Back pain in the area below the shoulder blades: causes, treatment

In the daily practice of a doctor complaints of patients with pain in the back below the shoulder blades can mean a whole range of diseases. This could be the orthopedic problems associated with scoliosis in the thoracic spine osteochondrosis, intervertebral hernia or disc protrusion. also, do not discount a variety of heart disease, trigger disruption in the flow of blood to the muscles of the myocardium.

pain in the shoulder blade

Acute pain occurs in the back region below the shoulder blades can signal about the beginning of angina or acute myocardial infarction. Therefore, it is recommended to take a tablet of nitroglycerin under the tongue. If in 10 – 15 minutes, the situation does not improve, then you need to call an ambulance.

The long-term present of pulling, crushing and stabbing pain in the blades should be examined by a neurologist or orthopedist. Fix a curvature of the spine and the destruction of the intervertebral discs.

Why do I get pain in my back just below the shoulder blades above the waist

It is important to know that pain in the back below the shoulder blades above the waist, may be a symptom of some systemic disease. When the surrounding character of the pain to exclude an attack of acute pancreatitis. In the localization of pain in the right or left, it is important with symptoms of Pasternatskogo, to exclude the possibility of disease of the kiln. Usually a pair is inflamed. Attack of renal colic urolithiasis is also characterized by the unilateral development of the discomfort.

Dull back pain just below shoulder blades is often a sign of problems in the lumbar spine. This can be the following pathological changes:

  • destruction of the intervertebral discs in the background of their dehydration and the further development of the prolapse, protrusion and herniated disc;
  • in spondylosis and spondylosis with inflammation of various joints;
  • instability of the vertebral bodies due to the weakening of the ligamentous and muscular apparatus;
  • curvature of the spine;
  • changes in depreciation, the distribution of the load on the spine, on the basis of the destruction of the hip joint, the incorrect statement of the foot, etc.;
  • Bechterew's disease;
  • the consequences of back injuries (after the fall, stretching, lifting weights).

Very rarely pain with similar localization of the cause of the neoplastic processes of the spine. Often a symptom may indicate the development of tumors on the kidneys, body or tail of the pancreas, the rear lobe of the liver. If it is a long persistent cough, General weakness, weakness, subfebrile body temperature, it is necessary to make fluorography and to exclude pneumonia, pneumonia, lung cancer or tuberculosis.

The main causes of back pain right and left lower shoulder blade

Consider the main potential causes for pain in the back, under the shoulder blades. It can be as destructive organic spinal injuries, and various diseases of the ligaments, the muscles, the outlying sections of the musculoskeletal system. In any case, for a complete diagnosis, will require review and consultation. you may not use the information provided here to arm yourself diagnosis. All the information are presented solely for informational purposes.

Meanwhile, in our clinic, manual therapy you can receive a free advice of the doctor, with a full overview and information on how to perform a consistent treatment. Sign up for free to receive at any time convenient for you.

The main causes of back pain right side below shoulder blade can include:

  1. violation of posture in the form of lateral curvature of the spine (often diagnosed in adolescents, who are accustomed to sitting at a table or Desk with a tilt of the torso);
  2. the incorrect statement of the foot during walking and running, it creates a greater tension in the muscles of the back, the gap on the bottom edge of the blades;
  3. lumbar-thoracic osteochondrosis in the acute phase;
  4. sciatica and sciatica;
  5. instability of the spine with intervertebral disc deformation;
  6. sprains and muscles;
  7. shingles;
  8. intercostal neuralgia.

If the pain in the back below the left scapula, then pay attention to the presence or absence of accompanying symptoms. if you have problems in releasing a deep breath, lack of air, there is a lot of weight in the chest and changes in heart rate, then you need to immediately call an ambulance. So you may experience the initial stage of acute myocardial infarction. The risk for this severe disease of the coronary system are young men, older than 40 years, and women who entered in menopause.

