Often people complain of pain in the back below the shoulders and its causes, they can be very different. Usually, the perpetrators of these emotions are diseases of the digestive, cardiovascular, respiratory systems, as well as problems with the spine position. In addition, the symptomatology can be obtained from experienced the injuries and mobility of the nervous system.
In the list of possible causes occupy a special place in the pathology of the spine. This is due to the fact that ridge is forced to hold the entire weight of the human body, thus ensuring bipedalism. Frequent pain below the shoulder blades also explained the anatomy of the region. Blade is a hinge humerus with a key, and this is associated with the muscles responsible for the mobility of the shoulder girdle. In addition, together with the frame from the side protects the vital organs.
Kinds of pain
Pain under the shoulder blade can be very different in different patients. The acceptable distribution into several groups:
- Localization of pain (under the right/the virgin scapula, in the middle, at the bottom or top).
- From the nature of the pain (acute, pulling, aching, burning, throbbing, spilling, spasmodic, giving).
- In duration (long or short attack, abrupt onset, logic or surging intensity, the frequency of occurrence).
Sometimes, back pain (dorsalgia) occurs after long-term stay in an awkward posture or awkward movements. Usually, these sensations pass quickly without consequences, therefore, there is no reason to worry. But if dorsalgia happened constantly bother and with it came another symptomatology, it is not excluded, that behind all this are serious diseases. Ignore such emotion can't be lost time has not resulted in serious consequences.
Along with dorsalgia in The chuck area of the patient should be aware of the symptoms:
- feverish condition (the temperature is over 38 degrees)?
- appearance of the complex symptoms of "acute abdomen?
- swelling of the hands and fingers;
- violation of the sensitivity in the upper limbs, burning sensation, and "chills";
- shortness of breath, the paleness of the skin;
- vomiting;
- dorsalgia does not subside even at rest it?
- reduction of blood pressure, bradycardia, fainting.
In this case, to postpone the visit to the doctor, it is impossible, because you have to eliminate not only the existing symptoms, but the root causes that led to the events.
The left side
Among the complaints of patients is quite common — on the left side intense pain under the shoulder blade. Can cause such causes:
- Shoulder-scapula bariatric with left-handed tracking. Is inflammatory reaction, which affects tissue, next to the humerum to the public. The main symptoms of the pathology is the pain different in nature, affecting the region of neck, shoulder and scapula. Pathology most often occurs in the background received no injury.
- Torakalgiya (pinched, inflammation of the nerve processes in costarum space). Generally, is herpes nature, and very often gives subscapular area with the left hand. Usually the symptomatology is enhanced when changing body position or with increased physical activity.
- Recurrent pain in this region is characterized by an ulcer of the stomach. The intensity of the, as a rule, is rapidly growing, with the patient to vomit and has vomiting. Attack can happen after a meal or on an empty stomach. The first emotions that can be observed in epigastralna area, and then the patient complains about the appearance of pain on the left under hinge humerus with a key and with the left hand in front under the ribs.
- Loss of the cartilage of the intervertebral disc ridge in the cervical or thoracic. Outside of the pain bright symptom of this pathology is intense dizziness, and weakness and numbness of the upper extremities.
- Left subscapular pain, can be called the vegetative crisis. Patients who suffer from panic attacks, often complain about pulling, aching pain below the shoulder blade to the left, accompanied by anxiety, tachycardia, and sudden weakness.
- Impetum angina or myocardial infarction. Pain in the are observed mainly behind the breastbone, but it also has a reflection in the subscapular area with the left hand. The patient feels numbness of extremities and nausea.
It's not in all cases, when patients complain of pain under the shoulder blade, is the question of the skeletal system. Most often this symptom indicates neuralgia (affecting the peripheral nerves), or myalgia (hypertonicity of muscle cells in place of input or tranquility).
The right side
Pain below shoulder blades right side can occur for a variety of reasons:
- Colic biliary area. These things happen in the background of a difficult flow of the bile from the body, or spasms of the smooth muscles. Sharp, cutting pain is felt in The chuck area to the right or to the collarbone, and surround right hypochondrium, depending on the cause of their education.
- Subphrenic abscess. That is, as a rule, a secondary disease, complicating any primary disease in the abdomen. For this pathology is characterized by hiccups, as well as pronounced pain syndrome, which is also noticeable in The chuck area on the right, and intensifies during inhalation.
- The acute form of inflammation of the kidneys. The pain is stupid, aching from the side of the lesion in the lower part of the back or bottom of the neck. In patients usually this symptom is complemented with a febrile condition, nausea and vomiting.
- Myofascial syndrome. It is a pathological state involves a reflex spasm may occur in various muscles. And painful feelings manifest themselves as a point of spasm, and during the course of the muscle fibers.
- Herpes zoster. Rationale this disease is the herpes virus ⅲ type. Most common form, which begins with the feverish states accompanied by a strong pain in places of future outbreaks. And dermatological component manifests itself only after 4-12 days.
- Right pneumonia. If the inflammatory process affects the right lung, pain syndrome can extend to any part of the chest, and also may give in the back, neck, under the shoulder blade. The pain is usually constant and aching, and with sudden movements, deep breathing, or cough gets worse.
Colic urine-excretion, and biliary systems are quite often accompanied not only spilled pain in the peritoneum and dyspeptic phenomena, but also piercing pain lower right hinge humerus with clavicle, the proximal part of the right hand and even in the right part of the neck.
Irradiating pain
Irradiating (giving) pain under the shoulder blades may be invited to these causes and the pathological conditions:
- duodenitis and peptic ulcer disease duodenal ulcers;
- colic biliary area?
- stroke;
- necrosis of the heart muscle in the context of thrombosis of one of the arteries of the heart atherosclerotic a joke?
- cardiovascular disease, which is characterized by the presence of inflammation in the outer shell of the heart?
- saccular bulging of the aorta;
- spontaneous stagnation of air in the pleural region of the thorax?
- inflammation of the pancreas in the acute form?
- colic of the kidneys;
- osteochondrosis of the cervical spine.
Dorsalgia in The chuck area may be very different. Dull pain, usually occurs when pathologies of the muscle and connective tissue parts that connect them with the bones of the skeleton. Aching pain can be expressed procedures on the ridge, in striated and smooth muscle, and internal organs. So the symptoms can not be ignored, it is worth to pass comprehensive diagnosis and to select the adequate therapeutic tactics.
In pregnant
During the reproductive age expectant mother faces considerable pressure to the ridge, therefore, may be suffering from dorsalgia, including and down articulation of humerus with a key. And if the patient before fertilization she was diagnosed with osteochondrosis in late the situation is worse.
In addition, the appearance of pain can cause factors:
- compression or irritation of intercostal nerves on the background of stress, increased physical activity or relocation of ARI;
- sluggish inflammation of the lungs or pleura leaves?
- with the increase in the level of relaxin' becomes excessive relaxation of the ligaments of the device?
- muscle tone, caused by the change of gravity with the growth of the fetus;
- aggravation of pathological processes in the kidneys.
In any case, no matter patient is pregnant, or someone else, if the pain in chuck's field is quite strong — it is an opportunity to seek help in a medical institution. Though it is rare, but it can be done introduction the critical situation of the agency, which categorically can not be ignored.