Pain under left shoulder blade behind his back. Causes, treatment, if gives to the sternum during inspiration, numb hand, aching, spot

With pain under the left scapula know people of all ages. Sometimes it arises from prolonged overvoltage body from behind, but often body thus indicates a serious disease. In some cases, the pain is better not to ignore, but to find out the source of its origin.

Types of pain under left shoulder blade from the back

Blades - two flat triangular bones that appear on the back of the right and left. They are related to the collarbone, arm muscles, located in the upper back. One of their purposes is to support the rotary arm movements.

Subscapular pain may have various causes, since the shoulder is the most unstable joint. It can occur in the very blade or be a reflection of inflammation in other parts of the body.

Types of pain by location:

1. Local. There is in the affected area of ​​the body or near. Most often pain is caused by disturbances in the locomotor system, with injury of soft tissue.
2. Radiates. There is a heightened sensitivity to the areas most often signals the liver, spleen, ulcerative colitis, an inflammation of the lungs.
3. The reflected. Pain discomfort, distance from the source of pain. In such cases, a person is difficult to determine exactly where it hurts.
4. Dysfunctional. It develops in the absence of organic visible damage. On examination it is not always possible to identify the cause of its occurrence, but often it is promoted by social factors, psycho-emotional strain.

Pain under the left scapula from behind, has a different character and reactivity:

• acute (if present intercostal neuralgia, pneumonia, angina pectoris);
• dull (osteochondrosis);
• pulling;
• stabbing;
• sweep (lumbago, osteochondrosis).

The pains are of the same type or alternating. For example, stitching, often replaced by a blunt raked or pain.

The causes of pain under left shoulder blade from the back

Pain in the blade may be a consequence of injury, disorders musculoskeletal:

1. Broken ribs. It covers all shoulder soreness pronounced.
2. Osteoporosis, arthritis. Disease in the musculoskeletal system affect the shoulders, neck and shoulder blades.
3. Slipped disk. Spinal stenosis gives rise to pain.
4. The aging of the skeletal system. Age-related processes lead to a change in bone structure, contribute to the development of discomfort in the area of ​​the blades.
5. Bursitis. Inflammation of periarticular bag with the formation of exudate accompanied by pain, clacking of the humerus.
6. Rupture of the rotator cuff. Violation of the shoulder muscles, tendons, coordinating the movement of the shoulder joint, makes itself felt a sharp, acute pain and the inability to rotation of the hand.
7. Dislocation. Break acromioclavicular joint dislocation of the collarbone or shoulder joint.
8. nerve damage. Pain arises from the dorsal scapular nerve entrapment.

Pain often radiates signals pathology:

1. Abscessed pneumonia.
2. Acute inflammation of the bronchial mucosa.
3. Focal pneumonia.
4. Pulmonary pleurisy.
5. Stomach ulcer.
6. esophageal spasm.
7. Pancreatitis.
8. Gastroreflyuksa.

The emergence of pain affect heart disease:

1. Damage to the heart muscle (myocardial).
2. Pericarditis.
3. Angina.
4. Mitral valve prolapse.

Discomfort in the left side of the back may be due to increased muscle tone:

1. Poor posture. Curved spine causes strain the muscles around the shoulder blades, leading to poor weight distribution and, as a result of pain.
2. Incorrect position during sleep. Uncomfortable night posture causes tension morning cervical and scapular muscles.
3. Stretching the neck muscles. The pain is caused as a result of injury, sharp turns, lifting weights,

Diagnosis of pain under left shoulder blade from the back

To see a doctor performed the initial examination. At this stage, sometimes put a preliminary diagnosis. To define it, it is enough to conduct the survey: overall health, information on the operations carried out, the injuries, the presence of chronic diseases.

The specified diagnosis is made after the laboratory and instrumental diagnostics (if necessary):

1. Blood analysis. The general analysis is needed to identify the foci of inflammation, biochemical analysis of serum creatinine for assessment of renal function, troponin suspected heart attack, the level of calcium in the diagnosis osteoporosis.
2. Analysis for the evaluation of renal function Urine.
3. Conducting liver function tests.
4. Zheludochnavya endoscopy.
5. Ultrasound for the diagnosis of somatic disorders of the heart and vessels.
6. CT liver, pancreas.
7. EKG heart.
8. Radiography of the sternum.

Pain under the left scapula from behind, often not a symptom that characterizes a single disease, so requires a comprehensive examination of several specialists.

Many clinics offer a comprehensive survey. One of the modern species - a check-up. The minimum set of diagnostic procedures includes many types of analysis and instrumental studies. There are various programs, the price of which - from 6 to 20 thousand. rub. Specialized programs for diagnosing different types of diseases are much higher.

Types of diseases accompanied by pain from back left scapula

Related diseases Digestive system - the most frequent causes of blade pain. First of all, it's a peptic ulcer. On its development indicate the presence of regurgitation, heartburn. More than 75% of patients experience a sense of relief from vomiting caused by severe pain, without feelings of nausea.

