1. Intercostal neuralgia
Disease accompanied by inflammation of the nerve processes.
Causes
Provokes irritation of the nerves:
- hypothermia;
- herpes infections;
- or spinal trauma edges;
- pinching a nerve root during breast osteochondrosis;
- diseases accompanied by deformation of the thorax (spondylosis);
- benign neoplasms of the pleura;
- allergic reactions;
- osteochondrosis.
Under the shoulder blade on the left side pain when nevrolgii appear suddenly and scare the person causing suspect the worst.
symptoms
When intercostal neuralgia pain is aching, and the intensity will depend on the severity of the pathology. Can hurt much, almost unbearably or illness will manifest slight pain discomfort.
Characteristic symptoms suggestive of inflammation or irritation of the nerve processes, will be:
- Communication with movement and breathing. Ache under the shoulder blade starts strongly at the left hand movement, coughing, laughing or a sudden inspiration.
- Effect of heat. After warming the pain decreases or disappears.
- Palpation. If you press start to hurt more.
If the cause is the herpes infection, the patient has the characteristic rash along the nerves.
In addition to pain in humans may occur:
- tachycardia;
- numbness of the skin;
- sweating.
It is not always possible to determine due to pain under left shoulder blade or intercostal neuralgia heart disease. If the pain has arisen for the first time, and there is no certainty that the pain due to irritation of nerve processes, the you should immediately seek medical help.
Treatment
Therapy with intercostal neuralgia depends on the cause of the disease.
Patients prescribed:
- antivirals and ointments (herpes);
- anesthetics;
- nonsteroidal antiinflammatory drugs;
- ointment with a warming effect.
If the disease is accompanied by severe pain under the left scapula, which is not relieved by analgesics, the patients to alleviate the condition spend novocaine blockade.
In subacute stage for improving trophic tissue and shorten the duration of the restoration period is used:
- physiotherapy;
- massage;
- acupuncture.
Treatment is directed not only on what to take away the pain in the back under the shoulder blade on the left, but the therapy provocateur disease (osteochondrosis, gerpis). If this is not done, then the pathology becomes chronic, sharpening with hypothermia or physical exertion.
Who to contact
If the pain in the left shoulder, and there is no suspicion of heart disease, you need to visit neurologist.
2. Diseases of the broncho-pulmonary system
Ache in the left shoulder blade behind could be due lower respiratory diseases (Bronchi, lungs, pleura).
Causes
The main cause of the pain associated with respiratory diseases are diseases caused by pathogenic bacteria and viruses:
- bronchitis;
- pneumonia;
- pleurisy.
Also, the pain from the back to the left may occur because of the emergence neoplasms bronchi or lungs.
symptoms
In humans, there is a constant pulling or aching pain under the shoulder blade to the left. By coughing and deep breathing pain increases. In addition to pain in the back left, patients can submit the following complaint:
- fever, sometimes reaching higher numbers;
- or a dry cough with separation of viscous mucus (in mucous discharge can be streaks of blood or pus impurity);
- weakness and lethargy;
- difficulty breathing.
If the pain in the back under the shoulder blade to the left will cause a tumor, that hyperthermia will not be additional symptoms will cough and breathing problems.
Treatment
If back pain and signs of inflammation triggered by an inflammatory process, the patient is prescribed:
- antibiotics or antiviral agents;
- medicines for thinning and stimulation of sputum discharge;
- antipyretic drugs;
- Painkillers (if starts to hurt a lot).
When tumors treatment depends on the nature and size of the tumor. Patients removed tumor formation or provide conservative therapy.
who treats
Inflammation of the bronchi or lungs will heal pulmonologist, and when tumors need to visit the oncologist or surgeon.
3. vegetososudistye crises
The patient complains of a nagging pain in the left side under the shoulder blade and the feeling of fear, but the initial evaluation of pain provoking discomfort disease can not be identified.
Causes
Crises can pass on their own, but because of the lack of evidence of organic pathology such people believe hysterical and unrestrained. But in reality crises cause:
- hormonal imbalance;
- neurological diseases;
- stress;
- psycho-emotional overstrain;
- endocrine disease;
- prolonged use of antidepressants or psychotropic drugs.
Vegetative crises are often the first sign of neurological disorders. Signs of deterioration of health and disease discomfort under left shoulder blade begin to appear after the strong emotions or shocks. Most often the disease affects women and children under the age of 30 years.
symptoms
When vegetososudistoy Stroke occurs not only the pain on the left under the shoulder blade, in addition the patient may receive:
- feeling of suffocation;
- heart palpitations;
- trembling of the hands and feet;
- causeless anxiety;
- feeling of fever or chills;
- sweating;
- headache;
- loss of consciousness.
Characteristically, patients can not specify exactly where it hurts. There is not only a pain under the shoulder blade, but under the ribs, often appears in the irradiation of the shoulder, arm or abdomen on the left.
Kriza duration varies from a few minutes to a half hour. In severe cramps in humans are.
More dangerous is the fear of attack. Man afraid of discomfort, trying to comply with all sorts of rituals, to avoid the pain under the shoulder blade, and other unpleasant symptoms. Without treatment, this condition becomes a phobia.
