Pain under right shoulder blade behind his back. Causes, treatment at home

Blades - the most vulnerable part of the back. Their complex structure is susceptible to injuries and internal medicine. The causes of pain under the right shoulder blade back are different, so important in the diagnosis has its character.

The nature of pain under the right shoulder blade

The blade is a part of the shoulder girdle. Besides it, this includes the humerus, clavicle, tendons and muscles. Between the friction structures located synovial bags bursa supporting motor function. Pain, or having a local value reflecting the state of internal organs may occur in different parts of the shoulder belt.

There are several factors influencing the occurrence of subscapular pain:

• Muscle inflammation.
• Bone disorders.
• The pain caused by repetitive motion, awkward body position.
• Bursitis.
• Internal illnesses.

  

Shoulder - joint unstable, so the pain that occurs in it, have a variety of causes, reflecting both internal medicine, as well as local.

Pain vary in type:

• Local. It arises as to where the body lesions, and near it. This type is characteristic of the violations in the locomotor system and soft tissues.
• The reflected. Diseases of some internal organs produce pain discomfort, distance from the source.
• Radiates. Pain spreading beyond the affected portion, characteristic for lung disease, liver and spleen.
• Pain mixed type. It occurs in response to stimulation of pain receptors, as a defensive reaction of the organism. On its development are influenced by social factors, and emotional stress.

It's a dull pain

The classic symptom - a dull ache, exacerbated by raising and lowering the arms, but decreases in the resting state. Sometimes the pain extends over the entire hand. It causes excessive stretching of the muscles, usually due to physical exercise, uncomfortable position during sleep, weight transfer. Developing osteochondrosis, sprains.

acute pain

Pain under right shoulder blade behind his back becomes abrupt with intercostal neuralgia, pneumonia.

Often develops as a result of:

• hepatic colic;
• acute inflammation of the gall bladder;
• dyskinesia of the gallbladder.

Onset of acute pain involves not just chuck area, but the epigastric, moving to the upper part of the body. Increased tone in the muscles, spinal diseases, give rise to acute pain in the morning, which during the day is weakened or completely passes.

It's a sharp pain

Inflammatory disease of the peritoneum, have fallen in the acute stage, are felt intense pain subscapularis.

Purulent infiltration, hepatic colic, promote occurrence of the syndrome in the right shoulder blade, her lower sector, thus there are other signals:

• itching in the anal area;
• fever;
• painful urination.

Violations such as scapular osteomyelitis, glomerulonephritis, ulcer perforation, are factors against which there is a sharp pain subscapularis.

stitching

Cutting pain is typical for:

• lesions in various parts of the spine;
• Herniated.

After a night's sleep in an uncomfortable position, but numbness, shooting pains are felt along the blade. Bruises under which affected cartilage, bone, soft tissue and provoke this kind of pain.

Diseases against which evolve stabbing pain:

• tracheobronchitis;
• TB in a latent form;
• pneumonia.

Nagging pain

Sharp contractile muscle motion in the shoulder, spine structural changes lead to the appearance of pulling pain under the shoulder blade. They are worse in the morning after waking up in the weaker during the day. Changes in the position of bony structures, cartilage wear create additional load, which also causes pain.

Diseases against which to develop this kind of pain:

• lung abscess;
• acute bronchitis;
• Sprengel's disease;
• vegetative dystonia.

constant pain

Sustainable pain caused by dysmotility in the biliary tract, when lowered the tone of the sphincter that controls the flow of bile. The pain appears not only in the area of ​​the blades, but also affect the shoulder. Much discomfort it does not create, easily tolerated, but almost always refers to impaired function of the gallbladder.

Other causes:

• stones in the kidneys;
• gastroduodenitis;
• cholecystitis in an acute form.

Burning pain

Pain under right shoulder blade behind his back becomes a burning at the time of compression of the scapular dorsal nerve.

Burning pain character gets:

• osteochondrosis;
• pneumonia, affecting the right lung;
• angina;
• in injuries of the peripheral nervous system.

Pain when coughing

Pain under the shoulder blade during attacks of coughing occurs on the chest voltage. This reflects the pain indicates a disease of the bronchi, lungs.

Pain when inhaling

Difficulty breathing indicates intercostal neuralgia. When you inhale the diaphragm extended infringes the nerve endings, which provokes pain. When pneumonia affects pain under the shoulder blade, it is compounded with a deep breath. In addition, there is a burning sensation in the chest, muscle tension. Subphrenic for the developing process is characterized by pain under the shoulder blade.

There are a number of diseases in which each breath is accompanied by pain syndrome:

• tuberculosis;
• asthma;
• acute bronchitis;
• low back pain;
• intercostal neuralgia.

when driving

The discomfort caused at the time of rotation of the body, the neck, with a show of hands indicates the appearance of neuralgia, in violation of the musculoskeletal system. Lesions affecting the nerve roots in the cervical, thoracic, lumbar spine cause an attack of acute pain.

Presumably it arises for other reasons:

• violation of posture;
• disc protrusion;
• chronic pancreatitis relapse in stage;
• osteochondrosis.