Initially the discomfort felt in epistragalnoy area, then spread of pain on the left side: the left nipple of the breast, under the shoulder blade. They almost always occur after a meal, but sometimes the pain comes on without regard to food. Ulcer perforation is often accompanied by pain radiates subscapularis.

But there are additional symptoms:

• performs a cold sweat;
• man takes a certain posture, pulling her knees up to her stomach;
• reduced blood pressure;
• slowing heart rate.

Pain under the shoulder blade, caused by pancreatitis, appear much less frequently. They are complemented by lumbar pain and twitching. They appear suddenly in the vicinity of the heart, chest, back to back. The second common cause - vegetative crises.

Characteristic signs are more colorful and varied:

• tightness, pressure in the chest;
• fever;
• no fixed place of pain localization;
• panic anxiety, tremors;
• false sense of oxygen deficiency;
• anxiety;
• palpitations and tingling.

When crises pain pierces the blade, it spreads on the arm, collarbone, and further down to the stomach. Often there is a false sense of stopping the heart rate, breathing. Myocardial infarction - is the third common cause. Recurrent bouts of chest, extending to the left side of the body, can be life-threatening. In this case, the sternum is a burning sensation.

symptomatology:

• insensitivity to nitroglycerin organism;
• pain, do not stop for 15-20 minutes;
• increased pain intensity.

For stenokradii characteristic pattern of acute left-sided subscapular pain behind the breastbone. For withdrawing them enough to take nitroglycerin. Stenokardicheskie attack often begins under the influence of physical, mental and physical overload, hypothermia, excessive drinking, overeating.

Pain under the left scapula from behind, sometimes has a long-term nature, which is typical for pneumonia. It increases with painful coughing, sneezing, breathing, which is also characteristic of the dry pleurisy.

These diseases are inherent symptoms:

• blood clots in the saliva;
• dry cough, but more wet;
• lack of oxygen;
• body temperature is kept at 37,5˚-37,9˚S level.

All destructive changes in the spine, bones, give rise to pain under the shoulder blade. Osteochondrosis may be part of the cause.

These diseases have other symptoms:

• muscle cramps, numbness;
• development of vertigo;
• appearance "tingling" (paresthesia);
• frequent headaches.

Backache start at the bottom of the head, move back, grabbing the blade. Intercostal neuralgia often provokes pain under the shoulder blade.

Another of the most common complaints - pain in the muscles working to lift the blade. This actively working muscle helps to rotate the neck and works as an extensor of the cervical spine.

muscle disease causes over-voltage, or cooling povrzhdenie. Inflammation appears muscular hypertonicity and pain in the shoulder joint, shoulder blade. Twists the neck, the head, lift the blades are hard, the pain causes a person to turn his whole body.

Stage and extent of diseases

Different types of subscapular pain often indicate other illnesses. Time undiagnosed pathology can have dangerous consequences.

Cause	The nature of pain	Effects
osteochondrosis	Gave all the back dull pain	Numbness in the hands, irregular heart work
Respiratory diseases	Acute inhalation	Intoxication, oncology development, pulmonary embolism
Liver and biliary colic	Strong nagging pain, penetrating to the hands	The development of jaundice, not revealed giardiasis, the development of ulcers, pancreatitis
heart disease	Pain that does not pass with a change in body position, breathing	Myocardial infarction with subsequent complication
Urolithiasis disease	Acute, extending to the entire back	renal colic
skin diseases	acute	Development of edema, purulent foci, abscesses.
Intercostal neuralgia	Long-term, do not let the pain	respiratory disorders, emotional decline, hypoxia.

When to see a doctor

If the cause of muscle pain numbness, bruises, lifting weights, in many cases, a person mozhdet overcome it. But the appearance of it for no apparent reason should be examined by a doctor. Women should be wary of this kind of ailments, since it is often a sign of a heart attack.

The symptoms for which doctors participate immediate need:

• chest pain;
• labored breathing;

  

• serdenchnyo quickened rhythm;
• labored speech;
• swelling and redness in the legs;
• coughing up blood;
• fever;
• sweating;
• Difficulty of perception of reality.

Pain under left shoulder blade behind his back for the most part is a projection of malaise emanating from another organ.

Therefore, first of all it is necessary to arrest the pain, and then diagnose the full extent with the involvement of other doctors:

• trauma;
• cardiologist;
• neurologist;
• gastroenterologist;
• vertebrologist.

Prevention of pain under left shoulder blade from the back

To carry out regular preventive action, it is desirable to find the original cause of blade pain. If a person suffered a heart attack is suspected angina, coronary artery disease, the best prevention of pain - regular intake of heart medications, restriction of physical activity, diet.

Subscapularis discomfort provoked dystrophy bone of the spine system, preventing reception of nonsteroidal anti-inflammatory drugs, performing light treatment physical activity.

Pain provoked gastrointestinal inflammatory process, liver, kidney, light diet prevented, intake of antacids, creating a positive psycho-emotional state.

For the prevention of health problems related to trauma and numbness, should stick to the rules:

• provide a convenient place for a night's sleep;
• to avoid the potential risks of falls and injuries;
• lighten the load during training;
• engage in daily exercises;
• periodically change the position of the body after prolonged sitting;
• do daily stretching exercises of the back.

