Pain under the left shoulder blade from the back: causes, treatment, what to do if the shoulder blade hurts

Pain in the back under the left shoulder blade

Pain under the left shoulder blade from the back is a very unpleasant phenomenon that impairs a person's movement and impairs their performance.It was found that in some pathologies, such unpleasant sensations persist even when a person is resting.However, this symptom does not always indicate the presence of a complex back pathology.Sometimes it is provoked by a banal, long-term stay in a physiologically incorrect position.

General anatomical information

So, if we look at the back from behind, we can see that the left shoulder blade is attached to the ribs that make up the chest.Between each of them is a nerve and blood vessels located in depressions.Ribs are connected to each other by ligaments and muscles.

Closer to the center of the scapula is the spine, which contains the spinal cord.All nerves come from him.The back muscles surrounding the scapula are quite developed.Its purpose is to protect the left lung, heart, spleen, stomach and pancreas, as well as the thoracic aorta.

What factors trigger the pain?

Back pain under the left shoulder blade can be caused by the following factors:

  1. Stomach ulcer.Here, the nature of the back pain increases, it is associated with eating, but it becomes weaker after vomiting.Another sign that the ulcer is causing pain is burping or heartburn.The discomfort is felt not only in the area of the left shoulder blade, but can also radiate to the sternum and the left nipple.In this case, the patient simply cannot move normally.Severe discomfort prevents a person from taking a deep breath, so the person cannot fully relax, which leads to further, equally serious dysfunctions of the body and nervous system.If the pain on the left side of the back is too sharp, contact an ambulance immediately.
  2. Acute pancreatitis.It can also cause quite severe pain on the left side of the back under the shoulder blade.Feelings have their own character, in this case overwhelming, sudden.
  3. Vegetative crisis.The manifestation of symptoms here is very clear.In addition to the pain felt in the left side of the back, the person feels chest compression and heat in the same area, and cannot determine the exact location of the discomfort.The patient cannot breathe normally and experiences increased anxiety and fear.It cannot be said that the location of the pain can be precisely determined in such a condition.It often spreads to other parts of the body, even to the lower abdomen.The patient experiences a lump in the throat and suffocation.
  4. Heart attack.It also causes severe pain in the area of the left scapula from the back.This condition is often life-threatening, so it must be recognized and treated in time.The patient feels a burning sensation and cannot take a deep breath.The intensity of the pain on the left side of the back is very strong, the patient does not respond to glycerol trinitrate, and the pathological condition itself lasts for more than 10 minutes.The disease is characterized by the fact that the patient's hand often goes numb during an attack.
  5. Angina pectoris.This heart pathology is also characterized by pain under the shoulder blade on the left side of the back.The pain is sharp, squeezing the chest.The cause of this disease is the narrowing of the lumen of blood vessels.The attack is triggered by physical activity, hypothermia and consumption of alcoholic beverages.It can weaken glycerin trinitrate.
  6. Pathologies of the respiratory system.If a person feels constant pain in the back under the left shoulder blade, the cause of this condition is pneumonia or dry pleurisy.At the same time, unpleasant sensations accompany every deep breath, cough and sneeze.The pain is always directed towards the affected lung.Its characteristics may vary depending on the severity of the pathology: it may be insignificant, or it may be cutting and stinging.
  7. Ascending aortic aneurysm dissection.This increases the load on the valve between the left atrium and ventricle.At the same time, the heart cannot cope with its functions as quickly as necessary.This provokes stagnation of venous blood in the lungs and edema develops.At the point where the aneurysm attaches to the blood vessel, its wall becomes thinner and can rupture at any time.This causes severe bleeding in the abdominal cavity.
  8. Biphasic splenic rupture.This reason is very rare, but it does happen.When the tissue of the organ is damaged, the patient develops abdominal bleeding, which is almost impossible to stop.This disease requires immediate surgical treatment.

These pathologies should be recognized as quickly as possible.Otherwise, in the absence of proper medical care, a person may die.

Which diseases of the musculoskeletal system cause pain?

An injury to the spine or other part of the skeleton can cause pain under the left shoulder blade from the back.The following causes of discomfort can be identified:

  • Osteochondrosis of the neck.At the beginning of the development of the disease, the patient's feelings are difficult to determine, but they are directed at the damaged nerve roots.The pain is spontaneous, nagging, and goes away after a warm bath.A strong pinching of nerves and blood vessels occurs in the neck area, which does not go unnoticed.Another symptom of the pathology is that the pain radiates to the arm.Cervical osteochondrosis most often develops in people who deliberately or forcibly lead a passive, sedentary lifestyle.As for the nature of the pain syndrome, it may ache or stab under the shoulder blade.
  • Damage to the intercostal nerves.The presented condition is considered a common cause of back pain under the left shoulder blade.Deep breathing, coughing and leaning to the left side increase the pain syndrome.The feelings are very sharp, strong, shooting.If the pathology progresses, then the pain from the back under the shoulder blade becomes burning.
  • Scapula-rib syndrome.The feeling is usually aching, pulling.The discomfort is located above and below the shoulder blade, below the shoulders.A peculiarity of the pathology is that a screeching sound can be heard when moving the arm and shoulder.The cause of this disease is very strong physical stress, injury to a specific part of the body, and hypothermia.
  • A malignant tumor affecting the skeleton.In this case, the tumor itself or its metastases are localized on the shoulder blades.
  • Blade scraping.This disease is not observed very often and affects the subscapular bursa.The pain here is not very intense.But during movement, a creaking sound can be heard in the area of the shoulder blade.
  • Osteomyelitis, resulting from a specific injury, for example: weapon damage.
  • Humeroscapular periarthritis.If you have a simple form of development, then the feelings will not stand out too clearly.Symptoms are usually noticed only with some movement.In the acute stage of development, the pathology is characterized by an increase in appearance, especially at night.At the same time, the mobility of the shoulder is limited, an increase in core temperature is observed, and the muscles are spasmodic.

