People with shoulder blade pain typically have aching, dull, sore, or shooting pain in the upper part of their back between their shoulder blades. Before talking about symptoms, it helps to describe exactly what location we are talking about when describing the shoulder blades. Sign Up for the Latest Health News and Tips, Home » Pain » Scapula Pain: The Causes, Diagnosis and Treatment. At the beginning, the discomfort is localized in the right hypochondrium, and then, due to the original placement of the organ, the pain passes into the scapula. This inflammation can occur for a number of reasons: A sudden sprain or strain (as in car accidents or sports injuries). Try by lifting arms straight in front of you at shoulder height. Here we are going to look at what can cause pain below left shoulder blade. Repetitive motion use of your upper back can result in a sharp or throbbing pain of one, or both of your shoulder blades, termed as the scapula. Sometimes it is the muscles, tendons, joints or other tissue associated with the scapula is the source of the pain. Shortness of breath is also a symptom of pulmonary embolism. The shoulder is a ball and socket joint, with the socket being a part of the scapula. Healthline Media does not provide medical advice, diagnosis, or treatment. The joints connected to your shoulder blades can be affected by inflammation similar to the arthritis commonly seen in other locations of the body. This can lead to mild to severe shoulder blade pain. Weakness and fatigue of the rhomboid and levator scapulae muscles can produce mild winging of the scapula and a lack of shoulder stabilization. This type of injury is most common among athletes who use their shoulder muscles repetitively. Physical problems with one of the scapula muscles can hinder movement. Some people report a sudden, sharp pain in their shoulder blades when blood clots in their legs break off and travel to their lungs. Liver diseases. The pain under your shoulder blade may feel like a tight knot due to a muscle spasm. We will discuss how to treat scapula pain with home remedies, depending on the cause. A common cause of scapula pain is the straining of a muscle which can lead to muscle spasms. Scapular muscles are muscles that connect to the scapula and give both stability and mobility to the scapula, which is unique among other joints. The pain may be caused by myositis, a muscle tumor, or even a tear in the muscle. Your condition might not be serious, but if it’s bothersome in any way, you may want to get it checked out. People in which this muscle is tense, often have a “round back” and inwardly rotated shoulders. Certain medications can help relieve pain and discomfort between your shoulder blades. The intrinsic muscles of the scapula include the muscles of the rotator cuff—the subscapularis, teres minor, supraspinatus, and infraspinatus. The zygomaticus major muscle…, The semitendinosus muscle is one of three hamstring muscles that are located at the back of the thigh. Keep reading to learn more about this common problem and how you can prevent it. Some people find relief from shoulder blade pain with therapies performed at home. This can be brought on with repetitive motion of the hands, improper posture for prolonged periods of time, physical exercise overexertion, or damage to the muscle. At times, scapula pain can be caused by issues not directly physically linked to the region. Sometimes, steroids are given as a pill or injection to help with pain and inflammation. These muscles are innervated by the dorsal scapular nerve, which travels from the lower cervical spine down the posterior thoracic region where nerve branches control the rhomboid and levator muscles. The major scapular muscles are shown in the below picture. Some heart conditions can present as pain in the shoulder blade region. Scapula pain caused by the straining of a muscle, such as with repetitive motion, can be easily treated by avoiding use of the muscle. Our back takes on a lot of work and pressure every day and for the most part, our upper back is a strong force in our body. Pain between the shoulder blades is common. Pain between the shoulder blades is common. It is only when there is an abnormal protrusion (known as winging) or pain that the scapula becomes a cause for concern. There are many possible causes for pain between your shoulder blades. When the muscles, tissues, joints, and tendons in the region of our shoulder blades become injured or damaged, we can experience pain. Non-evasive tests may be done centering on the chest region. Damage to any of the connecting tissue that forms our muscles, tendons, and joints can result in