The main causes of back pain in the area below the shoulder blades but above the waist

Back pain usually occur due to pathological disturbances in the spinal column. However, it is not so clear. Often the pain in the back below the shoulder blades is due to diseases of the internal organs, psychosomatic causes, or traumatic injury. So, before you start treatment, you need to figure out what exactly was the cause of the pain reaction of the body. Usually to do it yourself, this is impossible, you will need to apply for a consultation with the doctor.

The cause of the pain

For pain below the shoulder area for a number of reasons. If the person experiences a sharp pain, which is due to injury of the back or spine, the inflammatory processes in it. If the person describes pain as aching, pulling, of medium intensity, it is likely we are talking about diseases of the spine or the heart, blood vessels, stomach chronic. The dull pain observed in diseases of the bladder and the heart.

Among all the conditions causing pain under the shoulder blades, the most common factors associated with pathological changes in the spine. This is because the spine is (all its parts, including breasts) has been under increased load, keeping the weight of the human body and allowing him to walk straight. If the person is not engaged in the strengthening of the muscular frame back, not watching posture, and then begin to hurt the back.

Diseases of the spine

back pain under shoulder blades


Osteochondrosis – one of the most common causes for pain in the back. The disease occurs when the person who has irregular and insufficient physical activity. In this case, significantly weaken the back muscles and the chest, which completes the uncomfortable, painful symptoms, because the spine is not able to handle the load. On the intervertebral disc pressure on the vertebrae, which does not allow the disks to get enough nutrients. Under this impact, they are deformed, changing their structure. Due to these changes in the discs are irritate the nerve endings, the spinal cord ceases to be resilient to the vertebrae and disks, which are formed osteophytes. All of this together gives the back pain in the scapula area, left or right, depending on where exactly zaselyalsya nerve endings.

Osteochondrosis of the cervical spine is manifested by pain in the back of the head, neck, and then the pain goes below – down to the scapular region. A person who can feel that the neck, head numb.

Types of osteochondrosis

If the patient has osteochondrosis in the thoracic spine, the back starts to pain directly in the space between the shoulder blades. The pain is felt in the chest. People have commented that they find it hard to breathe (breathe deeply). And there are cases that due to thoracic degenerative disk disease a person feels pain in the heart.

It happens that the pain reaction in the back under the shoulder blades, which is manifested degenerative disc disease of lumbar spine. In this case, a sharp pain response observed in the lumbar region, radiates to the lower extremities, and if the disease progresses, the pain begins to give in the region of the left scapula. Typically, back pain above the waist, caused by the pathological changes in the spine, worse when the person actively moves.

To improve the condition of the sick person, with the recipes of traditional medicine, as well as massaging the painful area. If the pain continues, be sure to consult your doctor. This pathology deals with the neurologist, who after the diagnostic measures will be the appointment of the necessary medications and additional treatment methods (physiotherapy, exercise therapy, massage, etc).


In the case of back pain caused by myositis or inadequate muscle tone, the treatment may be the regular run of the specially selected physical exercises. Also in this case, you can use rubbing muscles in the area below the shoulder blades infusions (at home or in the pharmacy preparation), to apply tepidus ointment. But even in this case, you need to seek advice from the doctor, to exclude any possible negative consequences and also take into account the individual characteristics of the organism.

Intercostal neuralgia

The disease is the result of the compressive effects on the nerve endings in the vertebra. Intercostal neuralgia paroxysmal part of the moments of acute of varying intensity and characteristics. The pain is like a dull and rapiente. In the process of diagnosis the doctor interrogates the patient, collects anamnesis, performs the external examination, palpation is found to be the most painful of the city. Also assigned x-ray examination, ultrasound examination. The source of the pathological changes often formed in the area of inflammation of organs situated in the chest. Diseases of the lung, bronchi, pleura, often accompanied by the fact that in humans, back pain in the area just below the shoulder blades. It happens that the pain in neuralgia is felt not only in the back, but in the chest.

For the treatment of intercostal neuralgia using techniques, aimed primarily at the elimination of the causes of the attack, weakening or complete elimination. Be sure to prescribe medication, stopping the inflammatory process. In the treatment of neuralgia also effective are physiotherapy. They are all designed to relieve back pain, promote regeneration of tissue, improving the flow of these nutrients due to improved circulation.

  • Transcranial electroanalgesia.
  • UHF.
  • Fluctuationem.
  • Magnetotherapy.
  • Laser therapy.
  • Acupuncture.
  • Mud.


