The unbearable pain in the back in the blades — what is the cause?

If you have pain in the back, near the shoulder blades should not be smeared different ointments, to stay at home and wait for a miracle treatment. This symptom can indicate quite different from any other disease that requires timely diagnosis and treatment of a specialist doctor from the neurologist to the pulmonologist or cardiologist.

Causes of pain in shoulder blades

Pain in the blades may occur in a disease and damage to the blades themselves and, in some diseases of the chest cage and thoracic spine.

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1. Damage to the scapula. The most common of the direct damage. This happens when a person falls or is hit with fist or foot to the shoulder blade. Very rare blade is broken, when it falls on the flat of the hand. Fractures of this flat triangular bone, the lower otlomok her under the effect of the rotation of the muscle that moves down. In the zone of fracture of both the swelling and swelling.
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2. Paralysis of the front gear, the trapezius and rhomboid muscles, infection, and damage to the nerves of the back, as well as myopathies develops so-called acquired winged scapula. The reason may also be a contusion of the region of shoulder girdle or damage to the long thoracic nerve.
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3. Shoulder crunch with the active movement in the shoulder joint accompanied by moderate pain and discomfort of discomfort in the shoulder blades. This is due to the exostosis with a spatula or chronic inflammation of the synovial Bursa of the subscapular.
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4. Osteomyelitis develops after any open injury to the scapula and accompanying symptoms of poisoning, and pain in the shoulder blade. They are often deep intramuscular purulent streaks. The prognosis in this disease is almost always favorable.
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5. Tuberculosis (tb) with the scapula is very rare and only in adult patients.
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6. Tumors of the scapula can be benign (osteoma, osteochondroma, osteoblastoklastoma, chondroma) or malignant (chondrosarcoma, reticulosarcoma). Diagnose them by x-ray. If necessary, conduct a needle biopsy to check the nature of the tumor.
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7. Cervical or thoracic degenerative disc disease, which irritated the roots of the cervical-brachial plexus, and shoulder pain, sometimes radiating into the upper limb, anxious, day and night, preventing sleep. The movement is limited.
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8. Burning pain in the region of the left scapula may be a reflection of such dangerous diseases as myocardial infarction, or aneurysm of the thoracic aorta.
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9. Pain in shoulder blades and chest, which can occur in chronic pneumonia, pneumonia and lung cancer.

What to do when back pain in the blades?

In a variety of reasons, we understand, now understand, why self-treatment can sometimes bring more harm than benefit. Therefore, it is important to consult a doctor who will prescribe examination and appropriate treatment.

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• In the injury the scapula resorted to the use of analgesics (Movalis, Ketonal) and fixation of the limb with a bandage. Often resort to physiotherapeutic procedures (electrophoresis lidazy and novocaine, ultrasound), which promote the formation of callus and the reduction of inflammation in the rupture.
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• Neurological disease treated by a doctor neurologist. Often used for massage and electromyostimulation.
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• Osteomyelitis is assigned to antibacterial treatment, which are used for surgical techniques: opening and sanitation of purulent focus.
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• When TB patients are hospitalized in specialized hospital, where they carry out special treatment.
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• After malignancy surgical treatment is indicated: the implementation of the interscapular -thoracic resection, preferably by maintaining the upper part of the handle (if possible).
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• In osteochondrosis are assigned non-steroidal anti-inflammatory drugs (Movalis, diclofenac), is a good help in this case, acupuncture, physical therapy and hand therapy. Good therapeutic effect is observed in the use of Lyapko applicator. This applicator was developed by a physician Reflexologist to reduce back pain, while increasing circulation to this region, and aktiviziruyutsya anti-inflammatory mechanisms. The method is based on the doctrine of Nulla impact on specific points of our body.
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• If there is a suspected myocardial infarction, the patient should be urgently hospitalized in the cardiology clinic, where he provided rest, while the treatment of anticoagulants and fibrinolytic agents. Pain is relieved by narcotic analgesics.
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• Respiratory diseases are treated in the pulmonology Section. Inflammatory processes used antibiotics, mucolytics, expectorant drugs, physiotherapy, inhalations. If the cancer process is shown special treatment (surgery, chemotherapy, radiotherapy).

So, to identify the real cause of the disease and prescribe the appropriate treatment can only a doctor. To avoid unpleasant consequences, you should not delay seeking medical care, one stage of which is the MRI examination cervical spine to accurately identify the disease and its specificity.

MRI scan is the most reliable and most harmless way to get the correct diagnosis. In this survey the patient's health is not compromised, but to identify possible causes of negative symptoms. In many ways, the accuracy of the diagnosis depends on clinic equipment. In some modern centers use a powerful MRI scanner Siemens 1.5 Tesla. High resolution images are enough to identify even the initial stages of the disease.