Pain under the left shoulder blade can be a symptom of a serious pathology, especially if it is burning, sharp or stabbing.Even pregnancy can cause a pathological condition.This period is characterized by the fact that the female body experiences enormous stress.

An injury can cause back pain under the left shoulder blade: fracture, crack.Here, the discomfort is painful and increases with movement.Psychosomatic reasons for the development of such a pathological condition are often noted.The provoking factor here is severe emotional or psychological stress, which the body cannot cope with properly.The peculiarity of this reason is that the patient's negative attitude towards the symptoms can further worsen his well-being.

Classification of unpleasant sensations

Before starting the treatment of the pathological condition, the cause of its occurrence must be determined.The nature of the pain syndrome is also important for the diagnosis.It could be:

  1. Encirclement.In this case, the discomfort is localized in one place.You feel it all the time.The patient cannot breathe normally, as this leads to an increase in the syndrome.The slightest movement or cough can cause the patient's condition to deteriorate.The nature of the pain is caused by the passage of the nerve impulse between the ribs.
  2. Burning.The victim may experience numbness in certain areas of the skin and a tingling sensation in the body.
  3. Growing.Here, on the back side, the pain from under the shoulder blade radiates to the arm.Increased muscle tone in the shoulders and back can trigger these symptoms.
  4. Spicy.Here the intensity of the pain behind the left shoulder blade is very high.Often the patient cannot breathe, it is difficult to lie on his left side, movements become unbearable.
  5. A man feels acute pain under his shoulder blade
  6. Cutting.First it is localized on the left side, then it moves to the center.
  7. Dull, aching painin the left shoulder blade.It usually occurs when you raise your arm.
  8. Pullingpain syndrome.It often "spreads" from the shoulder blade to the lumbar spine.
  9. Cutting.
  10. Constant pain, which does not allow you to breathe normally, lie down or move.

As you can see, there are a lot of different types of nuisance.Therefore, it is not possible to precisely determine the cause of the development of the pathology.In other words, in case of pain, the patient must see a doctor and undergo a thorough examination.

Characteristics of the diagnosis of the disease

If the patient feels a dull ache and begins to ache in the area of the left scapula, the treatment begins with a comprehensive examination.Diagnostics includes the following procedures:

  • An X-ray of the spine, and it is done in several projections.The picture can also show problems with the lungs.
  • Computed tomography.
  • MRI.
  • If there are cardiac symptoms, the patient is prescribed an EKG.
  • Ultrasound of internal organs.
  • Instrumental examination of pulse and blood pressure.
  • Biochemical and general blood test.

After examining and determining the cause of the pathological condition, the patient prescribes treatment.You may also need to consult a cardiologist or gastroenterologist.

How to properly treat the disease?

Of course, if the back of the left scapula starts to hurt, the patient cannot take a deep breath, therapy must be started.The methods of eliminating pain under the left shoulder blade are determined by the factors that triggered the development of the pathological process.It is not enough to simply eliminate the symptoms, because they quickly reappear.

Each disease is characterized by its own symptoms, so the treatment regimen is always different.However, they all contain important recommendations for maintaining a daily routine and diet.Dull pain is naturally treated with medication.

If conservative therapy does not give positive dynamics, the patient is prescribed surgical intervention.For example, a large hernia, splenic rupture, gastric ulcer with internal bleeding must be treated surgically.

If the pain provokes pregnancy, you should rest more and consult a gynecologist.

When should you go to the hospital?

So, if the discomfort is constantly present and becomes stronger with deep breathing and starts radiating to the arm and other parts of the body, consult a specialist immediately.Simply treating the symptoms only worsens the situation as the disease progresses.

Even if the patient knows the cause of his condition, he should not immediately rush to a specialist.It is better to consult a therapist who will guide you where to go.

Preventive measures

It is impossible to fully insure yourself against all diseases.However, you can try to avoid the factors that cause your health to deteriorate.For example, eat right, exercise daily to keep your body toned, and train your muscles.If you do sedentary work, you need to warm up from time to time.Of course, it is better to avoid any kind of injury.

If you know why the back hurts under the left shoulder blade, you can start effective treatment in time.Of course, certain pathologies, especially degenerative dystrophies, cannot be completely treated.However, appropriate therapy slows down their development.Be healthy and don't neglect the advice of experts!