Have you hurt your shoulder blade? Pain in and around the shoulder blade can be due to a variety of causes, but the most common is that the pain is due to malfunction of the muscles and joints. Follow and like us too Our Facebook page for free, daily health updates.
Characteristic pain in the shoulder blade problem is a nagging, aching discomfort that sits on the inside of the shoulder blade and spreads almost outwards from that area. Such discomfort can affect even the happiest person's pearl mood and lead to you becoming more tired in everyday life and thus having less stamina. As mentioned, the most common causes of such pain are of musculoskeletal origin - but occasionally it can also be due to more serious diagnoses, which we will also go into more detail in this article.
A combination of home exercises, self-measures (for example use of trigger point balls aimed at the musculature within the shoulder blades Link opens in a new window) and any professional treatment may be involved in solving the problem for you.
The most common conditions and diagnoses that cause shoulder pain are:
- Intercostal nerve irritation and rib locking
- Muscle pain from the back muscles between the shoulder blades
- Muscle pain from the shoulder blade muscle
- Reduced joint movement in the thoracic vertebrae
- Referred pain from shoulder muscles (rotator cuff muscles)
- Referred pains from prolapse of the chest (quite rarely) or the neck
Rare causes may include:
- heart problems
- Lung disease
- Referred pain from cancer of the chest, lungs, esophagus or intestine
In this article you will learn more about what could be causing your shoulder blade pain, inside scapula pain, as well as various symptoms and diagnoses of such pain. We also remind you that you can watch good two training videos further down in the article.
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VIDEO: Strength Exercises for the Shoulders with Training Knit
Exercise with elastic is a beneficial way to strengthen the shoulder blade muscle. The benefits of elastic training include that the training becomes more specific and effective. Click below to see the training program.
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VIDEO: Strength Training for Shoulder and Chest Muscles
In order to increase the load capacity between the shoulder blades and the chest, one must strengthen the stability muscles in the area. These exercises can help you reduce the incidence of shoulder blades.
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Shoulder blade anatomy
Here we see the important anatomical landmarks around the shoulder blade. We see how it together with the upper arm (humerus) and collarbone (clavicus) constitute what we call the shoulder.
Muscles around the shoulder blade
Hele 18 muscles attaches to the shoulder blade. Which in turn emphasizes the importance of keeping the shoulders and thoracic spine at optimal function. Take care of problems when they first occur, seek help from a clinician if you have pain, and you will avoid it lasting. The 18 muscles that attach to the shoulder blade are the pectoralis minor, coracobrachialis, serratus anterior (popularly called the push-up muscle), triceps (the long head), biceps (the short head), biceps (the long head), subscapularisrhomboideus majus, rhomboideus minor, levator scapulae, trapezius (upper, middle and lower part), deltoid, supraspinatus, infraspinatus, teres minor, teres majus, latissimus dorsi and omohyoid.
There are also a number of joints that attach or are related to the shoulder blade - of the most important are the thoracic vertebrae T1-T12 and the rib joint attachments R1-R10. In the absence of function in these, pain and associated myalgias can occur in nearby muscle attachments.
Also read: - This You Should Know About Rectal Cancer
Cause and diagnosis: Why did I hurt the scapula and within the scapula?
Here we will go through a number of possible causes and diagnoses that can lead to pain in the shoulder blade - both on the inside, back and on the outside of the shoulder blade itself.
Osteoarthritis describes natural joint wear that often occurs as we get older. This condition primarily affects weight-bearing joints (including hips, knees and ankles), but can - theoretically - occur in all joints of the body including the thoracic vertebrae and rib cages on the inside of the shoulder blades.
It is worth mentioning that all osteoarthritis does not involve joint pain and aches. In fact, the vast majority of people over the age of 35 have some osteoarthritis, and in the majority of cases it is asymptomatic - that is, without symptoms or pain.
Intercostal nerve irritation and rib locking
The intercostal areas refer to the ribs where the ribs meet the chest. These can, like other joints and muscles, be affected by both reduced joint mobility and associated muscle pain. Rib locks with associated muscle tension can be intense - and, in some cases, described as "stabbing", sharp pain.
The reason the body reports and sends such strong pain signals if malfunction occurs here is that this is an area that is important for the body's ability to breathe. Reduced rib mobility reduces the ability of the chest to expand optimally. With such rib locks and muscle pain on the inside of the shoulder blade, nerve irritation can also occur on nearby nerves - this is called intercostal nerve irritation. Regular treatment involves muscular treatment and joint mobilization - in combination with adapted home exercises.
Also read: What You Should Know About Osteoarthritis
Muscle pain from the back muscles between the shoulder blades
On each side of the spine we have what is called paraspinal muscles. In the area in the thoracic spine and between the shoulder blades, these are called the thoracic muscle paraspinalis - and these can cause local pain on the affected side of the spine and thus also further under the shoulder blade itself. Similarly, the musculus rhomboideus and serratus anterior may cause similar pain. Such back pain in the thoracic spine is often due to a combination of malfunction in joints and muscles - which affect each other.
