When the back hurts in the scapular region, the majority does not even react to such factors. Minor discomfort passes, but over time, a person gets so used to such things that the amplification and addition of alarm signals do not call for an examination. People don't even realize that sometimesdisease poses a high health risk.
According to statistics, about 80% of people complain of failures in the region of the spine, lower back, neck.
About 60% are concerned about pain in the shoulder blade or under it. Such pathologies greatly complicate movement, limit performance. The causes of sensations are cramps in the skeletal muscle, overstrain. A pressing feeling in a certain area occurs when diseased organs are located at this level.
The malaise can be localized:
- at both sides;
- under the left;
- under the right;
- middle;
- below;
- when coughing;
- when inhaling;
- when turning the head;
- from the side of the heart;
- encircle the area of the back and sternum;
The causes are damage to internal organs, vertebrae, pathology of the nervous system, physical activity, trauma, chronic failures of the body, musculoskeletal system.
Let's analyze each case of discomfort in more detail.
Pain on both sides
They can appear as a result of heavy physical exertion, when the muscles and tendons are tense. Unsuccessful turn, movement also lead to a similar state. Symptoms will be swelling, redness of the focus. In a situation with a characteristic crunch, the disease is called a scapular crunch. Localization in just two places speaks of bursitis, inflammation of the internal organs. Sometimes back pain in the area of the shoulder blades is a sign of tuberculosis, osteomyelitis, in which case the flat bones are painful, under the development of infection they begin to collapse. The patient has a fever and fever. Pneumonia and pleurisy provoke pain on palpation, osteochondrosis tends to spread to both sides.
For pulmonary forms, the addition of wheezing, shortness of breath, cough is characteristic.
Character
From acute to moderate with the addition of burning in case of trauma.
Treatment
After the diagnosis, the traumatologist selects therapy in accordance with the source of the disease. For injuries, bruises, in the presence of bursitis, non-steroidal medications are prescribed. The patient is advised to limit physical activity. Add physiotherapy electrophoresis, magnet, ultrasound, massage. If the back hurts in the area of the shoulder blades as a result of tuberculosis, pneumonia, purulent infection, then they are treated inpatiently with the use of antibiotics of the fluoroquinolone series and macrolides.
Pain on the left
The result of the appearance of ailments can be an ulcer of the gastrointestinal tract. Additionally, a person suffers from bouts of nausea, vomiting, and belching. Nervous. The vast majority of people suppress their emotions, experience unrest, accumulated problems in themselves. They feel not only an ache, but also heaviness in the sternum, a feeling of a lump in the throat. Myocardial infarction causes not only pain under the left shoulder blade, but also a burning sensation from the side of the arm, cervical region, jaw.
Provoking factors will be cervical osteochondrosis, intercostal neuralgia, lesions of the pulmonary tract, oncology.
Character
Strong. With an ulcer, it is dull, aching, pressing on nervous tension, moving to the chest. Myocardial infarction - burning, gives under the bone. Neuralgia - strong, shooting, while the lower back is affected. In the presence of a bacteriological process and oncology, it is constant, temperature, fever, chills join, appetite is suppressed.
Treatment
It is required to consult not only a therapist, but also a cardiologist, gastroenterologist, vertebrologist, psychiatrist. Based on the provoking source, medications will be prescribed. NSAIDs for dystrophy. Gastric ulcer includes antibiotics, anticholinergics. Intercostal destruction of peripheral endings is cured with analgesics, non-steroidal anti-inflammatory drugs. In addition, antiemetics and antacids are prescribed. In some situations, perforation of the ulcer requires surgical intervention. Infections such as left-sided pneumonia, osteomyelitis involve taking antibiotics.
Oncology is a serious, long-term cure with the passage of chemo-procedures.
