Back pain in the area below the shoulder blades: causes, treatment

In the daily practice of the physician complaints from patients on the back pain under the shoulder blade, can point to a variety of diseases. It may be an orthopedic problem associated with scoliosis in the thoracic area of the osteochondrosis, intervertebral hernia, or protrusion of the disc. also it is not necessary to exclude various cardiology diseases of the unrest caused by impaired blood supply to the muscle of the myocardium.

pain under the scapula acromion

Acutely which originated back pain in the area under the shoulder blade can be a signal of the beginning of an attack of angina pectoris or acute myocardial infarction. Therefore, it is recommended to take the pill nitroglycerin under the tongue. If during the 10 – 15 minutes condition improve, then it is necessary to induce a team of emergency medical services.

In the long-term present stretches, pressing into and piercing pain in the area of the blades it is necessary to undergo examination by a neurologist or orthopedist. To exclude the curvature of the spinal column and destruction of the intervertebral disc.

Why pain appears in the back, just below the shoulder blades above the rest

It is important to know that pain in the back below the shoulder blades above the bottom of the back pain can be a symptom of some somatic diseases. In the enveloping character of the pain is necessary to exclude an attack of acute pancreatitis. When the localization of the painful feelings to the right or to the left, it is important to use the symptom Pasternatskogo to exclude the likelihood of diseases of the stove. Usually they are doubles not to become inflamed. Attack of renal colic in the urinary disease is also characterized by one-sided development of unpleasant feelings.

Dull pain in the back, just below shoulder blades – this is most often a sign of problems in the area of the lumbar spine. It may be that these pathological changes:

  • to the destruction of the intervertebral discs in the background of their dehydration with the subsequent development of prolapse, protrusion and intervertebral hernia;
  • spondiloartrozom and spondylosis with inflammation of various joints;
  • the instability of the position of the vertebral bodies in mind the weakening of the ligamentous and muscular apparatus;
  • curvature of the spine;
  • changing the depreciation of the distribution of the load on the spine on the background of the destruction of the hip joint, bad stand up on your feet and so on;
  • disease ankylosing Spondylitis;
  • the consequences of a back injury (after falling, stretching, lifting weights).

Very rare pain with similar localizations induce neoplastic processes of the spine. Often a symptom may point to the development of tumors in the kidneys, the body or part of the tail of the pancreas, the rear lobes of the liver. If it is present long-lasting persistent cough, malaise, weakness, low-grade temperature of the body, then you need to make fluorography and to rule out pneumonia, pleurisy, Oncology lung or tuberculosis.

The main causes of back pain on the right and left side under shoulder blade

For the main potential causes of back pain under the shoulder blade. It can be organic destructive lesions of the vertebral pillar, and various pathologies of the ligaments, the muscles, the distant flag of the musculoskeletal system. In any case, for a comprehensive diagnosis is necessary examination and consultation of the doctor. there is no need to use the provided here information for the determination of each diagnosis. All information is presented for informational purposes only.

Meanwhile, in our clinic, chiropractic therapy can get a free doctor's consultation with complete tour and information about how you can carry out a rigorous treatment. Register for a free appointment whenever it is convenient for you.

The main causes of back pain on the right side under the shoulder blade may include:

  1. violation of posture in the form of lateral curvature of the spinal column (often diagnosed in adolescents, accustomed to sit at the table, or the Table with the tilt of the body of the party);
  2. incorrect determination of the foot during walking and running, creating increased tension of the muscles of the back, which have reinforcement in the area of the lower edges of the blades;
  3. lumbar-thoracic osteochondrosis in the phase of exacerbation;
  4. sciatica and sciatica;
  5. instability of the spine with the deformation of the intervertebral disc;
  6. stretching ligaments and muscles;
  7. shingles;
  8. intercostal neuralgia.

If the pain occurs in the back left under the blades, then pay attention to the presence or absence of related to her signs. if you have problems committing deep inhale, is the lack of air, is present a feeling of heaviness behind the sternum, and the change frequency of heart rate, then you need to immediately called the ambulance. In this way can manifest in the initial stage of the development of acute myocardial infarction. In the risk zone for this severe disease of the coronary system are young men over the age of 40-ka years and women, who in the period of menopause.

