Why pain in the back, between the shoulder blades?

Pain in the back between the shoulder blades is not a separate disease — this is only a symptom of a fairly wide spectrum of diseases: these include diseases of the spine and the muscle-tendon system, and nerve roots, "responsible" for this site.

Pain in the back

In the area between the shoulder blades can also give pain in the various diseases of the internal organs.

Quickly and accurately diagnose this syndrome causes pain between the shoulder blades will allow you to avoid complications or chronic processes.

A list of the main diseases that can occur with this symptom:

  • traumatic damage to the integral structure of the chest and cervical spine;
  • lose thoracic or cervical;
  • curvature of the spine laterally;
  • intercostal hernias;
  • a hernia between the thoracic vertebrae;the
  • humeroscapular periarthrosis;
  • intercostal neuralgia;
  • shingles and some other infectious diseases;
  • heart disease: coronary artery disease, myocardial infarction;
  • pathology of the mediastinum (the organs between the two lungs);
  • diseases of the esophagus, the stomach, the duodenum;
  • diseases of the liver and hepatobiliary system;
  • pulmonary diseases and their shell – pleura;
  • the kidney disease;
  • frequent performance of certain types of measures, on the basis of the systemic diseases.
Pain between the shoulder blades

In the chest and between the shoulder blades

Usually shows:

  • curvature of the spine in anterior-posterior direction, convex back;
  • scoliosis;
  • disc herniation of the chest.

In this case, the pain is present for a longer time, have a different expression, usually absent in the morning, increasing in the evening.

In addition, pain can be a symptom of:

  • diseases of the heart and circulatory system: in this case, is characterized by the appearance of pain, on the level of physical activity; this is usually done when taking a nitroglycerin tablet;
  • cholecystitis: the pain associated with a fatty meal;
  • hepatitis: characterized by increased bleeding (e.g., after brushing your teeth), discoloration of the skin;
  • pneumonia and pneumonia: there will be a cough, a fever, signs of poisoning.

When you inhale

Causes of pain between shoulder blades when breathing, you can:

  • Intercostal neuralgia. This is a shooting that surrounds the character. Enhanced with a deep breath, the sudden movement of the body. The temperature rise is typical, if the neuralgia causes herpes zoster virus. At the same time on the skin of the diseased area will see little bubbles of transparent liquid.
  • Disease of the lung. In this case, pain between the shoulder blades is also present during inspiration, increases with deep inspiration and accompanied by fever, most commonly cough (absence of cough does not mean the absence of pneumonia), weakness, fatigue, sometimes nausea and lack of appetite.

The pain can intensify at night.

During pregnancy

Usually, this pain means an increase in the load on the spine in relation to the offset centre of gravity.

The latter symptoms, together with pain between the shoulder blades speak of pneumonia or pyelonephritis.

After the workout

So the obvious pain overload or the muscles of this region, or chest (rarely cervical) spine.

In the morning

Pain, dull pain, which occurs in the morning and may Wake the person says about the aggravation of degenerative disc disease.

A rise in temperature and symptoms of intoxication are saying about diseases of the internal organs.

When coughing

It is usually a pain, when you cough characteristic of intercostal neuralgia.

But it is also characterized by:

  • around the character;
  • attacks;
  • pain, when the groping between the ribs.

The pain in neuralgia increases in a certain body position, walking, physical activities.

After eating

So it shows peptic ulcer mostly stomach and sometimes the duodenum 12.

However, pain in this pathology is marked heartburn, belching, nausea.

Pulmonary disease


The message of pain between the shoulder blades with swallowing requires mandatory consultation with a physician.

This can be so severe diseases, such as:

  • inflammation or ulcers in the esophagus;
  • inflammation of the organs, which are located between the two lungs;
  • diseases of the diaphragm (at the time, in addition to pain when swallowing, pain will increase in such load conditions, when increased intra-abdominal pressure).

Broadcast on the side of the

This is a symptom of degenerative disc disease of the cervix or vermehrung Department.

Fever, vomiting, weakness should not be.

