But the term "pain in the region of the shoulder blades" is collective. It is used, if the pain is localized:
- under the shoulder blade;
- directly in the shoulder blades;
- between the shoulder blades.
Pain under the shoulder blade
Pain under the shoulder blade may be located on the right or the left. According to this, there are a variety of reasons.
Ulcer of the stomach
The most common cause of pain in the area of the blades is an ulcer in the stomach. The pain is localized to the epigastrium, but may also extend to the thoracic spine, left scapula and left nipple.
The pain of ulcer of the stomach are characterized by frequency, seasonality, a gradual increase, and is equal to the complete elimination or impairment after vomiting.
The last and allows you to make the conclusion that the cause of the pain – gastro-intestinal tract. The vomiting appears to be on the height of the pain, that is to say when the pain is most intense.
The majority (70%) of patients are still, and the following symptoms: heartburn, salivation, belching, spitting.
Psychological problems
The second degree of the prevalence of reason are the psychological problems. The syndrome of the pain patients describe thus:
- the sensation of "perfusion" heart of blood, and the feeling that the heart frozen, the patients say that at the time of the attack the pain it seemed that the heart was going to burst out of the chest;
- tingling;
- the feeling of compression;
- pressure;
- the severity;
- the heat in the chest;
- cold chills;
- the pain is constant radiate to the right arm, the groin, the shoulder blade, which can hurt the back and neck;
- anxiety.
- the feeling of fear.
- a lump in the throat (which is rare symptom);
- the lack of air (rare symptom).
Myocardial infarction
It occupies the third place on the level of prevalence. Myocardial infarction preceded by a severe attack of angina. You receive a sharp and strong pain behind the breastbone, which is typically radiate to the left shoulder blades, the back, neck, jaw.
The pain does not go away, even after taking medicines vasodilators (nitroglycerine, validol), just help the narcotic analgesics. In most cases, the pain in the area of the shoulder blades occurs after emotional or physical.
Osteochondrosis of the cervical spine
Attack the pain patients describe it in the following way:
- the pain is dull, one-sided, localized just below the nape of the neck;
- the painful sensations occur in the morning, which is the cause of an injured the awakening;
- the pain increases in the case of flexion-extension of the neck, with severe pressures on the cervical spine;
- when the thermal effect of the pain going away, for example, just take a warm bath;
- the pain of the membranes in the head and the hand;
- paraesthesia in the region of the shoulder;
- vertigo.
Intercostal neuralgia
The pain under the shoulder blade when the intercostal neuralgia door tinea character paroxysmal. The sensations are amplified when walking, breathing deep, coughing, sneezing, and physical stress to palpation. In some cases, occurs another symptom – the excessive tension of the muscles.
It is because of this, the pain not only covers the area under the shoulder blade, but the lower back, the heart, the back. Often when intercostal neuralgia also tingling, burning sensation, sensitivity disorders.
The perforation of ulcer of the stomach
The pain syndrome that is characterized by:
- unbearable intense pain, which radiates to the supraclavicular region;
- nausea and vomiting;
- one experiences a feeling of fear, excitement, his face covered in a cold sweat;
- the patient agrees to distress – lying on the right side or the back, clutching at the thigh to the stomach, which is stressful to the pain;
- the slightest activity causes a strong increase of the pain.
The muscle spasms of the gallbladder (or bile ducts)
In this case, the pain is usually done under the right shoulder blade, and due to the fact that the ducts clogged stone. As a result, and develops colic:
- Appear unbearable to the intense pain of the nature;
- With the words of the patients of the throbbing pain, cut";
- The epicenter of the pain is in the area of the right hypochondrium;
- In some cases, the pain radiate to the right shoulder, neck, jaw, eyes.
The person who suffers from this pain is usually worried. It changes position in the search for a minimum of a morbid option. As the characteristics of the pain, it should be noted the fact that the phenomenon is usually accompanied by nausea and vomiting.
Sub-phrenic abscess
For such a case is characteristic of the acute pain to the right shoulder blade, which keeps intensifying at the time of the inspiration. Very often, the pain radiate to the shoulder (right). Like other manifestations of the abscess, it is necessary to mention the leukocytosis and an increase of the temperature.
The disease of the inflammatory nature of the kidney (pyelonephritis, nephritis).
In the presence of these diseases is almost always present pain in the lumbar region and the right shoulder blade. At the same time, there is frequent urination, bringing a painful sensation.
Injury to the shoulder blade
The trauma of the shoulder blade may occur because of the strong impact in the area of blades or in case of a fall on the shoulder.
In some cases, the wounds of blades (fracture) are a consequence of the bad fall on the elbow or on corrected hand.
There are situations where the fracture of the blades is complicated due to the displacement of the lower bone fragments a result of the impact on them by the muscles neighbors.
This person be in constant pain, which intensified with every movement of the hand.
In most cases, the fracture of the blades is accompanied by swelling or swelling. Sometimes the change is in the shoulder joint can be seen and visually.
Pterygoid shoulder blade
This phenomenon is the pathological nature. Generally, pterygoid the scapula is a consequence of the paralysis that struck the trapezoidal shape, a diamond, either before the pinion of a muscle. The paralysis, in turn, can be the cause of the myopathy, neuroinfections or nerve damage.
However, there are traumatic pterygoid the scapula, which develops following injuries to the forearm or as a result of damage in the long breast of bread. As is the case quite frequently encountered in the practice of the athletes and circus artists.
Scapular chewable
In this case, as its name indicates, it is to eat, sometimes completed moderate pain of the nature and the direction of gravity.
Osteomyelitis of the scapula
This phenomenon develops due open damage (the most prominent example – shot). Generally, as the other symptoms are present all the signs of intoxication.
The pain between the shoulder blades
Finally, it is necessary to consider the case where the pain occurs between the shoulder blades.
Characteristics common to all these types of situations is the presence of a sense of numbness, an ice cream, as well as the feeling of crawl of tingling. The causes of the onset of pain are:
- Coronary artery disease;
- Kyphosis, kyphoscoliosis;
- Scapulohumeral periarthrosis;
- The hernia thoracic spine;
- Osteochondrosis;
- Intercostal neuralgia;
- Scoliosis;
- Spondiloarthrosis;
- Angina pectoris;
- Disc Protrusion placed in the thoracic region of the spine;
- Peptic ulcer 12 duodenal ulcer, the stomach;
- A number of diseases of the liver and the gallbladder.
It should be noted that the pain associated with the blades, often, arise on the background of the professional activity, in one way or another linked to excess tension in the appropriate muscles.
In all cases, we may not ignore the pain, it is essential to consult a specialist, this will prevent the development of adverse consequences, and quickly eliminate the cause. Even if the pain has gone, you need to consult a physician. In fact, the real problem will not disappear of itself, it is necessary to cure it.