Treatment
The presence of convulsions will be an indication for immediate hospitalization and lighter form vegetovascular crises are treated at home. As the therapy is applied:
- Valoserdin or Corvalol to reduce the heart rate;
- phenazepam and other sedatives under strong fear;
- Valerian, Motherwort and other herbal remedies herbal help to calm down.
- ì the tendency to occurrence of seizures;
- antidepressants to reduce elevated nervousness and anxiety.
If crises are caused by neurological or endocrine diseasesThen pick up an additional therapy to eliminate any disorder.
When the attack is related to the occurrence of a stress factor, patients were additionally trained to react to stressful situations, it is recommended to avoid fatigue.
To which the doctor ask
When the panic attacks need to turn to vegetology, but not all cities have these professionals. If you can not get advice vegetology, you should visit a neurologist or general practitioner. Additionally, it may need to consult an endocrinologist.
4. myocardial infarction
Life-threatening conditionCaused by acute ischemia and myocardial necrosis. At the same time rooting under the shoulder blade and the breastbone is strong.
Aggravating factors
The causes of such pain under the shoulder blade to the left from the back to the complete cessation of coronary blood flow to a specific area of infarction caused by occlusion of the vessel. May provoke a heart attack the following pathologies:
- atherosclerosis;
- thrombosis.
The resulting blood clot or plaque come off, and drain the blood gets to the heart. Caught in the coronary arteries with a small diameter, they close the vascular lumen and stop blood flow to the tissues. The lack of oxygen leads to the death of myocardial cells.
symptoms
Acute pain and throbbing, localized to the left of the sternum. radiating:
- in the left hand;
- under the shoulder blade;
- in the lower jaw.
When atypical heart attack during irradiation is possible:
- in the epigastric region;
- in the right part of the back;
- in the lower abdomen.
In myocardial pain rear subscapular is not stopped taking analgesics and slightly reduced after administration of nitroglycerine.
Treatment
Therapy is aimed at eliminating obstacles to the blood flow, reducing myocardial necrosis focus and eliminate pain. To do this, use:
- means dissolving blood (streptokinase);
- medicines with effect krovorazzhizhayuschim (Heparin? Warfarin);
- narcotic analgesics (Promedol, morphine);
- drugs for improving vascular tone.
Other drugs are selected taking into account any disturbances - it may be a means for lowering cholesterol, hypotensive medications at elevated blood pressure, and others.
operative angioplasty can be performed in the early hours to reduce necrosis hearth. Surgery allows you to quickly restore the disturbed blood flow and reduce post-infarction scar.
What doctor treats
Myocardial shown urgent hospitalization in the coronary care unit where resuscitation and cardiologists will select an effective therapy. If you suspect a heart attack should immediately call "ambulance."
5 more reasons why you may get sick back under the shoulder blade back
Consider why even from the back of the back under the shoulder blade on the left can be ill:
- 5. angina. Intermittent coronary vasospasm caused by stress or physical exertion. Appear sharp pains under the left rear of the sternum and shoulder blade, which disappear after taking the drugs with nitroglycerin.
- 6. osteochondrosis or hernia thoracic. When the pinching of the nerve root arises diffuse pain in the back under the shoulder blade to the left, which is aggravated by movement.
- 7. peptic ulcer disease. The pain appears not only on the back under the shoulder blade, but also in the epigastric region. It starts to hurt more after a meal or during prolonged starvation. In addition, there is heartburn, unpleasant burping, nausea. Pain discomfort decreases slightly after vomiting.
- 8. The disease of the pancreas or spleen. In these pathologies pain in the left side of the blade and edges. In acute pancreatitis would hurt not only from behind, appear girdle pains, covering the left and right upper quadrant.
- 9. injuries. Bruises left behind in the area of the blades may provoke irritation of the nerve processes and pain again may be a few weeks after injury with increased physical load or supercooling.
If the pain behind his back under the left shoulder blade, you should not ignore this condition, even if the pain is expressed slightly. Cause pain discomfort could be life-threatening condition.
What to do if you have pain behind the left under the shoulder blade
When the pain the back under the shoulder blade on the left do not need to panic, but to ignore the state emerged not be. Before you decide which doctor to treat worth trying to find out what hurts from the back left under the shoulder blade. This will require to define additional characteristics of the pain:
- Localization. If the back pain below the left shoulder blade pain and discomfort increases after a meal or during prolonged fasting, then the probability of heart disease is minimal.
- Intensity. Moderate pain often accompanies chronic illnesses, but the soreness indicates a severe disease process.
- character. Acute pain requires immediate medical attention, and when pulling or aching pain to visit the clinic.
- Communication with movement and breathing. When more pain when coughing, stooping or when you try to move the left hand, it indicates a disease of the spine and intercostal neuralgia.
Pain from the back under the shoulder blade on the left is caused by various reasons, and they are not always safe for life and health. Special attention is required for the first time has arisen syndrome pain on the left under the shoulder blade - it can be a symptom of neuralgia, angina or even a heart attack. If there are doubts about the origin of the pain, you need to call the "fast". Early treatment of medical care will help preserve the health and sometimes save lives.
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