Radiate to the neck

This diagnosis is very difficult.

This symptom can manifest as diseases of the spine and life-threatening pathology:

  • Humeroscapular periarthrosis. In this case, back pain in the hand associated with certain motions. Not accompanied by fever or a change in the Overall status of the person.
  • The gallbladder colic. Due to the overlap of the outflow of bile stone. The pain is sharp, stabbing. Suffering is also a condition.
  • Disease aortic aneurysm. It is characterized by pain that is localized mainly in the chest, placed under the shoulder blades and neck.
  • Myocardial infarction. You can very rarely occur in the not retrosternal and interscapular pain, which radiates to the neck. Often, these life-threatening diseases, the pain is localized behind the sternum, and the scapula and in the left arm and neck.

Radiate to the stomach

This is usually the ulcerative disease of the stomach or upper intestine. Accompanied by nausea, belching, heartburn, feeling of distension.

After the birth

Such pain is usually talking about the appearance or aggravation of diseases of the spine:

  • disk protrusion;
  • scoliosis.

However, these problems should not cause loss of consciousness, fever, deterioration of health.


Almost always it is a sign of the development of scoliosis due to posture.

Thus it can be seen that the lower corners of the blades and the shoulders are at different levels.

If the pain has a connection with food intake, belching or heartburn, it can be gastritis or peptic ulcer disease.

In this last case, a visit to the pediatric gastroenterologist delay is not worth it.

The possible nature of the pain

We give different examples of diseases of the nature of the pain.

You must take into account that the immediate and absolute assurance of accurate diagnosis only on this criterion, as the threshold of pain and the feeling of one and the same disease is different for different people.


The pain of this type usually appears as a response to violations, inflammation and irritation of one or more spinal nerve roots: this is what was previously called "sciatica".

Due to this muscle spasm of the spine is clamped even more.

Biliary colic is also seen at the sharp pain, but not only occur between the shoulder blades, but in the right hypochondrium.

But pain also suffers overall health, nausea and vomiting.


This word is most often characterized by pain under the following conditions:

  • Protrusion of the intervertebral disc;
  • Intercostal neuralgia, in which people were even afraid to breathe;
  • Pancreatitis. He, together with the other symptoms: bloating, diarrhea, impaired General condition;
  • Myocardial infarction. In this case, the feeling of too much suffering. Often loss of consciousness, arrhythmia, drop in blood pressure.


In this case, the differencebut 2 States – ischemic heart disease (its subspecies, angina) and pain in the low back.

Disease pain:

  • will burning, compression;
  • does not last long (only if it is a heart attack);
  • past few minutes after nitroglycerin;
  • does not depend on the movement;
  • mine itself.

If the infringement of the same nerve root pain:

  • associated with the movement;
  • pass after this, pain medication, or taking a certain position;
  • does not respond to nitroglycerin.


Observed in such diseases:

  • attack of cholecystitis: occurs in response to consumption of greasy, spicy, fried food, also hurts right under ribs
  • ulcers in the stomach passed into the pancreas: the pain will not only between the shoulder blades, but in the stomach
  • aggravation of degenerative disc disease of the chest: types of pain, which arose in response to some movement or lifting of heavy loads.


This is the type of pain is almost always talking about diseases of the spine and the bones:

  • a hernia on the intervertebral disc;
  • the scapula-costal syndrome;
  • fibromyalgia;
  • spondiloarthrosis.

In some cases, can be manifested peptic ulcer disease and coronary artery disease.


It's a pain, which is characteristic for the bone and muscle structures:

  • myofascial syndrome;
  • osteochondrosis of the thoracic or cervical;
  • the shoulder-rib syndrome.


Almost 90% of the causes for the pain described by the typical "boring" is the pathology of muscles, tendons and ligaments.

