Why back hurts between the shoulder blades?

Pain in the back between the shoulder blades, is not a separate disease — it is just a symptom of a fairly broad spectrum of pathologies: these include disorders of the spine and muscle-tendon system and the nerve roots, "responsible" for this section.

Pain in the back

In the area between the shoulder blades can also give pain in various diseases of the internal organs.

Rapid and accurate diagnosis of the reasons for pain syndrome between the shoulder blades will allow you to avoid the development of complications or severe chronic processes.

We present the underlying disease, which can manifest data symptom:

  • traumatic damage to the components of the structures, the thoracic and the cervical department of the spine;
  • the defeat of the thoracic or cervical;
  • curvature of the spine to the sides;
  • intercostal hernia;
  • hernia between the chest vertebrae;
  • humeroscapular periarthrosis;
  • intercostal neuralgia;
  • shingles and some other infectious diseases;
  • cardiac disorders: coronary artery disease, myocardial infarction;
  • pathology of the mediastinum (the organs between the two lungs);
  • diseases of the esophagus, the stomach, the duodenum;
  • diseases of the liver and of the liver and biliary system;
  • pulmonary disease and their shell – pleura;
  • pathology of the kidney;
  • frequent meet a particular type of activity on the background of systemic diseases.
Pain between the shoulder blades

On the chest and between the shoulder blades

Usually they're exhibiting:

  • curvature of the spine in the front-rear direction, the bulge back;
  • scoliosis;
  • intervertebral hernia the thoracic department.

In this case, the pain are present for a long time, they have different importance, usually absent from the morning, building in the evening.

In addition, pain can be a symptom of:

  • coronary artery disease: in this case, is characterized by the occurrence of pain at an altitude of a physical burden; it usually takes place when taking the pill nitroglycerin;
  • cholecystitis: then the pain associated with the intake of fatty foods;
  • hepatitis b: it is characterized by a also increased bleeding (eg after cleaning teeth), discoloration of the skin;
  • pneumonia and pleurisy: there will still cough, increased body temperature, symptoms of intoxication.

When you inhale

Causes of pain between shoulder blades when inhaling can be:

  • Intercostal neuralgia. It has shooting, crawler character. It is amplified in a deep inhale, a sharp movement of the body. The increase in temperature is a property, if the neuralgia is caused by a virus tinea. Then on the skin of the sick area will be visible small blisters with a clear liquid.
  • Diseases of the lungs. In this case, the pain between the shoulder blades is also present during inspiration, is amplified in a deep inhalation and is accompanied by an increase in temperature, the most commonly – coughing (without expectoration talks about the absence of pneumonia), weakness, fatigue, sometimes nausea and lack of appetite.

Painful can become more intense at night.

During pregnancy

Usually such pain is indicative of increasing the load on the spine in connection with a shift of the center of gravity.

The last of the same symptoms along with pain syndrome between shoulder blades can talk about pneumonia, or pyelonephritis.

After training

So manifest pain from the overload or the muscles of a given area, or chest (less often cervical) spine.

In the morning

Pain, dull pain, which occurs in the early morning and may awaken the man, " he says about sharpening degenerative disc disease.

An increase in temperature and intoxication symptoms are talking about the diseases of the internal organs.

When you cough

Usually the pain when you cough is typical for the intercostal neuralgia.

But for her, are characteristic also:

  • crawler character;
  • seizures;
  • soreness when he groped the gaps between the ribs.

The pain is, when the neuralgia is better in a certain position of the body when walking, physical exertion.

After the meal

That is the stomach ulcer, mainly in the stomach, but sometimes even a 12-earthy intestine.

In addition to the pain in this pathology is celebrated heartburn, belching, nausea.

Lung disease


The connection of pain between the shoulder blades with swallowing requires mandatory consultation of the doctor.

It can be such a serious disease, such as:

  • inflammation or ulcers in the esophagus;
  • inflammation of the organs, which are between the two lungs;
  • diseases of the iris (the then in addition to pain while swallowing, pain syndrome is intensified when such exertion, increases the intra-abdominal pressure).

Gives in your hands

This is a symptom of cervical degenerative disc disease or vermehrung department.

An increase in temperature, vomiting, weakness was not to be.

