If there is pain under the shoulder blade, those affected suffer from uncomfortable pain on the underside of the shoulder blade. The symptoms can occur on one or both sides and are associated with a different pain character. The sufferers also often suffer from restricted mobility of the affected shoulder blades. Pain under the shoulder blade can have different causes and is often caused by functional causes that are associated with overstrain or tension.
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The treatment of pain below the shoulder blade depends largely on the underlying cause of the discomfort.
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Who am I?
My name is Carmen Heinz. I am a specialist in orthopedics and trauma surgery in the specialist team of .
The shoulder joint is one of the most complicated joints in the human body.
The treatment of the shoulder (rotator cuff, impingement syndrome, calcified shoulder (tendinosis calcarea, biceps tendon, etc.) therefore requires a lot of experience.
I treat a wide variety of shoulder diseases in a conservative way.
The aim of any therapy is treatment with full recovery without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
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Pain under the shoulder blade can be accompanied by various symptoms, depending on the cause of the discomfort. Typical is the simultaneous occurrence of restricted mobility of the affected shoulder. If the pain is caused by a muscular disorder, lifting your arms or turning your head can make the pain much worse.
With wear-related diseases such as osteoarthritis or pain that comes from the ribs or vertebrae, further complaints are typically to be expected. This means pain that encompasses a larger area of the upper back or the shoulder joint and severe restriction of movement.
In the case of inflammation of the muscles, tendons and / or bursa in the area of the shoulder blade, signs of inflammation such as swelling, warming and reddening can occur, which can be seen / felt more or less well depending on the location. Typically, increased inflammation parameters can be detected in the blood. Traumatic injuries that are accompanied by pain under the shoulder blade usually injure additional structures, so that, depending on the extent of the injury, additional symptoms can occur.
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The liver and gallbladder are organs located in the upper right abdomen. In diseases of these organs, the pain can radiate to the back and especially to the right shoulder. If there is pain in the area of the upper right abdomen in addition to pain under the shoulder blade, the liver should be examined in order to rule out liver or gall bladder disease.
Read about this too: Liver and gallbladder disease
There can be threatening as well as harmless reasons behind shoulder pain in connection with chest pain. Most likely it is a problem of the lungs or heart. If pain suddenly occurs behind the breastbone and in the area of the left shoulder, a heart attack may be behind it. This is typically accompanied by tightness in the chest, shortness of breath and fear of death. Therefore it is very important to see a doctor immediately if chest and shoulder pain occur at the same time.
Everything you should know about this can be found at: Chest pain
Shortness of breath can be a symptom of pain below the shoulder blade. Possible causes of these symptoms are, for example, a heart attack, biliary colic and traumatic injuries in accidents. Difficulty breathing is a serious symptom that can cause those affected to become very anxious and even have a panic attack. If the pain suddenly kicks in, an immediate visit to the doctor is indicated to rule out serious illnesses.
Read everything on the subject below: Shortness of breath
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There are several possible causes of pain under the right shoulder blade. Due to their anatomical position in the right upper abdomen, the liver and gallbladder can cause pain in the right upper abdomen, under the right costal arch to the right shoulder blade, as part of inflammation or biliary colic. Liver disease is often associated with loss of appetite, nausea, vomiting, and possibly even jaundice. These symptoms can also occur as part of biliary colic. With gallbladder and biliary tract diseases, sufferers typically suffer from light-colored fatty stools and dark urine.
Pain under the left shoulder blade can be due to harmless causes, such as muscle tension, or as part of an injury or inflammation of the anatomical structures. At the same time, a left shoulder pain can also be a warning sign of an acute heart attack. In addition to shoulder pain, chest tightness, pain behind the breastbone, shortness of breath and fear of death are common. The shoulder pain is characteristically sudden shooting and can distract from the chest pain. In the case of left shoulder pain, the person concerned should be examined immediately to rule out a heart attack and angina pectoris (tight chest).
Read our articles on this: Symptoms of a heart attack or angina pectoris - you should know that
Read our articles on this: Muscle Tension - All you need to know or exercises for muscle tension in the shoulder
Also read about osteoarthritis:
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In order for the attending physician to be able to correctly diagnose pain under the shoulder blade, a detailed medical discussion about the symptoms and the temporal course of the symptoms is advisable. The affected person should be given a thorough physical examination. Depending on the doctor's suspected diagnosis, further examinations such as X-rays or an ultrasound examination of the upper abdomen may be helpful.
Pain under the shoulder blade can last for different periods of time.
The prognosis depends on the cause of the symptoms and the treatment. Well treated, muscle tension, inflammation of the bursa or tendons go hand in hand with a very good prognosis.
In the case of a heart attack, the timing of treatment has a huge impact on the prognosis. The sooner the better. If the cause lies in the organs of the upper abdomen, such as the liver and gallbladder, the treatment of the underlying disease is decisive for the course of the disease.
