But the term "pain in the area of the blades" is the abbreviation. Its use, if the pain is localized:
- under the scapula;
- directly in the shoulder blades;
- between the shoulder blades.
Pain under the scapula
Pain under the shoulder blade can be localized to the right or to the left. Depending on this vary and the causes.
Gastric ulcer
The most frequent cause of pain in the area of the blades is gastric ulcer. The pain is localized to the epigastrium, but it can also be spread in the thoracic spine, left scapula and left nipple.
Pain gastric ulcer are characterized by periodicity, seasonality, gradual increase, as well as the complete elimination or attenuation after the vomiting.
The last and allows us to conclude that the cause of the pain – malfunctioning of the gastro-intestinal tract. Vomiting appears at the height of pain, that is when the pain stronger.
The majority (70%) of the patients are the following symptoms: heartburn, salivation, belching, and regurgitation.
Psychological problems
The second measures the prevalence of psychological problems. The syndrome of the pain patients describe:
- the feeling of "transfer" of blood to the heart and the feeling that the heart had stopped, the patients say that in a time of pain attack, it seemed that the hearts beating out of his chest;
- tingling;
- the feeling of compression;
- pressure;
- the severity;
- heat in the chest;
- a shiver of cold;
- the pain constantly radiates to the right arm, the groin, the shoulder blade, if this can hurt the back and neck;
- the concern.
- a sense of fear.
- the lump in the throat (rare);
- lack of air (rare).
Myocardial infarction
Occupies only the third place, to the degree of prevalence. Myocardial infarction preceded by a severe attack of angina. Looks sharp and strong pain behind the breastbone, that usually radiates into the left side of the palette, back, neck, jaw.
Pain does not disappear even after taking vasodilator drugs (nitroglycerine, validol), can only help to a narcotic analgesics. In most cases, the pain in the area of the shoulder blades occurs after emotional or physical.
Osteochondrosis of the cervical spine
The attack of pain the patients describe as follows:
- the dull ache, unilateral, localized just below the nape of the neck;
- the painful feeling occurs in the morning, that is the reason why the wounded waking up;
- the pain intensifies in strong decline in extension of the neck, with serious loads on the cervical spine;
- when the thermal effects pain is passing, for example, it is sufficient to take a warm bath;
- the pain radiates to the head and the hand;
- paresthesias in the shoulder area;
- vertigo.
Neuralgia intercostal
Pain under the shoulder blade and pain in the throat wears herpes colic in nature. The pain intensifies when walking, deep breathing, coughing, sneezing, exercise, and palpation. In some cases meets is another symptom of excessive muscular tension.
Because of this pain not only covers the area under the shovel, but the lower part of the back, the heart, the back. There are with pain in the throat, even tingling, burning, disorders of sensitivity.
Perforation gastric ulcer
Syndrome characterized by:
- unbearable sharp pain that radiates in supraclavicular area;
- nausea and vomiting;
- a person experiences a sense of fear, the emotion, his face is covered in cold sweat;
- the patient takes the forced position – go on the right side or the back, clutching with this thighs the stomach that is stressed out from the pain;
- the minimum the activity involves a sharp increase in the pain.
Muscle spasm of the gallbladder (or bile ducts)
In this case, the pain usually occurs under the right scapula, and due to the fact that the clogged ducts stone. The result and develops colic:
- Appear pain intense character;
- With the words of the patients the pain as "stabbing, cutting;
- The epicenter of pain is located in the right hypochondrium;
- In some cases the pain radiates to the right shoulder, neck, jaw, eyes.
A person who suffers from a similar pain, is usually restless. He continually changes his position in search of a least painful option. Features of the pain it should be noted the fact that the phenomenon is usually accompanied by nausea and vomiting.
Subphrenic abscess
For this occasion, is characterized by a sharp pain in the right scapula, which is continually enriched in a moment of breath. Very often the pain radiates to the shoulder (right). As a further demonstration of the abscess should be called leukocytosis, and also the increase of the temperature.
The kidney disease of inflammatory nature (pyelonephritis, jade).
In the presence of such diseases is almost always present pain in the lumbar region and in right scapula. At the same time, frequent urination, gives the painful feeling.
Lesions of the scapula
The trauma of the shoulder blade may occur because of a strong impact in the area of the blades or in the event of a fall on the shoulder blade.
In some cases, lesions of the blades (and fracture) represent a consequence failed falls on the elbow or on the straightened hands.
There are situations, when the fracture of the blades is complicated due to the displacement, the lower fragments thus influence exerted on them by the neighbouring muscles.
When the man is always present in severe pain, which are every movement of the hands.
In most cases, the fracture of the blades is accompanied by swelling or bloating. Sometimes, changes in the shoulder can be seen and visual.
Pterygoid shovel
This phenomenon is pathological. Usually, pterygoid shovel is a consequence of a paralysis that has struck trapezoidal, rhomboidal or the front gear muscle. Paralysis, in turn, can be the cause of myopathy, cns or nerve damage.
However, there is and traumatic pterygoid blade, the developing countries as a result of repeated injury to the forearm is the cause of damage as long as the bread. A similar case is quite often encountered in the practice of athletes and circus performers.
Scapular crunch
In this case, as the name suggests, you hear a crunch, sometimes evolving to moderate pain nature and the sense of gravity.
Osteomyelitis of the scapula
This phenomenon develops as a consequence of open bone injuries (the most shining example of a gunshot wound). Usually, as more symptoms are present all the signs of intoxication.
Pain between the shoulder blades
Finally, it is necessary to take into account those cases, when you experience pain between the shoulder blades.
Features common to all these situations is the presence of a sense of numbness, a certain veil, and also the feeling of pins and needles. The causes of the onset of pain are:
- Coronary artery disease;
- Kyphosis, and kyphoscoliosis;
- Humeral periarthrosis;
- Hernia, thoracic spine;
- Low back pain;
- Neuralgia, intercostal;
- Scoliosis;
- Spondiloartrosi;
- Angina pectoris;
- Disc protrusion, which is located in the thoracic cord;
- Peptic ulcer duodenal ulcer 12, of the stomach;
- A series of liver diseases and gallbladder.
It should be noted that the pain associated with the shoulder blades, often occur in a context of professional activity, in one way or another related to an excessive tension of the affected muscles.
In any case, can not neglect the pain, it is essential to contact a specialist, that will prevent the development of adverse effects and promptly eliminate the cause. Even if the pain is gone, you have to go to the doctor. Because the real problem does not disappear by itself, his need to take care of.