Possible causes right-sided pain behind his back, additional symptoms

Pain behind his back, under the right or left shoulder blade, often frightening person as its causes are not always obvious.

Gallbladder disease

Development of cholecystitis causes a feeling of heaviness in the right side, gives pain in the shoulder blade. If cholelithiasis pain becomes acute. The attack provokes pain extending from the upper abdomen to the shoulder. When biliary colic, a sharp pain always appears suddenly, starting in the right upper quadrant, and then moves on to the shoulder blade.

Associated symptoms:

• The intensity of the pain.
• Nausea, vomiting, dry and bitter taste in the mouth.
• The elevated temperature.
• The pain in his right side, with the transition to the shoulder.
• Pain develops most often in the morning.

subdiaphragmatic abscess

Between pancreatic inflammation, tumor development, infection or cysts in the liver Reflected pain is present. Indigestion from fatty abundant food and causes pain in the epigastric region, which is given in the back zone.

Associated symptoms:

• severe pain;
• It is aggravated by breathing;
• possible increase in body temperature.

Broncho-pulmonary diseases

Problems with light create pain not only breast but also blade. This can be:

• Pancoast tumor. Tumor type, which grows in the upper part of the lungs. Usually affects smokers with great experience.
• Pleurisy. Inflammation of the mucous membrane of the lungs develops pain under the shoulder blade when breathing.
• Pneumothorax. air delay between light and chest wall. The pain is accompanied by a sudden shortness of breath, can be acute.

kidney disease

The right kidney lies near the blade, so inflamed, it reflects the pain in this area. Kidney stones, infections, tumors, all of which can cause the sensation of pain. When inflammation of the kidneys, and the right-purulent infiltration occurs, the pain is given in the right shoulder blade, it becomes acute, episodic.

Constant pain, going from the waist up, standing up to the shoulder, often accompanied by nausea and vomiting, develops on the background of pyelonephritis. Pain can be of varying intensity, but more often aching, dull.

Diseases of the musculoskeletal system

Inflammation of the ligamentous apparatus of the shoulder, scapula, okolosustvnyh tissues, develops pain while operating the hand.

Drawing pain causes:

• herniated departments;
• arthrosis of the facet joints.
• scoliosis;
• disturbances in the spinal disc.

For bursitis, scapular pain is characteristic of tuberculosis subscapular syndrome. Pain inherent in this disease, aggravated by coughing, developing limb numbness.

The nature of pain and other symptoms:

• dull pain;
• often unilateral, occurring after awakening;
• worse after exercise and stress.

Stretching and muscle inflammation

Common causes of this kind of pain:

• Crick;
• ligament damage;
• uncomfortable posture during sleep;
• physical exercise;
• lifting weights.

By chronic diffuse musculoskeletal diseases develop pain slightly below the right scapula, they lead to general fatigue, low tone. Rupture of the rotator cuff, in which the developing instability in the shoulder, causing scapular pain.

Intercostal neuralgia

Compression of nerves in the cervical region, the offset disc or spinal stenosis leads to pain. Associated symptoms - numbness and tingling in the hands. Uschemlonnye nerve roots, disc herniations right cause swelling and pain in the right shoulder.

Disease or injury blade

Fractures of the scapula are rare, most pain arises from bruises, lesions of bone tissue in cancer. Osteoporosis affects the structure of the shoulder, causing pain appears. Subscapular pain is caused by arthritis, inflamed when the blade and other areas in the breast.

Articular fractures, sprains, damage to the right side, restrict movement and cause pain in the right shoulder blade. Injuries are often accompanied by vascular injury, a pinched nerve. When bladed crunch, disease that occurs due to muscle atrophy, there are moderate pain.

differential diagnosis

Based only on the physical examination, it is difficult to identify the cause of the pain in the shoulder blade.

In addition to visual inspection, conducted tests and studies:

1. radiological:
   1. chest X-ray;
   2. CT organs caused by various diseases suspected;
   3. MRI of the breast, the soft parts of the body.
2. Defining the work of the heart:
   1. ECG;
   2. cardiac monitoring.
3. Lab tests:
   1. blood analysis;
   2. Liver function tests:
   3. tests for detection of inflammatory joint diseases.

Initially, you should visit your doctor in the clinic who prescribed analgesic therapy. In many cases, this is enough.

If necessary, the doctor will refer to other specialists:

• traumatologist;
• surgeon;
• cardiologist;
• neurologist.

What to do in case of any pain from behind, right?