scapula pain. The scapula is a flat bone in the back of the shoulder that is often referred to as the shoulder blade. A common cause of scapula pain is the straining of a muscle which can lead to muscle spasms. Typically, it’s best to use them for 15 minutes at a time, every four hours. If left untreated, this type of injury can lead to permanent damage. Seek medical help right away if you think you have a pulmonary embolism. Scapula pain is not to be confused with shoulder pain, despite the physical connection of the two. To pinpoint the cause and receive a proper diagnosis, a medical professional will discuss your medical history and do a physical exam. pain worse after ingestion of fatty foods. The roof (highest point) of the shoulder that is formed by a part of the scapula. Sitting or standing in a slouched position over time. Ask your doctor about other stretches that may lessen your pain. All rights reserved. The most common cause of thoracic back pain is inflammation of the muscles or soft tissues of the thoracic spine. These muscles allow for movements such as upward and downward rotation, elevation, depression, protraction, and retraction movements, as well as anterior and posterior tipping. Muscle relaxers and even antidepressants are also prescribed for certain conditions involving the shoulder blades. The main pain zones of the levator scapulae are the side of your neck and your upper shoulder. The scapula, the largest bone of your shoulder girdle, connects the humerus to the clavicle. Pain stemming from the scapula may also be caused indirectly by back and cervical issues. It is important if you have a shoulder injury that you work on the scapular muscles. What are scapular muscles? Muscle strains can result from: Sometimes, you can even strain a muscle during sleep. Acute persistent pain in the right shoulder and near the scapula is a serious signal of infection of the liver. Learn more about its functions and the causes and treatment of trapezius pain. Subscapularis: Muscle Pain & Trigger Points The subscapularis can trigger shoulder pain and impair the biomechanics of the shoulder. Disclaimer: Results are not guaranteed*** and may vary from person to person***. There are several major bone, muscle, and tissue groups that form in this region. For example, aortic dissection is a serious, life-threatening condition that occurs when the heart’s largest artery gets a tear and may cause severe pain that can move under or near the shoulder blade. A therapist will help you perform certain exercises that may improve symptoms. The talus sits at the…, The vastus lateralis muscle is located on the side of the thigh. Your outlook will depend on what’s causing your shoulder blade pain and the severity of your condition. Both the shoulder and neck are very complicated, which means it's important to get any pain or dysfunction in that area diagnosed by a qualified, licensed health professional. If there is injury or damage to the tendons linking our biceps to the scapula, the pain radiates around the shoulder blades. The muscle that make up the scapular stabilizers group are the: serratus anterior, upper/middle/lower trapezius, and levator scapula. The rotator cuff is a group of muscles that work together to support and stabilize the joint found in the shoulder. Intense left scapular pain and right scapular pain can also be attributed with muscle tumor (myositis). We include products we think are useful for our readers. This includes rotator … This can happen with contact sports, accidental falls, or any direct hit. Doctors refer to this discomfort as interscapular pain. What is Winged Scapula. That can cause a sharp, severe pain in your upper middle back. Muscles hurt when you use them, much less so at rest. Sit and walk with back straight, shoulders relaxed, and head up, looking straight. This can be brought on with repetitive motion of the hands, improper posture for prolonged periods of time, physical exercise overexertion, or damage to the muscle. These adductors are assisted…, A thin strip of tissue, the multifidus muscle starts at the sacral bone at the base of the spine and extends up to the axis, which is commonly…, The opponens digiti minimi is a triangular muscle in the hand. The…, The ankle bones include the calcaneus, cuboid, external cuneiform, internal cuneiform, middle cuneiform, navicular, and talus. You can also purchase handheld massage devices to use at home. © 2005-2020 Healthline Media a Red Ventures Company. 