shoulder blade appears on the left, then the problem is much more serious.

But even discomfort on the right side can indicate:

Osteochondrosis;
Inflammation in the neck, pinched nerves, when the pain radiates to the shoulder blade;
Periarthritis;
Intercostal neuralgia;
Oncology.

Then it is necessary to pay attention to other symptoms that simplify diagnosis. But the conclusion is made only after passing the tests.

Diseases of the organs and their connection with discomfort on the right side

In the case when pain occurs under the right shoulder blade, but the cause is diseases of the respiratory or digestive organs, then the following can be distinguished:

Heart attack, accompanied by acute, sharp and shooting pain;
Aortic aneurysm, when the discomfort is most felt on the right, from the back;
Pleurisy, when in addition to pain, breathing difficulties arise;

Photos of diseases:

Severe pain

Much can be said by the characteristics of the pain on the right side.

And if it is strong, sharp and sharp, then the reason is:

Cholecystitis;
Pinched nerves and inflammation;
Renal colic;
Rupture of the pleura due to damage or trauma.

Pain under the right shoulder blade from the back is one of the types of symptoms of diseases of the internal organs, the localization of which is far from the source of inflammation.

To understand what reasons caused similar condition, you need to learn to distinguish pathological pain from minor lumbago.

When the disease is not to blame

Experts believe that pain most often occurs under the right shoulder blade at the back in people who lead a sedentary, sedentary lifestyle. It is enough for a person of unathletic build to strain his back a little, and the next day he will feel unwell.

The nature of such pain is more likely to refer to muscle lumbago or spasms and is relieved by massage of the affected muscles. At risk are:.

Having crossed the forty-year mark, almost each of us knows the cause of the aching pain in the sternum and under the shoulder blade on the left side. In eighty percent, the back or heart thus signals any interruptions in its work or basic overwork.

But the causes of pain under the shoulder blade on the right side usually remain beyond our understanding. As a rule, in this area there are so-called irradiating pains, which are localized at a distance from the source of inflammation.

But an experienced specialist is quite capable of finding out the real reason discomfort in this area.

Causes of pain under the right shoulder blade

What does this mean? Pain localized under the right shoulder blade from the back is most often a sign of the following diseases:

Also, the cause of discomfort under the right shoulder blade can be determined by the nature of the pain in this area:

Aching pain under the right shoulder blade is a sign chronic processes, which develop in organs located far from the localization of pain.
Severe pain under the right shoulder blade is a symptom of exacerbations of many diseases: pancreatitis, cholecystitis, an attack of hepatic colic, pleural perforation.
The pain radiates under the right shoulder blade - this is possible sign gallstone disease.
Acute pain under the right shoulder blade can be a symptom of hepatic colic, cholelithiasis, or dysfunction of the bile ducts.

Pain under the right shoulder blade is dangerous because it usually appears far from the location of the pathology. This is due to the presence of many nerve endings here, through which the signal is transmitted from the sore spot.

Due to this phenomenon, called reflection or repercussion syndrome, it can be quite difficult to establish the true cause of such pain.

Intercostal neuralgia

A widely known disease is intercostal neuralgia. It manifests itself as acute, sudden pain in the back, similar to a lumbago, as well as dull aching pain, spreading along the intercostal spaces.

A common cause of this phenomenon is pinched roots or viral neuroinfection. Characteristic of this disease is pain when palpating the painful area, as well as increased pain during physical exertion, deep breaths, sneezing.

If you experience even slight pain in the shoulder blade area, it is recommended to be examined by a therapist. The fact is that diseases of the internal organs also have other symptoms (nausea, tingling, fever), so the first thing the therapist will do is prescribe a detailed blood and urine test.

Based on the test results, one can judge the presence of inflammation or its absence.

The presented symptom may indicate the presence of various diseases. This may be osteochondrosis, gastrointestinal dysfunction, inflammation respiratory tract, formation cancerous tumors on the back.

Pain syndrome takes on a sharp, wearing, pulling, sometimes shooting character or is accompanied by a burning sensation. To cure this condition, it is necessary to eliminate the provoking factor.

Therefore, you cannot get rid of it with painkillers alone.

Burning

The main reasons are:

If a person has pain in his right shoulder blade, first of all it is necessary to determine the nature of the pain. This will allow you to more accurately determine what problem the body is trying to signal.

Experts say that this sign may show several serious ailments that belong to different categories of diseases. For example, pain under the right shoulder blade from the back can be caused by a problem in the musculoskeletal system or bone tissue pathology.

Types of pain under the shoulder blade on the right

Strong pain:

By type of pain there are sharp, dull, constant, aching, cutting:

Acute, burning pain is promoted by osteochondrosis, cardiac ischemia, pancreatitis, exacerbation of ulcers, neuralgia, increased physical activity;
Paroxysmal in pre-infarction syndrome, gastric ulcer;
Blunt for pleurisy, scoliosis, initial osteochondrosis, pneumonia;
Constant, worsening with inspiration, lifting weights: tuberculosis, pleurisy, bilateral pulmonary pneumonia, cancer;
Cutting for heart disease, neuralgia, pathology in the lungs.

