Often, people with pain complaints in the back under the shoulder blades, and the reasons that cause them, can be very diverse. Usually the culprit of such sensations that the diseases of the digestive, cardiovascular, respiratory diseases as well as problems with the spinal column. Moreover, such symptomatology is triggered experienced injuries and the mobility of the nervous system.
Among the list of possible causes for the pathology of the spine. This is due to the fact that the ridge is forced to hold the entire weight of the human body, whereby the two-legged. Frequent pain below the shoulder blades also explains the anatomy of this Region. The shoulder blade is a hinge joint with a clavicle, Humerus and attached to the muscles, the mobility of the shoulder girdle. In addition, together with the skeleton from the ribs it protects the vital organs.
Types of pain
Pain under the shoulder blade can be very diverse in different patients. It is divided into several groups:
- According to the localization of the pain (below the right/Virgo shoulder blade, in the middle, in the lower or upper part).
- According to the character of the pain (acute, pulling, aching, burning, throbbing, diffuse, spasmodic, radiating).
- On duration (long or short heart attack, sudden onset, reasonable or intensity, frequency of occurrence).
It happens that the pain in the back (dorsalgia) occurs after a prolonged stay in an uncomfortable Position, or awkward movements. Typically, these sensations will go quickly without any consequences, therefore there is no reason to beat Alarm. But if dorsalgia has been constantly disturbing and yet there were other symptoms, so it is not excluded that behind this serious disease behind it. Do not ignore these feelings, the lost time resulted in severe consequences.
Together with dorsalgia the subscapularis muscle in the Zone of the patient, such symptoms should draw attention to:
- fevers (temperature over 38 degrees);
- Appearance of the complex of symptoms of "acute Abdomen";
- Swelling of the hands and fingers;
- Violation of the sensitivity in the upper extremities, a sensation of tingling and "goose bumps";
- Shortness of breath, cyanosis of the skin cover;
- Vomiting;
- dorsalgia is not a state in peace;
- Reduction in blood pressure, bradycardia, fainting.
In this case, do not postpone the visit to the doctor, because you need to fix not only the existing symptoms, but the causes, the forms of their appearance.
The left side
Among the complaints of the patients quite often — strong left sided pain under the shoulder blade. You can lead to such reasons:
- Shoulder-blade-bariatric with left-sided localization. This inflammatory response, which affects the tissue adjacent to humerum joint. The main symptoms of the pathology are pain of a different kind, the area of the neck, the shoulder and the shoulder blade. Pathology most commonly appears against the background of the injury.
- Torakalgiya (contusion, inflammation of the nervous processes in costarum room). In General, it has a Herpes-like character, but often strong in the subscapular area on the left side. In General, symptoms intensified when changing the position of the body or in the case of increased physical load.
- Recurring pain in this area are characteristic of gastric ulcers. The intensity usually increases rapidly, wherein the Patient is vomiting, sick, and with him opens. The attack may happen after eating or on an empty stomach. The first sensations in the epigastrium are observed and then the Patient complains of the emergence of pain on the left side, below the joint of the upper arm bone with the clavicle and the left front under the ribs.
- The defeat of the cartilage of the intervertebral discs in the mountains in the cervical spine or the thoracic spine. It syndrome most noticeable Symptom of this disease, a pronounced dizziness, and weakness and numbness is pain in the upper extremities.
- The left-sided subscapular pain, vegetative crises are called. Patients with panic attacks often complain of a dragging, aching pain under the shoulder blade on the left, accompanied by anxiety, palpitations and sudden weakness.
- Impetum angina or myocardial infarction. Pain, usually behind the breastbone but is also a reflection in the subscapular area on the left side. The Patient numbness and nausea feeling.
Not in all cases, when the patients complain of pain under the shoulder blade, it is a disorder of the skeletal system. Often, this Symptom points to a neuralgia (affects the peripheral nerves), or myalgia (hypertonicity of muscle cells in a state of tension or relaxation).
The Right Side
Pain under the shoulder blades on the right can arise for the following reasons:
- Colic of the hepatobiliary Zone. They arise against the background of the difficult outflow values of the bile from the body, or spasms of the smooth muscles. Sharp, cutting pains felt in the subscapularis muscle in the area to the right or in the clavicle, as well as around the upper quadrant, depending on the cause of their formation.
- Subdiaphragmatic Abscess. It is usually a secondary disease, complicating cave in the course of a primary disease in the abdomen. This disease is characterised by hiccups, as well as severe pain, which is also noticeable in the subscapular area on the right side and is worse during inhalation.
- The acute Form of the inflammatory process in the kidney. The pain is dull, aching on the affected side, under the back or in the lower area of the shoulder blades. In patients typically, this Symptom is fever supplemented condition, nausea and vomiting.
- Myofascial Syndrome. This is a pathological condition Reflex implies spasm in various muscles. To feel the pain as the point of spasm, and in the course of the muscle fibers.
- Herpes zoster. The causative agent of this disease is the Herpes Virus ⅲ type. The most common Form of is the begins conditions with fever, accompanied by severe pain in the areas of future lesions. And the dermatological component manifests itself only after 4-12 days.
- Right-Sided Pneumonia. If the inflammatory process affects the right lung, the pain syndrome can be breast on every part of the, and he, too, may be in the back, the neck, below the shoulder blade. The pain is usually permanent and more oppressive, and violent movements, deep breath or cough increased.
Colic urine-excretory and hepatobiliary systems often pain in the the peritoneum and the stomach discomfort, but also pain stinging under the right-hand joint of the Humerus with the clavicle, in the proximal Segment of the right Hand, and even in the right part of the neck not accompanied by the victim.
Irradiating Pain
Irradiating (the) pain under the shoulder blades such causes, and pathological States can call:
- Duodenitis and duodenal ulcer;
- Colic of the hepatobiliary Zone;
- Angina;
- Necrosis of the heart muscle buckle against the background of a thrombosis of the arteries of the heart, atherosclerotic metal;
- Cardiovascular disease characterized by the presence of inflammatory processes in the outer shell of the heart;
- bag-shaped protuberance of the Aorta;
- spontaneous Stagnation of air in the pleural region of the chest;
- Inflammation of the pancreas, in the acute Form;
- Colic in the kidneys;
- Osteochondrosis of the cervical spine.
Dorsalgia subscapularis in the Region can be very diverse. Dull pain in the rule, in pathologies of the muscle and connective tissues which connect the bones of the skeleton. Pressing pain points back to a moderate processes in a mountain, in striated and smooth muscle, as well as in the internal organs. Such symptoms can not be ignored, it deserves to go through a comprehensive diagnosis and select appropriate treatment tactics.
In pregnant women
During the incubation of the child experienced the mother-to-be significant burden on the ridge, so it can dorsalgia conditions, including and below the joint of the humerus with the clavicle. And if the patient before fertilization osteochondrosis was diagnosed in late pregnancy, the Situation will only worsen.
In addition, the occurrence of pain can provoke a syndrome such factors:
- Pressure or irritation of the intercostal nerves in the face of stressful situations, increased physical activity, or migrated ARD;
- sluggish inflammation of the lungs or Pleura sheet;
- with the increase in the level of relaxin' there is a relaxation of the ligamentous apparatus;
- Muscle tone, caused by a change in the emphasis in the increase of the fetus;
- Aggravation of pathological processes in the kidney.
In any case, no matter the patient is a pregnant or someone else is, if subscapularis pain in the area is intense enough — it is an opportunity to help in the medical facility. It's rare, but it can be a Signal of the critical state of the organism, not to absolutely ignore.