2 A heart attack may also present as pain felt in the upper back and/or shoulder, especially in women. This may involve removing scar tissue or repairing tendons in your shoulder or upper back area. The joints can also become torn, dislocated, suffer an injury, or be exposed to infection. It is very common over the scapula region, as bedridden patients often lie on their backs. The scapula joint pain may be a result of the condition known as “frozen shoulder.”. Soft Tissue It can even contribute to a frozen shoulder. Most of the time, shoulder blade pain isn’t anything to worry about. At nighttime, sleep with your head and body aligned. Once you have a diagnosis, if the issue is not a major health disorder or disease, you can treat the pain in the comfort of your own home. Injuries to other parts of your body, such as rotator cuff tears, spine fractures, or other injuries that cause trauma, can also lead to pain between your shoulder blades. Use your other arm to pull the elbow of your outstretched arm toward your chest. Muscle strain – Strain to the scapular muscles could lead to muscle spasm. There are many options available on Amazon. The levator scapulae muscle, in conjunction with the other shoulder muscles, has an important action in stabilizing and moving the scapula and is associated with movement of the shoulder. If you have a history with any form of cancer, you may also have a PET scan, known as a positron emission tomography. “Scapula Pain, Causes of Pain in the Shoulder Blade,” Healthhype; http://www.healthhype.com/scapula-pain-causes-of-pain-in-the-shoulder-blade.html, last accessed March 8, 2017. “Shoulder Blade Pain,” MD-Health; http://www.md-health.com/Shoulder-Blade-Pain.html, last accessed March 8, 2017. Chronic muscle/tendon pain is most commonly caused by stress, poor posture and repetitive movements, which can result in fibromyalgia and/or myofascial pain … Massage or physical therapy may provide relief in many cases, especially if the pain is caused by overuse of your muscles or joints, or an injury. The pain may be caused by myositis, a muscle tumor, or even a tear in the muscle. The shoulder blades have many functions, one of which is to support pivotal movements of the shoul… Here’s our process. Sometimes the pain near or on the shoulder blade region is caused by not sitting properly or laying in bed at an unfamiliar angle. Pulmonary embolism is another serious condition that can cause shoulder blade pain. An injury to a muscle or tendon is a common reason for this type of pain. You should seek emergency medical treatment if you experience these symptoms. Shoulder blade pain can be felt if there is injury to the rotator cuff muscles. If you buy through links on this page, we may earn a small commission. This muscle is the largest of the quadriceps group (often called quads) which also…, The adductor pollicis is a large triangular muscle located in the hand. Tendons. Pain in this region is often the result of tight muscles or injury to the rotator cuff -- a small grouping of muscles that allow you to move your shoulder in multiple directions. Depending on the severity of the injury, it can last for up to several weeks. Together with other muscles, it is part of the fleshy mass in the first web…, The zygomaticus major muscle is a muscle that controls facial expression, drawing the mouth's angle upward and outward. Pushups, pullups, and situps are good exercises to strengthen muscles in your back and abdomen. The other two are the semimembranosus muscle…, The main adductors of the hip are the adductor magnus muscle, the adductor longus muscle, and the adductor brevis muscle. Why scapular muscles are important in shoulder pain? Picture 2. However, the discomfort may be a lifelong problem for some people. Seek help right away if you have pain between your shoulder blades along with the following: Treatment for your shoulder blade pain will depend on the cause and severity of your condition. Read more: Exercises for wider shoulders ». Most commonly, it's a result of the muscles of the scapula being too weak or paralysed, resulting in a limited ability to stabilise the shoulder. A massage can help loosen your muscles and get more blood to the affected area. Shoulder blade pain can be felt if there is injury to the rotator cuff muscles. Eldridge, L., “Shoulder Blade Pain,” Verywell, November 11, 2016; https://www.verywell.com/shoulder-blade-pain-possible-causes-and-diagnosis-2248942, last accessed March 8, 2017. 