Under The Shoulder Blade Pain & How To Fix It Rib Pain Issues
What does the pain under the scapula on the right signalize?
You can't expect a doctor to make a complaint: There is pain on the right between the scapula and the spine - that he will immediately accurately diagnose and prescribe treatment, after which everything will pass immediately. There are too many reasons for this symptom.
The diagnosis is established after interviewing the patient, finding out additional symptoms and a thorough routine examination. Therefore, before going to the doctor, it is worth analyzing the sensations against which back pain appears on the right.
Causes of pain in the scapula on the right: diseases of the skeletal system and musculoskeletal system
If you have back pain, regardless of location, first of all, the suspicion falls on osteochondrosis. Degenerative processes in the thoracic spine, accompanied by pain syndromes, often radiate under the right shoulder blade. It causes pain herniated disc, scoliosis of various etiologies.
Acute pain after injury appears when the integrity of the scapula bone is broken.
The injury is quite rare and appears after a direct impact - according to the anatomical structure, the scapula bone is one of the most durable in the body.
If the fracture does not affect the joint, then the pain does not radiate to the arm, spreading to the subscapularis. Any movement or inhalation causes pain, but the temperature rises slightly.
When an infection enters the hematogenous or lymphogenous pathway, infectious processes can develop in the scapula - for example, tuberculosis or osteomyelitis. The possibility of the development of the inflammatory process increases when the wound is located in the area of the scapula - neighboring tissues melt and the purulent focus grows. This process is accompanied by general weakness, fever.
Oncological processes in this bone formation are rare, however, the following oncological diseases may appear:
- Ewing's sarcoma;
- osteoid osteomas;
The reasons for such neoplasms are anomalies of intrauterine formation, during which pathologies of cartilage tissue occur.
With fractures of the ribs in the right side of the back, pain appears behindb under the right shoulder blade.
Bone fragments or a violation of the integrity of the ribs in this case are palpated by palpation, swelling over the fracture, skin redness and hematoma formation may not be visualized.
Dull pain in a calm state and acute when changing the position of the body, localized in the intercostal space - a characteristic symptom of intercostal neuralgia. It can be caused by osteochondrosis, which provokes pinching of the nerve roots, and viral neuroinfection - ganglinitis. If there are additional signs - pimples, then most likely it is shingles.
Treat the disease with antiviral agents, as it is provoked by the herpes virus. The pain radiates to all areas of the back, concentrating along the spine.
Diseases of the respiratory system
Pain when inhaling on the right under the scapula appears with pneumonia, pleurisy, with peripheral lung cancer.
Additional symptoms: cough, fever, wheezing is heard during examination, dullness of sound is detected during percussion. There are signs of body intoxication: weakness, pallor of the skin, dizziness, nausea.
Lung cancer is often diagnosed during routine examinations - its signs are clearly visible on an X-ray. Symptoms appear at stages 2-3, when metastases already appear. Therefore, one should not neglect the procedure of fluorography - this type of oncology can be cured only at an early stage.
Diseases of the digestive system
The causes of back pain on the right under the scapula may be hepatic or biliary colic. This is a classic symptom of this condition. The pain radiates to the arm, neck, subclavian region.
Additional signs that indicate the nature of the illness:
- Stool disorders.
Colic can occur with exacerbation of gallstone disease - when calculi from the gallbladder penetrate into the bile ducts and block the outflow of bile. With pancreatitis in the acute stage, painful sensations are also given to the right shoulder blade, but this symptom occurs after the appearance of the main signs of the disease - increased flatulence, diarrhea or constipation, nausea, vomiting.
Exacerbation of chronic diseases of the digestive system - the liver, gallbladder and pancreas - most often occurs as a result of eating disorders, with the abuse of alcohol, fatty and spicy foods, with hot spices.
With complications of gastric ulcer and duodenal ulcer - if the ulcers are located on the back wall of these organs - pain occurs in the right shoulder blade that radiates to the arm. But this symptom is rare.
Much more often, soreness in the subscapularis is caused by a complication of peptic ulcer disease - a subphrenic abscess. It appears after the perforation of the ulcer.
A subphrenic abscess can also formgo after various operations on the abdominal organs. The abscess, which forms between the liver and the diaphragm area, causes general intoxication of the body, the temperature rises, the pain is bursting, increasing on inhalation.
In some cases, in addition to discomfort during breathing, expressed in painful sensations in the area of the shoulder blades, the abscess does not manifest itself in any way until it grows to a size at which it will press on the surrounding tissues.
Although the organ itself is shifted closer to the left shoulder blade, however, a feeling of discomfort is also felt in the subscapularis region on the right. Additional signs: tachycardia or slowing of the heart rate, shortness of breath, arterial hypertension, painful sensations in the region of the heart are sometimes expressed slightly. If there is a suspicion of a pathology of the cardiovascular system, an urgent need to contact a cardiologist.
Sometimes an ECG examination reveals myocardial infarction, which was transferred on the legs . This can cause serious complications in the future.
With an exacerbation of urolithiasis, renal colic may occur. If the stone blocks the right ureter, the pelvis and calyx of the right kidney are stretched. Acute pain in this case spreads to the right side of the abdomen, is given to almost all areas of the back on the right.
Additional signs of exacerbation:
- increased urination;
- dripping dark urine;
- high temperature - up to 39 ° C.
Skin injuries in the area of the right scapula, furunculosis, intermuscular or subcutaneous abscesses - all these diseases cause acute painful sensations. These conditions are visualized quite simply: edema or purulent foci, seals, violation of the integrity of the epithelium appear under the skin or on its surface.
Treatment of pain under the scapula
For the treatment of various inflammatory and degenerative processes, different therapeutic schemes are used, the content of which depends on the localization of the pathological process, the severity of the general condition and the clinical picture of the disease. The only common measure for all cases is the use of anesthetics or analgesics to relieve pain.
Therefore, if pain appears in the area of the right shoulder blade, you should definitely consult a doctor.
Rubbing and warming procedures, which are usually used for back pain, do not help with diseases of the digestive organs or the cardiovascular and respiratory system, but can only make the general condition worse.
The sooner the diagnosis is accurately made, the easier it will be to eliminate the discomfort.