Condition symptoms of pain reaction under the shoulder blades often become traumatic injuries of both the scapula and the spine near the chest. Such injuries a person receives a shock, falling down. Pain in this case will not be a person to freely move his hands, and the damaged area turns red, and will become thicker. In the case of damage, you need to do x-rays, after which the surgeon or the surgeon will prescribe a treatment.

The cause for the pain can be osteomyelitis that develops with open injuries (wounds). Disease is accompanied by inflammatory processes General poisoning of the organism.

Pathology of the internal organs


Very often the pain under the shoulder blades is due to heart disease. For example, myocardial infarction is shown by the fact that the person carrying out the pressure in the heart area and back pain in spine, left scapula. The pain can radiate of the head, neck and left shoulder, the hand, to such an extent that the patient cannot move. In the case of discomfort, do not stop, if the person is already on a little or take a deep breath, be sent immediately to the hospital.

back pain under shoulder blades causes


Various diseases of the gastrointestinal tract (e.g., stomach ulcers), are very often the cause of back pain in the area below the shoulder blades. In the process of the progress of stomach ulcers causing the destruction of its mucous membrane, the nerve endings in the vicinity of the diaphragm, causing attacks of severe pain, not only in the belly but in the back, under the shoulder blades. It is characterized as a recurrent, significant increase in abstinence from food, and after eating without taking into account the doctor's recommendations. Painful symptoms become less severe or disappear completely when the patient vomited or he applied a hot compress. In addition, the gastric ulcer patients report the following symptoms.

  • Vomiting when the pain is most pronounced.
  • Heartburn, belching.
  • The pain is felt under the shoulder blades at the back, as well as the gives in the heart.
  • If the disease has destroyed the mucous membrane of the stomach very much or fully, patients note that the pain in the back, the shoulders.
  • Sweating.
  • Pale skin.

Treatment of painful reactions from behind gastric ulcer in no event it is impossible to arrange independently, without consultation with the doctor. For the treatment in this case, the underlying disease that is causing the pain.

Among the traditional medicines that help to reduce the acidity in the stomach, often referred to as baking soda. Doctors, however, this method is not supported, because soda is too aggressive actually on the mucous membranes of the body, destroying and exacerbate the problem.


Pneumonia is part of the painful reactions of the body in the chest, back. In addition, the human temperature rises in the lungs are heard wheezing, cough, shortness of breath. If pneumonia is unilateral, then back under the shoulder blades sore from the damaged lungs, if bilateral, both sides.

Relief of pain depends on the effectiveness of aid, which the patient on the underlying pathology.

Pain in upper back

If a person, who regularly employs physical, straining the muscles of the back, causing the shoulder rib pain, syndrome is associated with excessive strain on the back, damage to the vertebrae in the thoracic part of the spine, the muscle fibres, hypothermia, stay in the draft. Often, even a light breeze is enough to running out of the room and dressed for the weather man felt pain below the shoulder blades. The symptoms of a cold become of the following symptoms:

  • Damaged or frigus of the musculature causes the weakly expressed pain along the spine.
  • A person who is limited in performing normal moves: it is difficult to make contact with the head, the body, bend down.
  • When you click on the area of the blades is not very severe pain.
  • Muscle tension, in addition to extends back also to the shoulder complex.
  • Shoulder rib pain, syndrome the response of a feeling of weight in the middle of the back, shoulders, upper extremities, pain in the chest.
  • Exacerbations usually occur when a person experience physical load on the muscles of the chest, back.
  • If treatment is not started in time, to pathological disorders that affect the neck, shoulder joint, upper extremities, ribs, thoracic cage, i.e., the body region located outside of the affected areas of the body.
back pain under shoulder blades due to stress
The Problem of detecting and diagnosing lung-rib syndrome is to detect this accurately, not to be confused with other pathological changes in the organism only in the attack. Therefore, the appearance of their symptoms should not wait for their continuation in the shortest possible time should be considered.

Psychosomatic causes

If a person regularly experiences an overload of psychological nature, stress, stress has a negative effect on the muscle system of the whole body, also on the back. In this case, pain in the back, below the shoulder blades but above the waist are not uncommon. Usually people complain that they are difficult for a long time standing or sitting, such as back pain, muscle pull. In the group of risk are people that do not move during working hours and often find themselves in a stressful situation, or is forced to break his aggression, annoyance on external factors.

In this case, the back pain goes away when people solve their psychological problems and learn how to respond to stimuli from the outside.

Causes of pain under the scapular region very much. Therefore, to figure out why the back pain in each individual case, which is necessary for the implementation of the diagnostic activities that you can organize independently. If you notice such symptoms, should consult a doctor and only then engage in treatment.