Left Shoulder Blade Pain: Causes and Remedies - Rehabilitation

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Pain in the left scapula?


My mother has been experiencing pain in her left scapula for two days.
She consulted a traditional Chinese medicine practitioner who suggested acupuncture, but she is quite apprehensive about it.
I suggested she try doing half push-ups, but she said it's difficult to do that with her scapula pain.
She mentioned that she hasn't done any heavy chores at home, and the pain just appeared suddenly.
What should we do, doctor? Thank you!

Ocho, 10~19 year old female. Ask Date: 2008/07/04

Dr. Chen Xianchang reply Rehabilitation


Hello, Miss: Thank you for your inquiry.
Here are my responses and suggestions:
1.
Possible causes include:
A.
Improper use of muscles or poor posture around the scapula, affecting the rhomboid, levator scapulae, teres minor, and supraspinatus muscles.

B.
Rheumatic soft tissue pain.

C.
Compression of the fifth and sixth cervical nerve roots.

2.
It is advisable to visit a rehabilitation specialist for a confirmed diagnosis before proceeding with rehabilitation therapy.

3.
At home, you can apply heat therapy and use topical ointments or patches.

Lastly, I wish you safety and happiness!

Reply Date: 2008/07/04

More Info


Left shoulder blade pain can arise from various causes, and understanding these can help in determining the appropriate remedies. Your mother’s experience of sudden pain in the left shoulder blade, especially after not engaging in any heavy activities, can be concerning. Here are some potential causes and remedies based on common medical knowledge.


Possible Causes of Left Shoulder Blade Pain
1. Muscle Strain: One of the most common causes of shoulder blade pain is muscle strain. This can occur from sudden movements, poor posture, or even sleeping in an awkward position. If your mother has been sitting or lying in a way that puts strain on her shoulder, this could lead to discomfort.

2. Rotator Cuff Injury: The rotator cuff is a group of muscles and tendons that stabilize the shoulder. An injury or inflammation in this area can cause pain that radiates to the shoulder blade.

3. Nerve Compression: Conditions such as cervical radiculopathy, where nerves in the neck are compressed, can lead to pain that travels down to the shoulder blade. This is often accompanied by numbness or tingling in the arm.

4. Referred Pain: Sometimes, pain in the shoulder blade can be referred from other areas, such as the heart or lungs. Conditions like angina or pleuritis can manifest as shoulder pain.

5. Poor Posture: Prolonged periods of poor posture, especially while sitting or using a computer, can lead to muscle imbalances and pain in the shoulder blade area.


Remedies and Recommendations
1. Rest and Ice: If the pain is due to a muscle strain, resting the shoulder and applying ice for 15-20 minutes several times a day can help reduce inflammation and pain.

2. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises can help restore mobility and prevent future injuries. Simple stretches for the neck and shoulders can be beneficial. However, it’s important to avoid any movements that exacerbate the pain.

3. Posture Correction: Encourage your mother to be mindful of her posture, especially when sitting for long periods. Using ergonomic furniture or supports can help maintain proper alignment.

4. Physical Therapy: If the pain persists, consulting a physical therapist can provide tailored exercises and treatments to address the specific issues causing the pain.

5. Acupuncture: Since your mother is considering acupuncture, it can be a viable option for pain relief. Many people find acupuncture helpful for musculoskeletal pain, and it may help alleviate her discomfort.

6. Consult a Physician: If the pain continues or worsens, it’s important for her to see a healthcare provider. They may recommend imaging studies, such as an X-ray or MRI, to rule out any serious underlying conditions.

7. Medication: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation.


Conclusion
While shoulder blade pain can often be managed with conservative measures, it’s crucial to monitor the symptoms. If your mother experiences additional symptoms such as chest pain, shortness of breath, or persistent numbness, she should seek immediate medical attention. Understanding the underlying cause of her pain will be key to finding the most effective treatment. Encourage her to take it easy and consider professional guidance if the pain does not improve.

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