Pain on the right
It develops due to muscle spasms of the gallbladder or bile ducts. It provokes a condition of a stone that clogs the ducts, contributing to biliary, hepatic colic. The person feels chills, fever. Osteochondrosis is asymptomatic in the initial phase, has a low threshold of sensations. Subdiaphragmatic abscess affects not only the right lobe, but also the shoulder. The patient suffers from fever, unbearable pain. Pyelonephritis, pancreatitis, adhesions after right-sided pneumonia, contusion of the suprascapular nerve, myofascial syndrome are also triggers for the disease. A sick pancreas, tumors in the liver, kidneys put pressure on the right zone.
Hepatic colic has no signals other than painful malaise.
Character
Dull with cholecystitis. Pancreatitis, pyelonephritis is accompanied by a pulling, aching sensation with recoil in the lumbar region, upper body. Tumors of organs are caused by periodic, pulling aches in the right lobe of the body. With burning symptoms, pinching of the nerve roots is possible. Dystrophy of the cervical compartment is recognized by piercing lumbago. If it is sharp, then an abscess occurs under the diaphragm.
Treatment
The doctor will prescribe NSAID medications, their property is aimed at eliminating symptoms, reducing inflammation. A good outcome is given by physiotherapy with a laser, magnet, electrophoresis, manual therapy, exercise therapy. An abscess is treated with a group of substances that inhibit the growth of bacteria. Attacks of pancreatitis require the use of antibiotics, enzymes. Pyelonephritis refers to the penicillin class of drugs. Cholecystitis includes macrolides, analgesics, choleretic.
All three processes indicate adherence to a special diet.
Between shoulder blades
The main circumstances that cause illness include low activity, sedentary work, gravity, physical exercise. The main failures are osteochondrosis, scoliosis, kyphosis, spondylarthrosis, intervertebral disc herniation in the chest, cervical and thoracic sciatica, intercostal disc displacement, and humeroscapular periarthrosis. The first ailment is formed due to dystrophic changes in bone tissues. Scoliosis as a result of a negligent attitude to one's health. Wrong sitting, standing leads to a change in position, they pull the bone structures to the left and right, changing the posture. Subsequently, it is painful for the sick person to sit in an unusual position. Kyphosis occurs due to an extremely strong curvature of the spine, round back syndrome appears. Spondyloarthrosis also refers to diseases that affect changes in bone structure. A hernia is dangerous due to the fact that it can compress the spinal cord, nerve fibers are destroyed. This limits the patient's movement. Sciatica provokes clamping of the nerve roots. Symptoms will be pain, swelling and redness of the place, muscle spasms. Periarthrosis scapularis is a degeneration of the tissues surrounding the joint. It is expressed in puffiness, laying the limb behind the back. The patient may have pain in the arm, neck, interscapular territory.
Additional causes will be ischemic heart disease, infection with pathogenic bacteria.
Character
Strong, long-lasting, with a burning sensation in some situations. Infections are added by the presence of temperature.
Treatment
Osteochondrosis, sciatica, other pathologies of bone destruction are treated with NSAIDs. The use of creams with analgesic properties. Definitely chondroprotectors. Therapy with heat, magnet, electrophoresis. The patient is prescribed physical therapy, massage. Scoliosis at the initial stage is treated with exercise therapy, massage. With a hernia, the treatment is conservative, it excludes the manual technique and massage!
Antibiotics depending on the pathogen for infections, pneumonia, tuberculosis, poliomyelitis.
Below the scapula
Provokes osteochondrosis. The diseased area hurts, there is pain in the back. Injuries, bruises have swelling, sensitivity to palpation. The area is hot and inflamed. High performance, pregnancy are the culprits that the spine and subscapular part hurt. Tuberculosis bacillus or tuberculosis is an abscess localized anywhere. It is characterized by fever, weakness, poor appetite. Sciatica or inflammation of the nerve root additionally radiates to the leg. Bone growths as a result of spondylosis put pressure on the place, spread with malaise between the ribs, under the sternum, and scapular bones.
Also, aching constant pain under the shoulder blade can be caused by an illness of the internal organs.