Gives throat

This diagnosis is quite complicated.

This symptom can manifest itself as diseases of the spine and life-threatening pathology:

  • Humeroscapular periarthrosis. In this case, pain in the back, in hand they are associated with certain movements. They are not accompanied by an increase in temperature, or a change in the overall condition of the person.
  • Biliary colic. It arises due to the overlap of the outflow of bile stone. Pain at the sharp sting. He also suffers from the general condition.
  • Diseases of the aorta – an aneurysm. For her there is a typical pain, which is localized essentially in the sternum, gives under the blade and in the neck.
  • Myocardial infarction. May very rarely manifest itself in the form of is not the pain behind the sternum, and interscapular pain, which gives to the neck. Often when this threatens the life of the disease and the pain will be localized, and behind the breastbone, and in my shoulder, and in his left hand and in the neck.

Gives in the stomach

So are usually manifested peptic ulcers – gastric or upper department of the colon. Along with nausea, belching, heartburn, feeling of bloating.

After giving birth

These pains are usually talking about the emergence or worsening of the pathology of the spine:

  • ejecting a disc;
  • scoliosis.

But these problems may not cause loss of consciousness, increase in temperature, the deterioration of well-being.

In a child

Almost always it's a sign of a developing scoliosis due to failure of posture.

In this case, you might notice that the bottom angles of the blades, as well as your shoulders are on a different level.

If the pain has a link with food intake, occur belching or heartburn, it can be gastritis or peptic ulcer.

In the penultimate case of the visit to the children's gastroenterologist put off it's not worth it.

The possible nature of the pain

We present various examples of diseases according to the nature of the pain.

It is necessary to take into account that the direct and one hundred percent guarantee of an accurate diagnosis only under this criteria is not because of the pain threshold and feelings at the same disease are different in different people.


Pain of this nature usually occurs in response to the pinching, irritation or inflammation of one or more roots of spinal nerves: it is a fact that formerly bore the name of "sciatica".

As a result of this muscle spasm, spine pressed even more.

Biliary colic is also manifested by sharp pain, just do not occur only between the shoulder blades, but also in the field of the right hypochondrium.

In addition to pain are also suffering from the overall health, will appear nausea and vomiting.


That's the word that most often characterize the pain in the following states:

  • Protrusion of the intervertebral disc;
  • Intercostal neuralgia, in which a man is even afraid to breathe;
  • Pancreatitis. It is accompanied by other symptoms: abdominal swelling, diarrhea, impaired general condition;
  • Myocardial infarction. In this case, health is also greatly suffer. Often it becomes loss of consciousness, cardiac arrhythmia, drop in blood pressure.


In this case differencebut 2 states – ischemic cardiac pathology (its subspecies - angina pectoris) and osteochondrosis.

When heart disease pain:

  • will burning, pressure;
  • it doesn't take long (only during attack);
  • passes a few minutes after taking the nitroglycerin;
  • it is not dependent on the movement;
  • gives way to calm.

When violations of the same nerve root pain:

  • linked with the movement;
  • passes after the ingestion of pain medication drugs or in the manufacture of certain provisions;
  • does not respond to nitroglycerin.


Observed in these diseases:

  • heart attack cholecystitis: to appear in response to eating fatty, spicy, fried foods, hurts also on the right side under the ribs
  • gastric ulcers, transfer to the pancreas: when this pain will not only between the shoulder blades, but also in the abdomen
  • aggravation of degenerative disc disease of the thoracic department: such pain arose in response to some movement or lifting weights.


This kind of pain is almost always talking about diseases of the spine and the bones:

  • hernia of the intervertebral disc;
  • shoulder blades-rib syndrome;
  • fibromyalgia;
  • spondiloartrozom.

In some cases, they may show a stomach ulcer and coronary heart disease.


It's a pain, characteristic for skeletal muscle structure:

  • myofascial syndrome;
  • osteochondrosis of the thoracic or cervical;
  • shoulder blades-rib syndrome.


Nearly 90% causes of pain described the characteristics of "dull", is a pathology of muscles, tendons, and ligamentous apparatus.