If there is acute pain in the back under the shoulder blade to the right, then try to lightly strike the lower edge of the ribs, the back of his hand. So checked symptom Pasternatskogo. Upon the occurrence of the pain may be suspected renal pathology. If the pain when hitting the edge of the palm arises, is another diagnostic procedure is palpation. palpation of the spinous processes of the spine in the area of pain, above and below her. also it is necessary to use palpation to assess the condition of the back muscles and the intercostal space. Their tension and soreness of talking about the fact that the process of inflammation is initiated radicular syndrome on the background of degenerative disc disease, or its consequences.


Diagnosis pain on right and left side of back under shoulder blade

In order to make a diagnosis and determine the cause of the back pain under right shoulder blade, it is necessary to ask at the front desk to the doctor. themselves to establish the diagnosis, and the bole to perform any treatment, is not recommended. Not only can you cause you injury on account of intake of pharmacological drugs. You can also miss out on a period of time, after which it is possible to perform conservative treatment of the disease without surgery. Therefore, if the appeared pain in the right side of the back below the shoulder blades, it's not worth it to run to the pharmacy for a variety of ointments with anti-inflammatory pain medication effect. Please contact first your doctor.

The doctor performs a diagnostic examination, will put an accurate diagnosis and prescribe effective treatment.

The specific approach to the diagnosis of the condition of the patient requires pain in the back under the left shoulder blade, because in this case it is important to miss the start of the development of acute myocardial infarction. Take off an attack of acute angina using nitrates (nitroglycerin in an amount of 1-3 tablets under the tongue). if a similar vasodilator drugs do not help, then you need more serious medical care.

To exclude angina pectoris and myocardial infarction along with the exact precision is only possible with the help of carried out by the ECG warehouse. This method allows you to see the development of coronary circulatory failure in real-time. The indirect symptoms are the same time increase the level of blood pressure and reduction of heart rate on the background of painful sensations behind the sternum, from the side of the back under the left shoulder blade. Sometimes the pain can give in the left hand, until the numbness of the little finger.

Diagnosis of pain in the back below the shoulder blades also includes the following types of survey:

  • radiographic image of the thoracic and lumbar spine in three planes – allows you to identify degenerative disc disease and protrusion of a hernia is a relatively large size;
  • MRI or CT is assigned when a suspected disc herniation, stretching and breaks the muscle tissue;
  • ULTRASOUND of internal organs;
  • contrast urography, and many others.

You can enroll at the first free consultation at our clinic of chiropractic therapy. We are dealing with the treatment of diseases associated with pathologies of the vertebral column and other departments of the musculoskeletal system. With us you will have the opportunity to obtain comprehensive information about treatment options degenerative disc disease, intercostal neuralgia, scoliosis, disorders of posture, intervertebral hernia, etc.

What to do when there were gnawing pain in the back in the middle under the shoulder blades?

Persistent gnawing pain in the back below the shoulder blades basically is indicative of the constant tension of the back muscles. This may be due to compensatory reactions on the background of the destruction of the fibrous ring of the intervertebral disc or with impaired posture. In the first case, that the patient is experiencing constant strain of the muscle structure, which is exposed to the static increased load. As a result, in the structures of the myocytes accumulate lactic acid, causing severe irritation of the soft tissues. This syndrome may appear as a background of degenerative disc disease, and after unusual physical stress, provided on the frame of the back.

Very often pain in the back below the shoulder blades, in the middle tends to be associated with the curvature of the spinal column. This may be due to scoliosis or smooth lumbar lordosis. Such a violation of posture is a result of the bad habit slouch. The longer one stays in the wrong position of the body of the vertebrae too much squeezing of the intervertebral discs and deformed surrounding their short longitudinal ligaments. In consequence, there is a fabric bone deformation, increasing the changes of the muscular and ligamentous apparatus. All of this causes severe pain in the back below the shoulder blades.

To diagnose a violation of posture and the lumbar-thoracic osteochondrosis can be used in the special survey. In our clinic dr. at the time of the first examination already can quite accurately say about it, what is the reason caused the emergence of unpleasant sensations.


So, the first thing you should do when pain occurs in the back below the shoulder blades, is to go on reception to the doctor. After determining the correct diagnosis is necessary to start timely treatment using all the current available methods of manual therapy. This will avoid the need for surgery in the future.