Often people complain of back pain under the shoulder blades, and the causes that generate them, can be very different. Usually the perpetrators of these sensations become diseases of the digestive system, cardiovascular, respiratory, and even problems with the spine mail. In addition, such symptoms can be caused altered lesions and mobility of the nervous system.
Among a list of possible causes of a special place, involved in the pathology of the spinal column. This is due to the fact that ridge is forced to keep all of the weight of the human body, thus ensuring the biped position. Frequent pain below the shoulder blades are explained in the anatomy of this area. The altarpiece represents the articulation of the humerus with the clavicle and to her they are attached to the muscles responsible for the mobility of the shoulder girdle. In addition, together with the structure of the ribs protects the vital organs.
The types of pain
Pain under the shoulder blade can be very different for different patients. Usually divided into several groups:
- For the localization of pain (right below)/altarpiece of the virgin, middle, bottom or top).
- For the nature of the pain (acute, pulled, aching, burning, stabbing, paid-up, spasmodic, extends).
- For the duration (long or short heart attack, the start of a dramatic, moderate or purchasing the intensity, frequency of appearance).
Happens that the back pain (dorsalgia) occurs after a long stay in an awkward position or embarrassing movement. Usually these feelings pass quickly, without consequences, then there is no reason for alarm. But if dorsalgia has become a nuisance continuous and there is, however, another symptoms, it is not excluded that for this serious disease. Ignoring these feelings is not possible, to recover lost time, it has led to serious consequences.
Together with dorsalgia in the Chuck area, the patient must experience these symptoms:
- condition febrile (temperature above 38 degrees);
- aspect a complex of symptoms of "acute abdomen";
- swelling in the hands and fingers of the hands;
- violation of the sensitivity to the upper limbs, tingling sensation and "thrills";
- dyspnea, cyanosis of the skin;
- vomiting;
- dorsalgia does not pass even at rest;
- the reduction in blood pressure, bradycardia, fainting.
In this case, to postpone the visit to a doctor can not, because it is necessary to delete not only the painful symptoms, but the causes which have led to their events.
The left side
Among the complaints of the patients rather often — the left sharp pain under the scapula. You can call these causes:
- Shoulder-scapular bariatric with the left localization. It is an inflammatory reaction that affects the tissues adjacent to the humerum the joint. The main symptoms of the disease are pain of different nature that affect the area of the neck, shoulder and scapula. The disease most often appears in the background of a trauma.
- Torakalgiya (due to crushing, inflammation, neural processes in costarum space). Usually, you have herpes character, but often highly gives in the subscapular area from the left side. Usually the symptoms are amplified when you change the position of the body, or with increased physical activity.
- Pain applicant in this field are characteristic for ulcers of the stomach. The intensity of his usual, fast increases, when the patient vomits and he opens vomiting. An attack can occur after meals or on an empty stomach. The first sensations are observed in the epigastric region, and then the patient complains of the appearance of pain to the left under the articulation of the humerus with the clavicle and on the left front side under the ribs.
- The defeat of the cartilage tissue of intervertebral discs crest in the cervical or thoracic. In addition to pain syndrome bright symptom of this pathology is expressed dizziness, weakness, and numbness of the upper limbs.
- Mancini subscapular pain can be called a vegetative crisis. Patients who suffer from panic attacks, often complain about pulling aching, pain below the left shoulder blade, accompanied by anxiety, tachycardia, and sudden weakness.
- Impetum angina or myocardial infarction. The sensation of pain in the back are viewed from behind the sternum, but it also has a reflection in the subscapular area from the left side. If the patient experiences a feeling of numbness of the limbs, and nausea.
Not in all cases, when patients complain of pain under the scapula has highlighted the issue of the osseous system. Often this symptom indicates that neuralgia (affecting the peripheral nerves) or myalgia (hypertonicity of muscle cells in a state of tension or rest).
The right side
Pain under the shoulder blades to the right may have several causes:
- Colic hepatobiliary area. They occur in a difficult context the flow of bile from the body, or the spasms of the smooth muscles. Sharp, cutting pain you feel in your Chuck box to the right or to the clavicle, and surrounded by the right upper quadrant, depending on the reason of their formation.
- Subphrenic abscess. This is usually a secondary disease, complicating any primary disease in the abdominal cavity. This disease is characterized by a hiccup, and also expressed pain syndrome, which is felt even in the Chuck the right pane, and intensifies during the in-breath.
- The acute form is an inflammatory process in the kidneys. The dull pain, aching on the side of the lesion, the sacral or the bottom of the palette. Patients typically this symptom built-febrile condition, nausea and vomiting.
- The myofascial syndrome. This is a pathological condition, implies a spasm reflex, which can occur in a variety of muscles. And the pain make know how to the point of spasm, and the movement of the muscle fibers.
- The herpes zoster virus. The causative agent of this disease is the herpes virus ⅲ type. Is a more frequent form, begins with a fever, accompanied by severe pain in the locations of future eruptions. Dermatological component manifests itself only after 4-12 days.
- The right side pneumonia. If the inflammatory process affects the right lung, the pain may extend to any part of the chest, and also he can give back, the neck, under the shoulder blades. The pain is usually constant and annoying, and at any sudden movements, deep breathing, or cough has improved.
Colic, urine-excretory and hepatobiliary systems very often are accompanied not only shed aches and pains in the peritoneum, and dyspeptic phenomena, but also stitching pain in the right joint of the humerus with the clavicle, in the proximal segment of the right hand and also in the right part of the neck.
Irradiating pain
Irradiating (slap) pain below the shoulder blades can be called such causes and pathological states:
- duodenite and duodenal ulcer;
- colic hepatobiliary area;
- an attack of angina pectoris;
- necrosis of the heart muscle, in the background of a thrombosis of the arteries of the heart, atherosclerotic platelet count;
- cardiovascular disease, which is characterized by the presence of inflammatory processes in the outer shell of the heart;
- saccular diverticulum of the aorta;
- spontaneous accumulation of air in pleural area of the thorax;
- inflammation of the pancreas in acute form;
- renal colic;
- osteochondrosis of the cervical spine.
Dorsalgia in the Chuck area can be very varied. A dull pain usually appears when the diseases of the muscular and connective tissue parts, which connect them with the bones of the skeleton. Annoying pain can indicate moderately expressed processes in the ridge, in striated and smooth muscles and in the internal organs. These symptoms can not be ignored, deserves to spend a full diagnosis and to choose a suitable healing tactic.
In pregnant women
During pregnancy the expectant mother is experiencing a significant workload on the ridge, so she may be suffering from dorsalgia, including, and below the articulation of the humerus with the clavicle. And if the patient still has the first fertilization was diagnosed with low back pain in the later stages, the situation is worse.
In addition, the emergence of pain syndrome can result in these factors:
- compression or irritation of the intercostal nerves, on the background of stress, increased physical activity, or transferred to ARI;
- slow inflammation pulmonary or pleural sheets;
- with the increased level of relaxin' occurs an excessive relaxation of the ligaments of the machine;
- the muscle tone, caused by variations of the center of gravity with an increase of the fetus;
- aggravation of pathological processes in the kidneys.
In any case, no matter the patient is pregnant, or someone else, if the feeling of pain in Chuck's area of quite intense — it is an opportunity to ask for help in a healthcare facility. Even if rarely, but this can be a critical signal the state of the body, that absolutely can not ignore.