Pain Near the Shoulder Blade: Causes and Solutions for Upper Back Discomfort

Q: Pain Near the Shoulder Blade: Causes and Solutions for Upper Back Discomfort

Hello： Regarding your issue of sharp pain in the back, if the pain occurs during arm or body movements, it is more likely related to superficial soft tissue problems such as muscles, tendons, or ligaments. <br>However, since you mentioned that the pain also occurs when eating, dr

Pain in the right upper back near the indentation close to the scapula?

Hello Doctor: A few days ago, I woke up and noticed a sharp pain on both sides of my back when I bent down to tie my hair.
After about two days, the pain changed to a sharp sensation near the right upper back, close to the indentation of the scapula, when I eat, drink, or burp.
Pressing on that area also causes some discomfort.
Could you please let me know what this condition might be? Thank you, Doctor.

Weixiao, 30~39 year old female. Ask Date: 2022/10/25

Dr. Lin Zhebin reply Family Medicine

Hello: Regarding your issue of sharp pain in the back, if the pain occurs during arm or body movements, it is more likely related to superficial soft tissue problems such as muscles, tendons, or ligaments.
However, since you mentioned that the pain also occurs when eating, drinking, or burping, there is a concern that it may be related to deeper organs, such as the diaphragm, esophagus, lungs, or heart.
Additionally, referred pain in the upper right back can sometimes be associated with the liver or gallbladder.
It is advisable for you to visit a family medicine physician to investigate the cause of the sharp pain.

Reply Date: 2022/10/25

More Info

Pain near the shoulder blade can be a common issue, often resulting from various factors such as muscle strain, poor posture, or even underlying medical conditions. Based on your description, it seems that you are experiencing sharp pain in the upper back, particularly around the area near the shoulder blade, which has been exacerbated by certain movements like lifting your arms or even during activities such as eating and drinking.

Possible Causes
1. Muscle Strain: One of the most common causes of pain in the shoulder blade area is muscle strain. This can occur due to overuse, poor posture, or sudden movements that put stress on the muscles surrounding the shoulder blades. If you have been engaging in activities that require repetitive arm movements or have been in a position that strains your back, this could lead to discomfort.

2. Poor Posture: Spending long hours in a slouched position, whether sitting at a desk or lying in bed, can lead to muscle imbalances and tension in the upper back. This can cause pain that radiates around the shoulder blades.

3. Nerve Compression: Sometimes, pain in the shoulder blade area can be attributed to nerve compression, which may occur due to herniated discs in the cervical spine or thoracic spine. This can lead to referred pain in the shoulder blade region.

4. Referred Pain from Internal Organs: Occasionally, pain near the shoulder blade can be referred pain from internal organs, such as the lungs or heart. While this is less common, it’s important to consider if the pain is persistent or accompanied by other symptoms.

5. Muscle Imbalances: Over time, certain muscle groups can become stronger or tighter than others, leading to imbalances that cause pain. For example, tight chest muscles can pull the shoulders forward, leading to discomfort in the upper back.

Suggested Solutions
1. Rest and Ice: Initially, it’s important to rest the affected area and apply ice to reduce inflammation. Ice can be applied for 15-20 minutes several times a day.

2. Gentle Stretching: Incorporating gentle stretches for the upper back and shoulders can help alleviate tension. Stretches that open up the chest and strengthen the upper back can be particularly beneficial.

3. Posture Correction: Being mindful of your posture throughout the day can help prevent further strain. Ensure that your workstation is ergonomically set up, and take breaks to stretch if you are sitting for long periods.

4. Physical Therapy: If the pain persists, consulting a physical therapist can provide tailored exercises and treatments to address muscle imbalances and improve posture.

5. Pain Relief Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation. However, it’s advisable to consult with a healthcare provider before starting any medication.

6. Heat Therapy: After the initial inflammation has subsided, applying heat to the affected area can promote blood flow and relax tight muscles.

7. Consult a Healthcare Professional: If the pain continues or worsens, or if you experience additional symptoms such as numbness, tingling, or weakness in the arms, it’s crucial to seek medical attention. A healthcare professional can perform a thorough evaluation to rule out any serious underlying conditions.

Conclusion
In summary, pain near the shoulder blade can arise from various causes, including muscle strain, poor posture, and nerve compression. Implementing rest, ice, gentle stretching, and posture correction can help alleviate discomfort. However, if symptoms persist or worsen, it’s essential to consult a healthcare professional for a comprehensive evaluation and appropriate treatment. Taking proactive steps to address the pain early on can prevent it from becoming a chronic issue and improve your overall quality of life.

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