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

In the daily practice of physician complaints from patients the pain in the back below the shoulder blades can indicate a whole range of diseases. This could be an orthopedic problem associated with scoliosis in the thoracic spine osteochondrosis, intervertebral hernia or disc protrusion. also, do not discount the various cardiac diseases, is triggered by disruption in blood supply to the muscle of the myocardium.

pain under shoulder blade

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

In the long-term present pulling, crushing and stabbing pain in the blades should be examined by a neurologist or orthopedist. Turn off the curvature of the spinal column and destruction of the intervertebral discs.

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

It is important to know that pain in the back below the shoulder blades above the waist can be a symptom of some systemic diseases. When encircling the nature of pain is necessary to exclude an attack of acute pancreatitis. The localization of pain to the right or left it is important with symptoms of Pasternatskogo to exclude the possibility of disease stoves. Usually they pair not inflamed. The attack of renal colic urolithiasis is also characterized by unilateral development of discomfort.

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

  • destruction of the intervertebral discs in the background of their dehydration and the subsequent development of prolapse, protrusion and herniated disc;
  • the spondylosis and spondylosis with inflammation of various joints;
  • instability of vertebral bodies due to the weakening of the ligamentous and muscular apparatus;
  • curvature of the spine;
  • the change in the depreciation distribution of load on the spine on the background of destruction of the hip joint, incorrect statement of the foot and t.. d.;
  • Bechterew's disease;
  • the consequences of back injuries (after falling, stretching, lifting weights).

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

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

Consider the main potential causes of back pain below the shoulder blades. It can be as destructive organic lesions of the spinal column, and various pathologies of the ligaments, muscles, and remote divisions of the musculoskeletal system. In any case, for full diagnosis will require examination and consultation. should not be used information presented here to arm yourself diagnosis. All information is presented solely for informational purposes.

Meanwhile, in our clinic, manual therapy you can receive free consultation of the doctor with a complete overview and information on how to pursue a consistent treatment. Sign up for a free reception 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 the lateral curvature of the spine (often diagnosed in adolescents, who are accustomed to sit at table or Desk with the torso to the side);
  2. incorrect statement of the foot during walking and running, creates increased tension in the back muscles, which are mounting in the lower edge of the blade;
  3. lumbar-thoracic osteochondrosis in the acute stage;
  4. sciatica and sciatica;
  5. instability of the spine with intervertebral disc deformation;
  6. sprains and muscles;
  7. shingles;
  8. intercostal neuralgia.

If there is pain in the back below the left scapula, then pay attention to the presence or absence of accompanying symptoms. if you are having difficulty in committing deep breath, there is a shortage of air, there's a heaviness in the chest and change in the heart rate, then you should immediately call an ambulance. Thus can occur the initial stage of acute myocardial infarction. At risk for this severe disease of the coronary system are the young men over the age of 40 years and women who had entered menopause.

If there is a sharp pain in the back below the shoulder blade on the right, then try flipping the bottom edge of the back of his hand. So is checked symptom pasternatskogo. With the appearance of pain can be 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 her. also, you should use palpation to assess the condition of the back muscles and of the intercostal spaces. Their tension and pain suggests that the process of inflammation is initiated by the radicular syndrome on the background of osteochondrosis or its consequences.


Diagnosis of pain in the right and left side of the back below the shoulder blades

In order to diagnose and establish the cause of pain in the back below the right scapula, it is necessary to address on reception to the doctor. independently put a diagnosis, and even more so to carry out any treatment, is not recommended. Not only can you hurt yourself by taking pharmaceutical drugs. You also miss time during which it is possible to perform conservative treatment without surgical intervention. Therefore, if there is pain in the right side of the back below the shoulder blade, it is not necessary to run to the pharmacy for a variety of ointments with anti-inflammatory analgesic effect. You should first consult a doctor.

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

A special approach to the diagnosis of the condition of the patient requires back pain below the 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 tablets under the tongue). if these vasodilators do not help, you need more serious medical help.

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

Diagnosis of pain in the back below the shoulder blades also includes the following types of surveys:

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

You can sign up for a free initial consultation in our clinic of manual 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 possibilities of treatment of osteochondrosis, intercostal neuralgia, scoliosis, posture disorders, herniated discs, etc.

What to do if there is aching pain in the back below the shoulder blades in the middle?

Constant aching pain in the back below the shoulder blades basically testify to the constant tension of the muscles. This may be due to a compensatory reaction against the background of 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 high static load. As a result, the structures of smooth muscle cells accumulate lactic acid, which causes severe irritation of the soft tissues. This syndrome can appear in the background of osteochondrosis or after unusual physical exertion, which are on the frame back.

Very often pain in the back below the shoulder blades in the middle is associated with curvature of the spine. This may be a result of scoliosis or lumbar lordosis is smoothed. Such posture is the result of a bad habit slouch. Prolonged exposure to incorrect posture too much of the vertebrae, the intervertebral discs compress and deform surrounding their short longitudinal ligament. As a result, the bone tissue deformation, which is enhanced by changes in muscle and ligaments. All this causes severe pain in the back below the shoulder blades.

Diagnosing incorrect posture and lumbar-thoracic osteochondrosis is possible with a special survey. In our clinic doctor during the first examination already unable to say precisely on what reason has provoked the emergence of unpleasant feelings.


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