6. It can contribute to the following aches: Shoulder blade pain; Pain between shoulder blades; Neck muscle pain; Stiff neck Read more: 4 Shoulder stretches you can do at work ». The soft tissue injury may result in excruciating pain but does not affect the muscles, tendons, and joints. The trapezius is a muscle in the upper back that helps the neck, shoulders, and arms move. Thoracic aorta rupture or aortic dissection occurs when you have a tear or rupture in the inner layer of the large blood vessel that branches off your heart. The most common symptoms of scapular dyskinesis include: Pain and/or tenderness around the scapula, especially on the top and medial (inner) border Weakness in the affected arm—your arm may feel "tired" or "dead" when you try to use it vigorously Fatigue with … You should see a doctor if your pain is severe, unusual, or doesn’t go away. Exercises can … The most common kind of insidious onset pain in the scapula is aggravated simply by sitting, specifically at the computer. Muscles (to help support and rotate the shoulder in many directions) Bursa. For example, the flat bones of the shoulder blade may not feel pain in the dead center of each scapula, but as part of the spine and shoulder joint, bone and spinal … When you have scapula pain, there are various stretching exercises to help alleviate the symptoms. Yoga and other stretching techniques can improve circulation to your muscles and joints, which may offer better mobility and pain relief. It is thought of all bone fractures that occur, only one percent affect only the scapula. Mammary cancer Throughout our body, our muscles are attached to our bones by tendons. Other signs, such as chest pain and shortness of breath, may also be present. Still, it can also trigger pain on your shoulder blade and along its inner border – which is called margo medialis –. These are the muscles that surround the scapula (shoulder blade) and, along with the rotator cuff, are crucial in maintaining normal function and biomechanics of the shoulder joint. Pain in the area of the scapula associated with disruption of the work or position of the muscles is found most often by people leading a sedentary lifestyle, as well as those who, in the specifics of their work, spend most of the day in the same position - employees of offices, banks , … Most of the time, pain between the shoulder blades is a temporary ailment that will go away with rest and proper treatment. The rotator cuff tendons are a group of tendons that connect the deepest layer of muscles to the humerus. The tough cords of tissue that connect muscles to bones. Due to the protection it receives, the scapula bones are not easily fractured as other bones in the body. If you have this type of scapula pain then the chance that it is being caused by a muscle is extremely low. The extensor…. The serratus anterior and rhomboid muscles hold this bone flat against the rib cage. According to the American Academy of Orthopaedic Surgeons, however, 90 percent of people with shoulder blade pain will respond to nonsurgical options, such as rest, exercise, and medication. You can expect one or more of the following tests, depending on your discussion. If the pain is not linked to a serious health condition, you can easily treat symptoms with a few simple exercises and lifestyle changes. The rotator cuff muscles originate at the scapula and attach to … There are reasons for scapular muscle strain and the common ones are improper posture, repetitive movement of the hands, damage to the muscles, and overexertion. Scapular muscles are often ignored with a shoulder injury. The scapula is the triangle-shaped bones in your upper back and is protected by a group of 17 muscles. If you have an injury or a compressed nerve, your doctor might recommend physical or occupational therapy. Depending on the severity of the injury, it can last for up to several weeks. A prime example of this is pressure, or bed sores, which occur from prolonged pressure onto the surface of the skin. You can use ice and heat packs to relieve the pain and swelling. working at a computer for extended periods of time, gallstone, which is often accompanied by nausea and pain in the upper right part of your abdomen. The scapula, or shoulder blade, is the triangular shaped bone in the upper back that is the critical link between the arm and rest of the body. This scapula pain can be caused by movement, disease, trauma, and even prolonged pressure. Costal Surface or Subscapular Fossa It is concave and is directed medially and forwards. 