Often, people complain of pain in the back, under the shoulder blades, and the causes that cause it, can be very diverse. Generally, the authors of these sensations become diseases of the digestive system, cardiovascular, respiratory, as well as problems of vertebrate post. In addition, this symptomatology can be induced successfully completed the injuries and mobility of the nervous system.
Among the list of possible reasons occupy a special place in the pathology of the spine. This is due to the fact that the dorsal is obliged to maintain the weight of the human body, thus providing stand. Frequent pain below the shoulder blades can also be explained by the anatomy of this region. The scapula is an articulation of the humerus with the clavicle, and to which are attached the muscles responsible for the mobility of the shoulder girdle. In addition, together with part of its coast, it protects the vital organs.
Kinds of evils
The pain under the shoulder blade can be very diverse in different patients. It should be divided into several groups:
- On the location of the pain (in the right-hand side of the blank of the scapula, middle, bottom or top).
- By the nature of the pain (sharp, shooting, throbbing, burning, throbbing, diffuse, spasmodic, entrust).
- On the duration (short or long heart attack, the beginning of abrupt, moderate, or taking the intensity, frequency of appearance).
It happens that the pain in the back (dorsalgia) occurs after a long stay in a position that is uncomfortable or awkward movement. As a general rule, these sensations are quickly without consequences, that is why there is no reason to sound the alarm. But if dorsalgia become disturb constantly and yet there were other symptoms, it is not excluded that this resident's serious illness. Ignore these feelings we can't, to make up for the time has not led to serious consequences.
With dorsalgia in Chuck the area of the patient must be alert for these signs:
- febrile state (temperature higher than 38 degrees);
- the emergence of a complex of symptoms "acute abdomen";
- swelling of the hands and fingers;
- sensitivity disorders in the upper limbs, the feeling of tingling and "hen";
- a dyspnea, a cyanosis of integuments;
- vomiting;
- dorsalgia does not pass, even at rest;
- reduction of blood pressure, bradycardia, without knowledge of the state.
In this case, refer to a visit to the doctor can not, because it is necessary to eliminate not only available for painful symptoms, but the root causes that have led to their events.
Left side
Among the patients ' complaints are often right-handed pain under the shoulder blade. It can cause reasons such as these:
- The shoulder-scapular bariatric with the left side of the location. It is an inflammatory reaction that affects the tissues, the lands adjacent to humerum the joint. The main symptoms of the pathology are pain of a different nature, affecting the region of neck, shoulder and shoulder blade. The pathology most often appears at the bottom of a trauma.
- Torakalgiya (pinched, nerve inflammation shoots in costarum space). Generally, it has tinea nature, but often strongly radiating subscapular area on the left. Usually, the symptoms intensifies when a change of the body position or physical activity.
- A recurring pain in this area are characteristic of ulcer of the stomach. The intensity of the sound is usually increases rapidly, the patient sick, and it offers vomiting. A crisis can occur after a meal or on an empty stomach. The first sensations are observed in the epigastric region, and then the patient complained of the onset of pain of the left in the articulation of the humerus with the clavicle and left at the front under the ribs.
- The defeat of the cartilage of the intervertebral discs of the ridge in the cervical or the thoracic region. In addition to the sharp pain the symptom of this disease is expressed dizziness, weakness, and numbness of the upper limbs.
- Left subscapular pain may be called vegetative crises. Patients suffering from panic attacks, often complain of the lab, a throbbing pain under left scapula, which are accompanied by an anxiety disorder, tachycardia, and weakness.
- Impetum angina or myocardial infarction. The sensation of pain mostly occur behind the sternum, but also a reflection to the subscapular area on the left. By doing this, the patient feels numbness of extremities and nausea.
Not in all cases, when patients complain of pain under the scapula, there is a problem of the bone system. Most often this symptom indicates neuralgia (affecting the peripheral nerves) or myalgia (hypertonicity of muscle cells in a state of tension or rest).
Right side
The pain under the shoulder blade on the right can occur for reasons such as these:
- Colic hepatobiliary zone. They occur on a background of difficulties, bile flow of the body or of spasms of the smooth muscles. Sharp, cutting pains, acute in the Chuck the right-hand pane or in the collarbone, and around the right upper quadrant, depending on the cause of their education.
- Sub-phrenic abscess. It is usually secondary to a disease, complicate, during a primary disease in the abdominal cavity. For this pathology characteristic of the hiccups, has also expressed pain syndrome, which is also felt in Chuck the right-hand pane, and intensifies with inspiration.
- The acute form of the inflammation in the kidneys. A dull pain, throbbing on the side of the lesion in the lower back or at the bottom of the shoulder blades. In patients in general, this symptom is complemented by a febrile condition, nausea, and vomiting.
- Myofascial syndrome. It is a pathological condition involves reflex, which can occur in the different muscles. And the painful sensations are felt as in the point of spasm, and the route of the muscle fibers.
- Shingles or herpes zoster. The causative agent of this disease is the herpes virus ⅲ type. The more often the form that begins with fevers accompanied by severe pain in the locations of future eruptions. And dermatological component manifests itself only later, 4-12 days.
- Law of the pneumonia. If the inflammatory process affects the right lung, the pain syndrome can spread to any part of the chest, and it can also give in the back, the neck, under the shoulder blade. The pain is usually constant and throbbing, and with jerky movements, deep inspiration, or cough is increased.
For colic, the urine, the excretion and hepatobiliary systems are quite often accompanied not only distributed pain in the abdomen and dyspeptic phenomena, but also the pain of pricking in the right articulation of the humerus with the clavicle, in the proximal segment of the right hand, and even in the right part of the neck.
Irradiating the pain
Irradiating (smack) pain in the shoulder blades can be called by reasons and by states:
- duodenitis and duodenal ulcer;
- colic hepatobiliary zone;
- the crisis of angina pectoris;
- the necrosis of the heart muscle on the bottom of the thrombosis of the arteries of the heart plate the plate;
- cardio-vascular disease, which is characterized by inflammatory processes in the envelope of the heart;
- saccular protrusion of the aortic;
- spontaneous to the stagnation of air in the pleural space of the chest area;
- inflammation of the pancreas in the acute form;
- colic in the kidneys;
- osteochondrosis of the cervical spine.
Dorsalgia in Chuck region can be quite varied. A dull ache, usually appears in the pathology of muscles and connective tissue the parts that connect to the bones of a skeleton. A throbbing pain can indicate moderately expressed by the process in the chain, in striated and smooth muscles, as well as in the internal organs. These symptoms not to be overlooked, she deserves to go through a full diagnosis and to choose appropriate curative tactics.
In pregnant women
In the time of gestation of the child, the mother undergoes a lot of stress on the spine, therefore, she may be suffering from dorsalgia, including the articulation of the humerus with the clavicle. And if the patient before fertilization has been diagnosed with degenerative disc disease, the later date only worsen the situation.
In addition, the emergence of pain syndrome can result from such factors:
- compression or irritation of the intercostal nerves, on a background of stressful situations, increased physical activity, or transferred to OCR;and
- slow inflammation of the lungs or pleural sheets;
- with the increase in the level relaxin' occurs the relaxation of excessive ligamentous apparatus;
- the muscle tone caused by the change of the centre of gravity during the increase of the fetus;
- the aggravation of pathological processes in the kidneys.
In all cases, regardless of the patient is pregnant, or someone else, if the pain in Chuck area is quite intense — it is a reason to request the assistance of the medical institution. Although rarely, but it can be a signal of the critical state of the body, that absolutely can not ignore.