Upper Back Pain: When to Seek Medical Advice

Shoulder blade pain?

Hello, doctor! I have been experiencing upper back pain for a while, but it was usually brief.
However, in the past few days, it has become quite severe.
I would like to know which specialist I should see for this issue.
The pain seems to be located between my right shoulder blade and the spine.
I feel discomfort whether I am lying down or sitting, and sometimes that area even feels a bit numb.
When I stand, the pain is less noticeable.
Even though I maintain a proper sleeping posture at night, that specific area is particularly painful.
Sometimes, the pain is so intense that I have to get up and stretch to feel better.
What could be causing this problem?

Gu Xiansheng, 20~29 year old female. Ask Date: 2021/05/29

Dr. Liao Yaopan reply Family Medicine

Hello, it is recommended to visit a neurosurgery or rehabilitation clinic for an evaluation by a specialist.
Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2021/05/29

More Info

Upper back pain can be a common issue, and it can arise from various causes, including muscle strain, poor posture, or even underlying medical conditions. Given your description of pain located between the right shoulder blade and the spine, along with sensations of numbness, it is important to consider several factors before determining the appropriate course of action.

Potential Causes of Upper Back Pain
1. Muscle Strain: This is one of the most common causes of upper back pain. It can occur due to overuse, lifting heavy objects, or even sleeping in an awkward position. If you have recently engaged in activities that require repetitive movements or heavy lifting, this could be a contributing factor.

2. Poor Posture: Spending long hours sitting at a desk or using a computer can lead to poor posture, which places additional strain on the muscles and ligaments in the upper back. This can result in discomfort and pain, especially if you are slouching or leaning forward.

3. Nerve Compression: The sensation of numbness you described could indicate nerve compression, which may occur due to herniated discs or other spinal issues. If a nerve is being pinched, it can lead to pain that radiates to other areas, including the shoulders and arms.

4. Underlying Conditions: Conditions such as arthritis, scoliosis, or even infections can lead to upper back pain. If the pain persists or worsens, it may be necessary to rule out these possibilities.

When to Seek Medical Advice
You should consider seeking medical advice if:
- Pain Persists: If your upper back pain continues for more than a few days without improvement, it is advisable to consult a healthcare professional.

- Severe Pain: If the pain is severe and interferes with your daily activities, it is important to seek medical attention.

- Numbness or Weakness: If you experience persistent numbness, tingling, or weakness in your arms or legs, this could indicate a more serious condition that requires immediate evaluation.

- Accompanying Symptoms: If you have other symptoms such as fever, unexplained weight loss, or bowel/bladder issues, you should seek medical care promptly.

Recommended Specialists
For upper back pain, you may consider consulting:
- Primary Care Physician: They can perform an initial evaluation and refer you to a specialist if necessary.

- Orthopedic Specialist: They focus on musculoskeletal issues and can provide a thorough assessment of your spine and back.

- Physical Therapist: They can help with rehabilitation exercises and strategies to improve posture and strengthen the back muscles.

- Chiropractor: They may offer spinal manipulation and other treatments aimed at relieving pain and improving function.

Diagnostic Tests
Depending on your symptoms, your doctor may recommend diagnostic tests such as:
- X-rays: To check for structural issues in the spine.

- MRI or CT Scan: To get a detailed view of the soft tissues, including discs and nerves.

- Electromyography (EMG): To assess nerve function if nerve compression is suspected.

Conclusion
In summary, upper back pain can stem from various causes, and understanding the underlying issue is crucial for effective treatment. If your symptoms are persistent or worsening, it is advisable to seek medical advice from a healthcare professional who can provide a comprehensive evaluation and appropriate management plan. Early intervention can often lead to better outcomes and prevent further complications.

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