The intensity of the pain can vary depending on the position of the body, when stretching the left arm to the side or lifting it up.

It can be a pulling sensation downward in the lower back or against the background of vomiting, and appear sharply and briefly. In case of cardiovascular diseases, it radiates to the heart area, intensifies when coughing or taking a deep breath.

Read about bursting pain in the right hypochondrium here.

Symptoms that occur with pain under the shoulder blade on the left:

Sharp pain under the shoulder blade on the left side

Acute pain in the left back can usually appear with sudden physical strain or excessive physical exertion. Acute pain tends to subside at rest, but it can also return with the slightest sudden movement or with a load that can irritate the damaged back muscles.

Acute pain in the scapula area can also be a symptom of the development of angina pectoris, in some cases a symptom of perforation of an ulcer. But there are also cases of left-sided protrusion of one of the intervertebral discs.

Aching pain under the left shoulder blade

These types of pain usually occur when the following diseases:

1 Gastritis

2 Osteochondrosis

3 Inflammatory processes

4 Pyelonephritis

Almost always, aching pain is a consequence of the development of a long, permanent, chronic course of any disease.

READ ALSO: Tumor of the lumbar spine: symptoms

Severe pain under the shoulder blade on the left

Severe pain in the left shoulder blade is usually observed with diseases such as:

1 Pancreatitis

2 Intercostal neuralgia

3 Osteochondrosis

4 Ischemic disease hearts

If very severe pain appears under the shoulder blade on the left, then you need to seek the help of a doctor as soon as possible, because in some cases this may be a symptom before a heart attack or a consequence of an exacerbation of a stomach ulcer. In many cases, very severe pain in the left shoulder blade is accompanied by a burning sensation.

Diagnosis of diseases

In order to find out why your back hurts in the shoulder blade area, you should contact a therapist for an initial examination and conduct a full examination. After this, it will be much easier to find out the causes of pain.

The doctor conducts a visual examination, clarifies the nature of the pain, prescribes an ultrasound of the internal organs and the necessary tests.

After all the results are received, treatment will be carried out by a highly specialized specialist - a cardiologist, nephrologist, urologist or other doctor.

It is important for doctors to identify the root cause, what contributed to the appearance of severe pain under the left shoulder blade on the back. The patient will be offered a series comprehensive surveys: urine (blood) tests, biopsy (to rule out or confirm possible development oncology, other infectious, heart diseases).

Pain may well cause the development of myocardial infarction and neurological disorders that require urgent intervention from experienced doctors.

When collecting anamnesis, the doctor pays attention to the connection between pain and physical activity, food intake, stress, and also clarifies concomitant chronic and recent diseases.

Treatment

If there is pain on the right side under the shoulder blade, and the cause is internal organ disease, then treatment is aimed at eliminating the main source of the lesion. After treatment of the cause of the disease gives positive results, pain in the back under the shoulder blade will begin to go away.

Eliminate unpleasant symptoms is possible only after determining the cause that caused the appearance of this condition. And no matter what painkillers you use, you will not achieve relief if you do not eliminate the provoking factor.

To make an accurate diagnosis, the patient will have to undergo an examination, the results of which can determine the problems causing pain under the right shoulder blade. This will help in more short time relieve the patient of discomfort.

In order to speed up your recovery, it is advisable to visit the following specialists:

Traumatologist.
Neurologist.
Cardiologist.
Gastroenterologist.

However, the first thing you should do if you experience pain under your shoulder blade when inhaling is to visit your local doctor. After the examination, he will prescribe the most necessary tests, and can also immediately write out certain group medications that will help relieve pain at the first stage while a more accurate diagnosis is established.

Based on the first symptoms, it is not always possible to accurately determine what caused the pain under the right shoulder blade. Therefore, you should not choose a treatment method on your own; it is best to entrust this matter to a specialist.

The process of treating pain under the shoulder blades requires the patient to visit a group of specialists in different fields. You will have to hear the professional opinion of a therapist, neurologist, as well as a cardiologist, traumatologist and gastroenterologist.

And regardless of the reason that caused the pain, most often experts will recommend you change your daily routine and diet.

Conservative treatment methods

Many diseases can be effectively treated using conservative methods, among which the following have proven themselves to be effective:

You need to understand that the primary elimination of pain is not full treatment. Only by eliminating the root cause can you forget about pain under the right shoulder blade.

Self-medication should be completely controlled by specialists, since uncontrolled use of painkillers can only lead to aggravation of the situation, delaying the healing process and reducing the chances of completely getting rid of the disease.

In some cases, aching nagging pain The scapular region is noted during muscle sprains, which is caused by its strengthening and stiffness of the diseased area at the time of movement. You can get rid of such pain with the help of ointments, creams and rubs that are intended for this. Good fit:

Sinoflan;
Fastum-gel;
Relief;
Heparin ointment;
Diclofenac.