Left Shoulder Blade Tension: Causes and Treatments - Neurology

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Understanding left shoulder blade tension can be complex, as it may arise from a variety of causes, including muscular tightness, nerve irritation, or even structural issues within the spine or shoulder itself. Based on your description, it seems that your left shoulder blade discomfort is primarily related to muscle tension and possibly some underlying issues that may need further evaluation.

1. Muscle Tightness: The tension you feel in your left shoulder blade, especially after a long day, is often due to muscle fatigue and tightness. This can be exacerbated by poor posture, especially if you spend long hours sitting or working at a desk. The trapezius and rhomboid muscles, which are located in the upper back and are responsible for stabilizing the shoulder blades, can become tight and painful due to overuse or strain. The fact that pressing on the area provides temporary relief suggests that muscle tightness is a significant factor.

2. Nerve Irritation: The sensation you describe near your collarbone, akin to a feeling of pressure or discomfort, could indicate some level of nerve irritation. This might be due to tight muscles compressing nearby nerves or even issues related to the cervical spine. If the nerves that innervate the shoulder and arm are compressed or irritated, it can lead to sensations of discomfort or pain that radiate to other areas.

3. Structural Issues: Given your history of spinal ligament issues, it’s also possible that there are residual effects from that condition. Structural problems, such as misalignments or degenerative changes in the cervical spine, can contribute to muscle tension and nerve irritation. If the spine is not in proper alignment, it can lead to compensatory muscle tightness as the body attempts to stabilize itself.


Treatment Options
1. Physical Therapy: Continuing with physical therapy is crucial. A therapist can provide targeted exercises to strengthen the muscles around the shoulder blade and improve flexibility. They can also teach you proper posture and body mechanics to prevent further strain.

2. Manual Therapy: Techniques such as myofascial release or trigger point therapy can help alleviate muscle tightness. These methods focus on releasing tension in the fascia and muscles surrounding the shoulder blade.

3. Stretching and Strengthening Exercises: Incorporating a routine of stretching and strengthening exercises can help maintain muscle balance. Focus on stretches for the chest and shoulders, as well as strengthening exercises for the upper back.

4. Posture Correction: Being mindful of your posture throughout the day can significantly reduce tension. Ergonomic adjustments to your workspace, such as chair height and monitor position, can help maintain a neutral spine and reduce strain on the shoulder and neck.

5. Heat and Cold Therapy: Applying heat can help relax tight muscles, while cold therapy can reduce inflammation if there is any swelling. Alternating between the two can provide relief.

6. Medication: Over-the-counter anti-inflammatory medications may help reduce pain and inflammation. However, it’s essential to consult with a healthcare provider before starting any medication.

7. Further Evaluation: If symptoms persist despite conservative treatment, further evaluation may be necessary. This could include imaging studies like an MRI or CT scan to assess for any underlying structural issues or nerve compression.


Conclusion
In summary, the discomfort you are experiencing in your left shoulder blade is likely multifactorial, primarily stemming from muscle tension and possibly nerve irritation. Continuing physical therapy, focusing on posture, and incorporating stretching and strengthening exercises will be beneficial. If symptoms do not improve, seeking further evaluation from a healthcare professional is advisable to rule out any significant underlying issues. Always consult with your healthcare provider before making any changes to your treatment plan.