Often people complain of pain in the back, under the shoulder blades, and the reasons that cause can be very diverse. As a rule, the perpetrators of these feelings become diseases of the gastrointestinal tract, diseases of the heart and the circulatory system and the respiratory system, but also problems with the spine. In addition, the symptoms may be consequences of trauma and mobility of the nervous system.
Among the list of possible reasons for a special place occupied the diseases of the spine. This is due to the fact that ridge is being forced to hold the entire weight of the human body, thereby providing upright posture. Frequent pain below the shoulder blades can also be explained with the anatomy of this region. The blade is the articulation of the humerus with the clavicle and in relation to, the muscles responsible for the mobility of the shoulder girdle. In addition, together with the frame from the rib which protects the vital organs.
Are a pain
Pain in the shoulder blade can be very different in different patients. This can be divided into several groups:
- Localization of the pain (under the right/the virgin of the blade in the middle, at the bottom or the top).
- The nature of the pain (sharp, pulling, aching, burning, throbbing, diffuse, spasmodic, broadcast).
- Duration (long or short attack abrupt onset, moderate or increases the intensity, frequency of appearance).
Sometimes, back pain (dorsalgia) occurs after a long stay in an unpleasant situation or awkward movement. Typically, these feelings quickly pass without consequences, so there is no reason to sound the alarm. But, if dorsalgia has begun to worry constantly and however, there are other symptoms, then it is possible that this masks serious disease. To ignore such feelings, that it is impossible that the lost time has not led to serious consequences.
Along with dorsalgia in the Chuck area of a patient should alert the following symptoms
- fever (temperature over 38 degrees);
- the emergence of a complex of symptoms of "acute abdomen";
- swelling of the hands and fingers;
- disorder of sensation in the upper limbs, tingling and "pins and needles";
- shortness of breath, cyanosis of the skin;
- vomiting;
- dorsalgia continues even at rest;
- the reduction in blood pressure, bradycardia, fainting.
In this case, to postpone a visit to the doctor is impossible, because it is necessary to eliminate not only symptoms, but the causes that led to its manifestations.
On the left side
Among the complaints patients can often be found on the left sided pain in the shoulder blade. This may cause the following causes:
- Shoulder bariatric with left-sided localization. This inflammatory response, which affects the tissue in the vicinity of humerum common. The main symptoms of the pathology are pain of a different nature, involving the neck, shoulder and scapula. The pathology most often appears on the background of the injuries.
- Thoracalgia (pinch, inflammation of the nerve processes in costarum space). As a rule, is around the 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 characterized by stomach ulcers. Its intensity usually increases quickly, while the patient is sick and he opens the vomiting. The attack may happen after a meal or on an empty stomach. First impressions are noticed in the epigastric region, and then the patient is complaining of pain in the left side of the articulation of the humerus with the clavicle and left side of the front under the ribs.
- Cartilage, damage to the intervertebral disks of the vertebral column in the cervical or thoracic spine. In addition to pain, syndrome prominent symptom of this disease is a pronounced dizziness and nausea and numbness of the upper extremities.
- The left side subscapular pain can be called autonomic crisis. Patients who suffer from panic attacks, often complain about nagging, aching pain in the left shoulder blade, accompanied by anxiety, tachycardia, and sudden weakness.
- Impetum angina or myocardial infarction. Pain mostly occur in the chest, but is also 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 in the shoulder blade, the problem is more the skeletal system. Often this is the symptom that shows neuralgia (affecting the peripheral nerves) or myalgia (muscular hypertonicity of the cells in a state of tension or peace).
On the right side
Pain in the right shoulder blades can occur for the following reasons:
- Colic of the hepatobiliary zone. They occur on the background of obstructed outflow of bile from the body or spasm of the smooth musculature. Sharp, cutting pain is felt in the subscapular region on the right or in the clavicle, and to encircle in the quadrant, depending on the reasons for their creation.
- Subdiaphragmatic abscess. This is usually a secondary disease, complications all the primary disease in the abdominal cavity. For this pathology typical hiccups and severe pain that is also felt in the subscapular region on the right side and increases when you inhale.
- The acute form of the inflammatory process in the kidneys. The pain is dull, aching on the affected side of the lower back or at the bottom of the blades. Patients usually a symptom of increased body temperature, nausea and vomiting.
- Myofascial syndrome. This condition means that the reflex spasm, which can occur in various muscles. And painful sensations are felt as at the point of spasm, and in the context of the muscle fibers.
- Shingles. The causative agent of this disease is the herpes virus ⅲ type. The most common form, which starts with a fever, accompanied by severe pain in the area of future outbreaks. A dermatological component is evident after only 4-12 days.
- Right-side pneumonia. If the inflammatory process, which affects the right lung, the pain can spread to any part of the chest and radiate to the back, neck, under the scapula. The pain is usually constant and the pain, and a sharp movement, deep breathing or coughing increases.
Colic of the urinary system-excretory and hepatobiliary systems are quite often accompanied by not only spilled abdominal pain and dyspepsia, but also stabbing pain under the right articulation of the humerus with the clavicle, the proximal segment on the right side and also in the right part of the neck.
Irradiating pain
Irradiating (radiating) pain under shoulder blades can be due to these causes, and pathological States:
- duodenitis and peptic ulcer in the duodenum;
- colic of the hepatobiliary zone;
- angina pectoris;
- necrosis of the heart muscle, on the basis of a thrombosis of one of the arteries in the heart is atherosclerotic plaque;
- cardiovascular disease, which is characterized by the presence of inflammatory processes in the outer membrane of the heart;
- saccular protrusion of the aortic;
- spontaneously stagnation of air in the pleural region of the thorax;
- 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 appears when the irregularities, muscle, and connective tissue, the parts which connect them with the bones of the skeleton. Pain pain can indicate a moderately severe processes in the ridge, in the striated and smooth muscles and internal organs. These characters can not be ignored, that deserves to carry out a comprehensive diagnosis and to choose appropriate therapeutic tactics.
Pregnant women
During pregnancy a pregnant woman is experiencing considerable load on the ridge, so that you can suffer from dorsalgia, including under the articulation of the humerus with the clavicle. However, if the patient before fertilization was diagnosed with degenerative disk disease, in later stages, the situation is worse.
In addition, the emergence of a pain syndrome may be caused by the following factors:
- compression or irritation of the intercostal nerves, on the basis of stress, increased physical exertion or suffering, acute diseases of the respiratory system;
- indolent pneumonia or pleural sheets;
- by increasing the level of relaxin' going on excessive relaxation of ligaments;
- muscle tone caused by changing center of gravity while increasing fruit;
- the deterioration of the disease processes in the kidney.
In any case, regardless of whether the patient is pregnant, or someone else, if it is a pain in the subscapular region of intense enough of a reason to seek help in a medical institution. Rarely, this can be a signal of the critical status of the body, that absolutely can not be ignored.