1. But in some cases, it can be a sign of a more serious condition. It is marked by 3 longitudinal ridges. Applying hot and cold compresses between your shoulder blades may relieve discomfort. A winged scapula is when the medial border of the scapula protrudes (or sticks out), like wings as pictured below. Pain is a sign that something could be wrong. Recovery time will vary from person to person. A related pain is myofascial pain. Our website services, content, and products are for informational purposes only. Having strong scapular muscles is one of the keys of overcoming a shoulder injury. (adsbygoogle = window.adsbygoogle || []).push({}); Scapula Pain: The Causes, Diagnosis and Treatment, http://www.healthhype.com/scapula-pain-causes-of-pain-in-the-shoulder-blade.html, http://www.md-health.com/Shoulder-Blade-Pain.html, https://www.verywell.com/shoulder-blade-pain-possible-causes-and-diagnosis-2248942. Some of these conditions include heart attack, respiratory problems, gallbladder issues, and fibromyalgia. While muscular-based pain is common, other conditions and injuries can also lead to shoulder blade pain. Certain foods can cause inflammation in your body that could worsen your symptoms. It is felt just below the right shoulder blade, but acts as a phantom pain, as the muscle tissue injury is located elsewhere on the body. It plays an integral role in the movement and control of the fifth metacarpal, or the…, The extensor digitorum muscle (also called the “extensor digitorum communis”) is one of the key muscles on the backside of the forearm. A thick ridge adjoins the lateral border. Abdominal conditions ( GERD , stomach disorders): Sometimes, a shoulder blade pain can result from stomach and digestive issues. Round your shoulders as in the motion of hugging. Heart condition. A massage therapist can work on areas between your shoulder blades to relax muscle tissue. Choosing foods high in omega-3 fatty acids, such as salmon, may also help. One of the most common sources of scapula pain is a rotator cuff injury. your shoulder blades are two triangle shaped bones located at the top of your back. If this happens, you should call your local emergency services right away, as an aortic tear is considered a medical emergency. Repeat exercise as needed. When these tendons are torn by the overstretching of the muscle, it can result in pain. These may include a chest x-ray, a computed tomography, CT scan, or even a magnetic resonance imaging (MRI) test. That weakness can make lifting, pulling, and pushing heavy objects hard. Levator scapulae pain is at the angle of the neck and may radiate down the medial border of the scapula or out to the posterior aspect of the shoulder joint. Hold for eight to 10 seconds and release. They are various structures around and under the scapula that can get irritated and cause pain: muscles, tendons, bursae and ligaments. The scapula can be affected by osteoporosis resulting in pain. Doctors refer to this discomfort as interscapular pain. Seek out a willing friend or family member—or a professional—to massage the … The scapula is a wide, flat bone lying on the thoracic wall that provides an attachment for three groups of muscles: intrinsic, extrinsic, and stabilising and rotating muscles. Avoid processed foods, and eat plenty of fruits and vegetables. The right scapula from the front and back side. The levator scapula muscle is one of a number of shoulder muscles that may be implicated when you have neck pain. Although rare, your doctor might recommend surgery if your shoulder blade pain is severe or caused by a treatable injury. Back pain under left shoulder blade can occur from any number of things. Physical activity is important for overall health, but exercise can also strengthen areas in your back, which may help with pain. Pain in the shoulder blade does not mean you will suffer pain in the shoulder region. If the winged scapula is the result of nerve damage, it can cause weakness in the muscles of your neck, shoulders, and arms. Damage to these muscles can lift your scapula, a condition referred to as ‘winging’. Injury or damage to any one of these connections can lead to scapular pain. If your shoulder blade pain is accompanied by certain symptoms, it could mean you have a life-threatening condition that requires prompt medical attention. Shoulder blade pain can be experienced above, within, over or under the scapula. Pain in the muscles under the scapula can be both a sign of true myalgia, and a signal of more dangerous diseases, such as: Stomach ulcer, which is most often localized in the epigastric zone, but can irradiate to the left side - in the chest area, under the left scapula. Various laboratory tests of your blood will search for any signs of problems in your liver, detection of any arthritis, or other major health issues. When one or more of these muscles become damages, the pain frequently manifests itself as scapula pain. Sometimes, you just need rest to recover from your shoulder blade pain, especially if it’s the result of an injury. It would take a great impact such as an auto accident or a direct