Pain under right shoulder blade behind his back, accompanied by tingling in the chest, nausea, vomiting - this is the reason for seeking medical attention. If the pain is accompanied by a burning sensation in the chest, difficulty breathing, you should also visit the hospital immediately. When edema, redness, increasing the body temperature in the region of the blade should seek medical advice.

medicines

Treatment of pain depends on the underlying cause of its occurrence. If it is associated with stretching of muscles, bruises, bone disorders in the area of ​​the blade, then used analgesics, non-steroidal anti-inflammatory drugs, muscle relaxants. In the next step to help heat and physical therapy.

drug Name	Mode of application
nimesulide	Is prescribed for acute pain, take medication after a meal on 1 tab. 2 times a day
indomethacin	Is used in the form of tablets with different diseases of articular syndrome, administered from 25 to 50 mg 3 times per day. Externally applied during exacerbation of articular diseases: Gel ointment and is applied not more than 2 times per day.
ibuprofen	Daily dose of tablets depends on the cause of the pain, you can apply the gel or cream, applying and rubbing until completely absorbed 3-4 times a day.
Mydocalm	Relaxes muscles, improves their tone, in the form of tablets, take 1 piece. per day, the maximum dose of 3 pcs. The solution was applied intravenously, not more than 100 mg per day, intramuscularly not more than 200 mg.

For the treatment applied ointment to ensure the long-term warming effect:

• Finalgon.
• Diclofenac.
• Viprosal.
• Kapsikam.

When pain under the right shoulder blade with increasing intensity should consult a medical professional and not self-medicate.

Physiotherapy

Pain under right shoulder blade from behind, help relieve gym, massage, to develop the correct posture. Before starting the exercises you need to warm and relax the muscles with bath, hot compress or hot air gun.

Massage blade. Implemented in a prone position on a rigid surface:

• Stroking the scapular region.
• Tingling using the fingertips, thumb and index.
• Comb-like grinding. Held phalanges clenched fist hand.
• Circular kneading. Is padded thumbs of both hands.
• Helix rubbing. Accomplished using finger pads 4 in a circular motion.
• Stroking blade and the surrounding area of ​​the body.

Classes are held 20 min., The course provides 10-15 sessions, which can be done daily or every other day.

Exercise vane stabilization, is repeated 10-15 times:

• To lie on the edge of the couch, face down.
• One hand placed under the brow, the second pull off the floor.
• Keeping the arm straight, slowly raise it, pressing blade back towards the spine. The pose resembles the half letter "T".
• Stay in this position for 3-4 seconds., Then slowly return to starting position.

Exercise to stretch the muscles of blade:

• In a standing position, to take a big soft ball, hug his hands.
• Continue to squeeze the ball as far as possible.
• When compressed to strain your back as much as possible, pushing his hands away.
• A person close it.
• Try to feel the tension in the area where the pain is there.
• Stay in this position for 30 seconds.
• Relax.
• Repeat the exercise 2-3 times.

Folk remedies

To release tension in muscle trigger points are applied the methods available in the home.

bath

Hot baths relieve pain, they can be combined with massage.

The solution to the bath prepared in advance:

• 250 grams of Epsom salts.
• 1 tbsp. baking soda.
• 10 drops of peppermint essential oil.
• 5 drops of oil of eucalyptus, rosemary, lavender.
• 2 tbsp. l. of dried lavender.
• 1 tbsp. l. sprigs of rosemary.

Mix everything in a bowl, add the dry ingredients on top. Transfer to a jar and use for other purposes.

Bath additive with ginger improves blood supply. For this grate piece root soak in hot water for 15 min., The solution was added into the warm bath water. Bath additives take no more than 20 min., Rinsed with water after the procedure is not necessary. To keep the heat should be wrapped in a warm bathrobe.

Decoctions and infusions

Tincture of Eucalyptus:

• Mark 10 g of crushed leaves, 200 ml of alcohol, all mixed.
• Put in a warm place for 14 days. Periodically shake the jar with a solution.
• Ready solution strain into a glass vial, close the lid.

Tincture of ginger:

• Fresh root 50 g, vodka or alcohol 200 ml honey 1 tbsp. l. (not necessary).
• Chopped ginger fill with alcohol, add honey, leave for 2 weeks.
• Ready solution drain, pour into a glass bottle, close the lid. You can store up to 2 years.

Solutions rubbed sore place before bedtime, and then applying the bandage to insulate.

A decoction of the cat's claw:

• Mark 2 g grass, add 0.5 liters of water, boil no more than 10 minutes.
• Strain, cool and use as directed.
• Broth can be used to compress.

compresses

Hot compress increase blood flow, relieve spasm:

• Close bandage in several layers.
• Soak in hot water (at least + 70 ° C).
• Apply to the affected area.
• Cover with foil, heating the material.
• As bandage cooling, heated in hot water.

  

Painkillers packs:

• St. John's Wort oil. Rub the spot oil inflammation.
• Top overlay gauze, tape, or warm material shawl.
• Bandage wrap a bandage around his chest.
• You can leave at night.

Compress with herbs:

• Mix in equal parts dried chamomile flowers, Viola tricolor, the roots of burdock and plantain. 1 tbsp. l. Pour the mixture into a glass dish, pour boiling water softening insisted to grass.
• Attach a steaming broth on the sore spot, hide cotton cloth, cellophane, a warm scarf.
• After 15 min. wrap removed.
  The optimal treatment option pains under the right shoulder blade from behind, - the combination of drugs and non-drug approaches. Combined therapy will allow to quickly deal with the disease, get rid of the pain.

Video of pain under the right shoulder blade

"Live healthy" about the pain in the shoulder blade:

Author: Anna Belyaeva