If the cause of pain in the spine, which can be described as follows:

  • pain does not give in other parts of the body;
  • increases with exercise, which include sore muscles.
Muscle inflammation


This is a symptom of the following conditions:

  • Pleurisy. Then in addition to the pain, people will be coughing, nausea.
  • Start of ulcer perforation. In this case, before it was abdominal pain, heartburn, nausea, bloating.
  • Vegetative-vascular dystonia.
  • The gallbladder colic.
  • Pyelonephritis.

What signs may be accompanied by pain?

Additional symptoms more precisely will help you to understand how the diseases caused by pain in the interscapular region.

Burn and bakes the back, between the shoulder blades

The causes for this situation:

  • Osteochondrosis of the thoracic or cervical;
  • The attack of biliary colic;
  • Reflux esophagitis;
  • Of renal colic.

Numb back

The causes for these symptoms:

  • thoracic osteochondrosis;
  • scapulohumeral periarthritis;
  • spondiloarthrosis;
  • Irritable bowel syndrome;
  • peptic ulcer disease;
  • pneumonia;
  • pneumonia;
  • the gallbladder dyskinesia.

Freezes back

This combination of symptoms can be characteristic for one of the two diseases:

  • violation of the nerve root, spinal nerve, which are sensitive fibres;
  • exacerbation of chronic pyelonephritis.

The temperature of the

If the pain between shoulder blades accompanied by a fever, this is typical for diseases of internal organs:

  • pneumonia
  • tuberculosis of the lung or bone
  • hepatitis
  • cholecystitis
  • pancreatitis
  • pyelonephritis.


Cough and pain between shoulder blades accompanied by diseases of the broncho-pulmonary system:

  • tracheitis;
  • pneumonia with pneumonia;
  • tuberculosis;
  • the lung tumor.

Hard to breathe

This is a definite sign of lung damage.

This combination of symptoms pneumonia, pneumonia.

A lump in your throat

Indicates that the suffering of the esophagus - this can be inflammatory diseases, tumors or varicose cirrhosis of the liver veins of the esophagus.


Pain between the shoulder blades, combined with the weakness of the experience:

  • peptic ulcer disease;
  • myocardial infarction;
  • subphrenic abscess;
  • diseases of the liver;
  • diseases of the kidney.


These two symptoms – pain between shoulder blades and belching, almost always talking about the defeat of the upper part of the gastrointestinal tract.

So, this may be: gastro-reflux of the esophagus, gall-stone and peptic ulcer disease.

Short of breath

This is a symptom, which in itself shows that the medical help you need as life threatening.

This combination of signs are seen:

  • pneumonia;
  • pericarditis;
  • pneumothorax.

What to do?

Pain, syndrome such translations, it is not advisable to endure more hours.

If it is accompanied by shortness of breath, fever, nausea, cough and hemoptysis, you have to call the doctor, don't speculate about the origin of such pain.

If these symptoms do not, you can try to resolve the pain yourself.


  1. Hands put on the shoulders, making circular movements with your elbows, several times back and forth.
  2. Hands lift upwards, then lift up the hands yourself, closing your palm over the head. With head lowered, gaze fixed on the hands.
  3. Do the torso twists left and right (twisting).
Interscapular pain

The second method of self-treatment

Include are used for the area in which is felt the most pain, such as ointments, prepared independently of the herbs, and means of official medicine:

  • Take 50 ml of dry mustard, camphor, alcohol and vodka, mix with 3 beaten egg whites. All of the ingredients to mix, infuse for 10 hours in a darkened room, then you can apply as a compress.
  • Mix 100 g of honey, 50 ml of aloe juice, 150 ml of vodka. Insist 12 hours, used as a compress.


Regardless of what the cause was caused by pain.

So, if the pain was due to the most common cause is osteochondrosis, prevention lies in the following points:

  1. Regular visits massage and physiotherapy.
  2. Proper lifting weights.
  3. Sport.
  4. Avoid hypothermia, drafts.
  5. Proper diet.

So, pain between the shoulder blades can be a symptom of a large number of diseases.

The main culprits – the spine, its supporting muscles and ligaments.

But also this pain, we can say that is a serious impact of certain of the internal organs, which require detailed examination and treatment, often in hospital.