Methods of treatment of pain under left shoulder blade from the back

Determination methods of therapy depends on the test results and diagnostics.

The first stage of treatment is aimed at relieving symptoms of pain and heavy conditions:

1. The pain caused by chronic coronary heart disease. Should take heart medication, and if after 10-15 minutes the pain persist, you should call emergency assistance.
2. Acute pain is generated by an inflammatory attack of ulcers, low back pain, herniated jamming. In these cases, you must go to a clinic for the purpose of appropriate therapy.
3. In simple cases, you can apply warming ointment, massage, application of ice to the affected area.

Sometimes it is enough to give the muscles a good rest, to get rid of the pain caused by overexertion.

And also well help in this case the procedure:

• physiotherapy;
• manual therapy;
• massage.

Medications

analgesics are used for relief of inflammation:

• paracetamol, 1-2 tablets used, not more than 4 times a day;
• analgin, inside of 250-500 mg 2 times a day with a maximum dose - 1 g

Local inflammation and pain are treated with NSAIDs (nonsteroidal anti-inflammatory drugs):

1. Diclofenac. Chronic diseases associated with bone system, neuritis, neuralgia, lumbago, defeat soft tissue - at the beginning of the treatment received a single 75 mg dose to produce a therapeutic effect. The subsequent treatment is a tablet form. It is recommended to take 50-150 mg per day, divided reception at 2-3. The price of the drug in vials - 59 rubles. 5 ampoules, tablets - 54 rubles per 20 pieces.
2. Ibuprofen. The analgesic drug used in neuralgia, take 1 (200 mg) capsule 3-4 times per day. Price in capsules, 8 pcs. - 135 rubles. Tablet form, 50 pieces per pack - 33 rubles.
3. Nimesulide. It has analgesic and antipyretic effect, reduces inflammation in torn ligaments, relieves acute pain. The drug is administered as a suspension of 1 packet (100 mg substance) per day. The pellets are diluted in 100 ml of warm water. The price of the product - 537 rubles for 30 bags.

Severe pain under the shoulder blade is removed narcotic analgesics:

• promedol, injectable solution contains 0.01 or 0.02 g in 1 ml, administered intramuscularly at spasms of smooth muscle;
• Codeine is assigned for pain caused by asthma, pneumonia, trauma, 15-60 mg every 5 hours while coughing: 10-20 mg four times a day.

You can use a variety of gels and ointments that have analgesic properties, anti-inflammatory.

painkillers:

1. Fastum gel - 254 rubles.
2. Nurofen - 318 rubles.
3. Nise - 190 rubles.

anti-inflammatory:

1. Teraflex - 320 rubles.
2. Diclofenac - 308 rubles.
3. Amelotex - 227 rubles.

warming:

1. Finalgon. The price of the product - 250 300 rubles.
2. Apizatron. 20 grams of the drug costs 250 rubles.
3. Kapsikam. The cost of 300 rubles.

Gels and ointments used no more than twice a day until complete recovery of the affected organ.

Traditional methods

For pain caused by nerve compression, applied a cold compress. When the patient numbness portion better to apply heat to the affected area.

Good help massage with essential oils:

1. Wintergreen.
2. Incense.
3. Daisies.
4. Peppermint.
5. Lavender.

It is applied to the affected area 2 to 3 drops of oil and rubbed until complete penetration into the skin.

You can use lotions:

1. Lidocaine spray.
2. Cooling Lotion with benzocaine.

Other methods

If the discomfort caused by the scapula muscle tension, it goes without treatment. To do this for a while to rest the hand, torso.

Remove the pain caused by stiff neck, you can use the exercises:

1. Push a little hand on the neck on the left side.
2. Turn head to the right and sharply lower the chin down.
3. Return the head to its original position.
4. Repeat the exercise 15-20 times.

Help alleviate ailments exercises therapeutic exercises, carried out under medical supervision.

When hernias of intervertebral applicable methods:

• stretching the spine and scapula muscle tension;
• Exercises using roller massagers, hard rubber balls;
• acupuncture.

When the pain under the shoulder blade, radiating to the neck, you can wear a medical fixing collar

Well help:

• Percutaneous electroneurostimulation;
• acupuncture;
• electroacupuncture.

possible complications

Permanent unceasing pain can affect many body systems. Part of the body, in which there was discomfort, becomes deactivated. It stops normal movement, which leads to several complications. One sore spot may give rise to others.

Uncontrolled constant pain can cause:

• hormonal complications;
• cardiovascular disorders;
• disorders of the musculoskeletal system;
• changes in the immune system.

To fill the job in a diseased part of the body, joints, nerves and muscles have to compensate loss and work beyond the norm. And this leads to congestion and degeneration of tissues and organs.

In most cases, pain under left shoulder blade behind his back is a temporary malaise. However, do not determine the cause of its occurrence can indicate a variety of diseases, and make life difficult for many people.

Author: Anna Belyaeva

Registration of the article: Vladimir the Great

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