Character
Moderate to strong with jerks in the right or left leg when the nerves are pinched.
Treatment
Degeneration of cartilage, joints, bone mass involves medication using nonsteroidal drugs. Physical therapy courses, massage, magnetotherapy, ultrasound, laser, electrophoresis. Further actions are proper nutrition, seasonal intake of chondroprotectors. Injuries, bruises include analgesics and ointments that reduce hyperemia, which have absorbable properties. Treatment with physiotherapy, paraffin compresses, electrophoresis with potassium iodide, UHF. Cold compresses at home.
Pain when coughing
The presence of an alarm signal indicates pleurisy of the spinal column, chronic bronchitis, pneumonia, muscle strain, sciatica, osteochondrosis, and even lung cancer. Discomfort extends to the area below the shoulder blades, lower back, spinal apparatus.
In the future, there is difficulty in walking.
Character
Sharp, sharp, intermittent. Increases in the evening.
Treatment
A patient diagnosed with pneumonia is taken to the hospital. Conduct drug therapy with antibiotics. Use non-steroidal, analgesic drugs with the production of sciatica, osteochondrosis. A favorable outcome is given by injection blockades, ultrasound, magnetic procedures, laser, exercise therapy, and massage. Home compresses with ointments and solutions, herbs.
Cancer usually involves surgery followed by chemotherapy sessions.
When inhaling
The basis is the accumulation of fluid in the pleura or dry pleurisy. Pericarditis disease develops in the pericardial sac of the pericardium, contributes to the appearance of weakness, subfebrile condition, edema, heaviness behind the sternum. Biliary and renal colic give malaise in the hypochondrium, in flat bones.
Character
Drawing, with increased inspiration.
Treatment
Pleurisy is treated with antitussive drugs for dry cough. Banks are placed, exposure to heat. Requires bed rest, immobilization of the affected side. At home, with a mild form, iodine mesh, warming compresses. The rehabilitation period is supported by proper nutrition, therapeutic exercises. Cholecystitis colic, pyelonephritis involve the use of nonsteroidal drugs.
The first adds the use of choleretic, propulsive agents.
When turning the head
Cervical osteochondrosis, cervicobrachial sciatica, neuralgia of the occipital nerve. Additional signals will be a crunch when turning, swelling, aching in the neck, vertebral region. Inability to turn the neck to the right or left.
Character
Drawing, aching, aggravated by periods.
Treatment
Cervical sciatica and neuralgia are treated with painkillers. A magnet, ultrasound, massage with kneading the neck muscles are prescribed. At home, compresses with horseradish, mustard plasters, linings with honey are good.
You should be careful, because. the time of exposure to mustard plasters should be reduced with a sick heart.
In the region of the heart gives to the shoulder blades
Satellites neuralgia, intervertebral hernia, osteochondrosis, pleurisy, pneumonia, bronchitis. For the latter, the difference is wheezing, shortness of breath, temperature, weakness in the body, lethargy, lack of appetite.
Character
Dull with the addition of heaviness, pressure in and behind the sternum.
Treatment
Infections of the pulmonary tract are stopped by macrolide antibiotics, bed rest is prescribed.
Infringement of nerve fibers is stabilized by NSAIDs, therapeutic ointments, ultrasonic, magnetic, laser physiotherapy, electrophoresis, massage, exercise therapy complex.
When should you see a doctor?
If you have pain of an incomprehensible nature in the shoulder blades, the reasons are different. Accurate Diagnosisonly a doctor can deliver. He will decide what to do in a particular situation and prescribe a competent and effective treatment. The reason for a visit to a specialist will be persistent acute aches for 3-4 days, fever, numbness of the extremities, fainting, a rapid deterioration in well-being. The sick person is obliged to visit the doctors if he vomits, and strong spasms form in the sternum region.
In conclusion, it remains to add that the concept of when the back hurts and aches in the region of the shoulder blades is broad. Because there are so many varieties.
No need to self-medicate, it delays the healing process, leads to complications.