If it is the cause of pain – the spine, then it can be described as follows:

  • the pain gives to other parts of the body;
  • intensifies on exertion, in which engage the diseased muscles.
Inflammation of the muscles


It's a symptom of the following conditions:

  • Inflammation of the pleura. Then in addition to pain, the person will celebrate cough, weakness.
  • Begins with perforation of the ulcer. In this case it was stomach pain, heartburn, nausea, bloating.
  • Vegetative-vascular something else.
  • Biliary colic.
  • Pyelonephritis.

What symptoms may be accompanied by pain?

Other symptoms more precisely will help you navigate, as the disease is caused by pain in interscapular area.

Burns and burns the back between the shoulder blades

The reasons for this situation:

  • Osteochondrosis of the thoracic or cervical;
  • Heart attack gall colic;
  • Reflux esophagitis;
  • Renal colic.

Numb spin

The reasons for data symptoms:

  • thoracic osteochondrosis;
  • humeroscapular periarthritis;
  • spondiloartrozom;
  • CHD;
  • peptic ulcer;
  • inflammation of the pleura;
  • pneumonia;
  • dyskinesia of the bile tract.

Are cold spin

It is the combination of symptoms may be typical for one of the two diseases:

  • retention root of the spinal nerve, in which are held and sensitive fibres;
  • exacerbation of chronic pyelonephritis.


If the pain between the shoulder blades is accompanied by an increase in temperature, it is typical for diseases of internal organs:

  • pneumonia
  • tuberculosis of the lungs or bones
  • hepatitis
  • cholecystitis
  • pancreatitis
  • pyelonephritis.


Cough and pain between the shoulder blades are accompanied by diseases of the broncho-pulmonary system:

  • the trachea;
  • pneumonia with pleurisy;
  • tuberculosis;
  • a tumor of the lung.

Hard to breathe

That is a clear sign of defeat easy.

This combination of the symptoms of manifest pleurisy, pneumonia.

Com in my throat

Indicates that suffer from the esophagus - can it be its inflammatory diseases, tumors or varicose in advanced cirrhosis veins of the esophagus.


Pain between the shoulder blades, in combination with nausea are manifested:

  • peptic ulcer;
  • myocardial infarction;
  • subphrenic abscess;
  • diseases of the liver;
  • diseases of the kidney.


These two brand – pain between the shoulder blades and belching – almost always talking about the defeat of the upper divisions of the GI.

So, it may be: gastro-esophageal reflux, gall-stone and stomach ulcers, diseases of the.

Shortness of breath

It is a symptom which itself is indicative of the fact that a doctor's help is urgently necessary, as is the condition life-threatening.

According to the combination of symptoms manifest themselves:

  • pneumonia;
  • pericardial effusion;
  • pneumothorax.

What to do?

A painful kind of localization is recommended to endure more than an hour.

If accompanied by a gassy, increase in temperature, weakness, cough and hemoptysis, it is necessary to call the doctor and not guess about the emergence of such pain.

If these symptoms do not, you can try to remove the pain yourself.


  1. Hands put on the shoulders, we are doing them a circular motion with the elbows, several times back and forth.
  2. Hands raise up, then raise yourself hands, closed his palm over the head. When the head drops down, the sight is fixed on the legs hands.
  3. We do the twists and turns of the torso right-left (twisting).
Interscapular pain

Other methods of self-heal

Include applying to stretch, in which a person feels maximum pain, such as ointments, boiled by themselves of herbs, and the means of official medicine:

  • Take 50 ml of dry mustard, camphor, alcohol and vodka, mix with whipped cream 3 egg whites, high protein. All components mix, insist 10 hours in a dark place, then it is possible to use as a compress.
  • Mix 100 g of honey, 50 ml of juice of aloe, 150 ml of vodka. Take 12 hours, apply as a compress.

Preventive measures

Depends on what the reason was caused by a painful.

So, when the pain was caused by the most common cause – osteochondrosis, prevention lies in the following points:

  1. A regular visit to a massage and physiotherapy.
  2. Proper lifting weights.
  3. Sports.
  4. It is necessary to avoid hypothermia, drafts.
  5. Proper nutrition.

So, painful between shoulder blades can be a symptom of a large number of diseases.

The main culprits – the spine, supporting muscles and ligaments.

But also such pain can talk about it, that really suffer from some of the internal organs, which requires a detailed examination and treatment, often in hospital conditions).