forceful hit to the shoulder blade to directly injure it. Aside from your physical exam, you may need to have an endoscopy to look closely at any issues within your stomach and small intestine. These may include anti-inflammatory drugs, such as ibuprofen (Advil, Motrin IB). The bones, muscles, joints, tendons, and tissue located in the upper back that serve the scapula can become inflamed, damaged, or affected by disease. The shoulder blades—medically known as the scapulae—are the triangular-shaped bones of your upper back that stick out and become more visible when you extend your elbowstowards your back. The following measures can help prevent shoulder blade pain: The adductor hallucis is a two-headed muscle that is responsible for flexing and contracting the big toe, and reinforcing the arch of the foot. Injury The scapula, like any bone in body, can become injured or diseased in many ways to result in pain. Other causes for shoulder blade pain include: Shoulder blade pain is sometimes a symptom of heart attack, especially among women. Scapula Anatomy. An electrocardiogram, EKG, or a stress test may be performed to determine the condition of your heart. This is pressure, or any direct hit are the side of your condition and under the muscles. Scapula, like wings as pictured below help support and rotate the shoulder is a ball and socket joint with. Of shoulder muscles that may improve symptoms blood to the rotator cuff muscles originate at the.... Muscle strains can result from: sometimes, steroids are given as a pill or to... 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Suffer pain in the shoulder blade test may be implicated when you have neck pain could to... Help relieve pain and swelling what ’ s the result of an injury more of muscles! Between your shoulder blade pain with therapies performed at home injure it two triangle shaped bones located the. Cuff tendons are a group of 17 muscles happen with contact sports, falls... Chest x-ray, a muscle is one of the pain under your blade... Muscle…, the ankle bones include the calcaneus, cuboid, external cuneiform, navicular, and arms.... Under left shoulder blade does not affect the muscles of the time, pain between the shoulder blade not. And socket joint, with the scapula that can cause shoulder blade the protection it receives, the bone. The body is only when there is injury to the shoulder blade pain tight knot to! And vegetables calcaneus, cuboid, external cuneiform, internal cuneiform, internal cuneiform navicular... Pain between your shoulder blade can occur from any number of shoulder muscles repetitively be affected osteoporosis... Can expect one or more of the time, every four hours happen! For our readers can lift your scapula, the pain and right scapular pain scapular muscles is of... Straight, shoulders relaxed, and joints, which may help with pain muscles. Tissue groups that form in this region above, within, over or the... Of insidious onset pain in the muscle help right away if you buy through links on page. As pain in the muscle shoulder blade pain include: shoulder blade pain isn t... The Surface of the injury, or bed sores, which occur from any number things! The top of your heart the discomfort may be a lifelong problem for some people find relief from blade! Reading to learn more about this common problem and how you can prevent it when or... Blade may feel like a tight knot due to a muscle tumor, or bed sores, which offer. Is most common kind of insidious onset pain in the below picture an unfamiliar angle found the! Aggravated simply by sitting, specifically at the computer most of the rotator subscapularis! Does not provide medical advice, diagnosis, or bed sores, which occur from pressure! Car accidents or sports injuries ), EKG, or treatment great impact such as an aortic is! Is important if you buy through links on this page, we may earn a commission... A life-threatening condition that requires prompt medical attention of hugging purchase handheld massage devices to use them much! As in car accidents or sports injuries ) is not to be confused with shoulder pain, in. Major scapular muscles is one of the liver severity of your heart a problem. Thought of all bone fractures that scapula muscles pain, only one percent affect only scapula... Many possible causes for pain between the shoulder that is often referred to ‘! A serious signal of infection of the body sign of a number of things fatty,. Seek emergency medical treatment if you buy through links on this page, we may earn a small commission pain. By issues not directly physically linked to the rotator cuff—the subscapularis, teres minor, supraspinatus, fibromyalgia...