If it is a sharp pain in the back below the shoulder blade on the right, then try flipping the bottom edge of the back of their hand. So check symptom pasternatskogo. With the onset of pain is suspected renal pathology. If the pain when you hit the edge of the palm does not occur, then the following diagnostic methods are palpation. palpation spinous processes of the spine in the area of pain, above and below it. also, you need to use palpation to assess the state of the back muscles and the intercostal spaces. Their tension and pain suggests that the process of inflammation, which began with the radicular syndrome on the basis of osteochondrosis or its consequences.


The diagnosis of pain in the right and left side of back under shoulder blades

To diagnose and determine the cause of the back pain under the right scapula needs to be addressed on reception to the doctor. independently make a diagnosis, and bole have some kind of treatment is not recommended. Not only can you hurt yourself taking pharmaceutical medicines. Also I miss the time in which it is possible to perform conservative treatment without surgical intervention. Therefore, if there is pain on the right side of the back below the shoulder blade, it is not necessary to work in a pharmacy for different ointments with anti-inflammatory analgesic effect. First, you need to consult with your doctor.

The doctor will conduct diagnostic tests will deliver an accurate diagnosis and prescribe effective treatment.

A special approach to the analysis of the condition of the patient requires pain in the back, under left scapula, as in this case, it is important not to miss the beginning of the development of acute myocardial infarction. Relieve acute attack of angina using nitrates (nitroglycerin in the amount of 1-3 pills under the tongue). if these vasodilators do not help, you need serious medical care.

If you want to exclude angina and myocardial infarction with a reliable accuracy is possible only with the help of the derivative of ECG studies. This method allows you to see the development of coronary vascular disease in real-time. Indirect signs are the simultaneous increases in blood pressure and reduced heart rate on the background of pain in the chest, back, under left scapula. Sometimes the pain can radiate to the left arm, until the numbness of the little finger.

Diagnosis back pain under shoulder blades include the following types of inspections:

  • x-ray of the thoracic and lumbar part of the spine in three planes, – for the detection of osteochondrosis and protrusion of the hernia, a relatively large size;
  • MRI or CT is indicated for suspected disc herniation, sprains and tears of muscle tissue;
  • Ultrasound of internal organs;
  • contrast urography, and more.

You can book an appointment initial free consultation in our clinic hand therapy. We are engaged in the treatment of diseases associated with abnormalities of the spine and other parts of the musculoskeletal system. Here you can obtain comprehensive information on the possibilities of treatment of osteochondrosis, intercostal neuralgia, scoliosis, posture disorders, herniated discs, etc ..

What do you do when an excruciating pain in the back below the shoulder blades, in the middle?

Constant pain pain in the back below the shoulder blades in fact testify to the constant tension of the muscles. This may be due to a compensatory reaction against the background of the destruction of the fibrous ring of the intervertebral disc or poor posture. In the first case, the patient experiences a constant strain of muscle structure that is subjected to static loads. As a result, the structure of the smooth muscle cells accumulate lactic acid, which causes severe irritation of the soft tissues. This syndrome can occur in the background of osteochondrosis or after unusual physical stresses exerted on the frame back.

Very often pain in the back below the shoulder blades, in the middle is connected with the curvature of the spine. This may be due to scoliosis or lumbar lordosis is smoothed. Such posture is the result of a bad habit to slouch. Prolonged exposure to incorrect posture too much of the vertebrae, the intervertebral discs compress and the transformation of the area surrounding their short lateral ligaments. As a result, the bone tissue deformation, major changes in muscles and ligaments. All of this causes severe pain in the back below the shoulder blades.

Diagnosing incorrect posture and lumbar-thoracic osteochondrosis is possible on the basis of a specific survey. In our clinic, the doctor during the first examination already can not tell exactly what is the reason that caused the formation of unpleasant sensations.


So, the first thing to do when back pain under the shoulder blades, is to go on reception to the doctor. After a correct diagnosis is necessary to start treatment immediately using all available modern techniques of manual therapy. This will avoid the need for surgery in the future.