Muscle pain from the shoulder blade muscle
The muscle that stabilizes the shoulder blades and shoulders is called the rotator cuff cuff. These muscles consist of the four muscles supraspinatus, infraspinatus, teres minor and subscapularis. If one or more of these are affected by damage and build-up of damage tissue within the muscle fibers, then these may give pain signals that may occur locally or that may refer pain to the inside of the shoulder blade.
Reduced mobility in the chest
Joint pain occurs when joints - such as vertebrae, facets and rib cages - do not function properly. This involves reduced movement and associated irritation from the attachment points in between the different joints. Movement training, stretching exercises and joint therapy (for example, performed by a modern chiropractor) are effective treatment methods for such ailments.
Referred pain from chest or neck prolapse
A prolapse involves a disc injury to an intervertebral disc where the soft mass has seeped out through the outer wall and imposes subsequent pressure on a nerve root. Depending on which nerve is irritated or pinched, one can experience various sensory or motor symptoms - this can involve decreased sensation in the skin (hyposensitivity), reduced muscle strength and changes in the deep tendon reflexes.
Having prolapse in the thoracic spine is significantly more rare than disc injuries in the neck or lower back (lumbar spine), but it can occur - and you often see it after trauma, falls or accidents.
Also read: - This You Should Know About Neck Prolapse
Scoliosis (uneven spine)
Scoliosis is a condition that indicates that the spine is not straight, but that it is bending or arching in an abnormal shape. There are a number of different types of uneven curvature in the back, but one of the most well-known is an "S-curved scoliosis". Such altered curves will naturally lead to altered loads on the spine, which can make it easier for the person to be affected by pain in muscles and joints than those without scoliosis.
Treatment of Pain within the Shoulder Blade
The treatment you receive will depend on what causes the pain you experience in your legs. This may include:
- Physiotherapy: A physiotherapist is an expert on exercise and rehabilitation due to injuries and pain in the muscles, joints and nerves.
- Modern Chiropractic: A modern chiropractor uses muscular techniques in combination with muscular work and instruction in home exercises to optimize the function of your muscles, nerves and joints. In case of foot pain, a chiropractor will mobilize the joints in your back, hips, treat muscles locally in the city back, shoulders and neck, as well as instruct you in home exercises to stretch, strengthen and promote better function in your shoulders - this can also involve the use of pressure wave therapy and dry needle (intramuscular acupuncture).
- Shockwave Therapy: This treatment is normally performed by authorized health professionals with expertise in the treatment of muscles, joints and tendons. In Norway this applies to chiropractor, physiotherapist and manual therapist. The treatment is carried out with a pressure wave apparatus and an associated probe that sends pressure waves directed into that area of damage tissue. Pressure wave therapy has a particularly well-documented effect on tendon disorders and chronic muscle problems.
Commonly reported symptoms, pain presentations and keywords in shoulder pain
Acute pain in the shoulder blade
Inflammation in shoulder blade
Elimination in shoulder blade
Burning in shoulder blade
Deep pain in shoulder blade
Electric shock in shoulder blade
The right shoulder blade hurts
Hogging in shoulder blade
Intense pain in shoulder blade
Fucking in shoulder blade
Knot i shoulder blade
Cramps in shoulder blade
Prolonged pain in shoulder blade
Joint pain in shoulder blade
Locked in shoulder blade
Mooring i shoulder blade
Murring i shoulder blade
Muscle pain in shoulder blade
Nervous pain in shoulder blade
The name i shoulder blade
Tendonitis in shoulder blade
Shake in shoulder blade
Sharp pains in shoulder blade
Leaning in shoulder blade
Worn in shoulder blade
Stitching in shoulder blade
Steal in shoulder blade
Wounds in shoulder blade
The left shoulder blade hurts
Effect i shoulder blade
Sore in shoulder blade
Recommended self help
Heat can increase blood circulation to tight and sore muscles - but in other situations, with more acute pain, cooling is recommended, as it reduces the transmission of pain signals. Due to the fact that these can also be used as a cold pack to calm down swelling, we recommend these.
Read more here (opens in new window): Reusable Gel Combination Gasket (Heat & Cold Gasket)
Visit if necessary Your Health Store to see more good products for self-treatment
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Frequently asked questions about shoulder pain:
Has discomfort in the right shoulder blade. Could it be due to muscle knots and tight muscles on the inside of the shoulder blade?
Yes, discomfort in the right shoulder blade can be caused by several things, including muscle knots, also known as myalgias, in nearby muscles. Muscles that are often affected are the musculus rhomboideus (sits on the inside of the shoulder blades, towards the thoracic spine), infraspinatus and subscapularis to name a few. Muscle tension almost always occurs with joint stiffness and joint restrictions (popularly called locking or locked joints) - this is why it is recommended to get treatment that covers both joints and muscles. Those who have the longest education in such treatment are chiropractors with their 6 years of education, but you can also use a manual therapist.
Q: Cause of sudden back pain inside the shoulder blade?
As mentioned, there are a number of possible causes and diagnoses of back pain within the shoulder blade on the left or right side - the symptoms must be seen in full. But, among other things, referred pain from nearby muscle dysfunction or joint restrictions (in the thoracic spine, ribs and shoulder) can cause pain in the shoulder blade. Rib locks are a fairly common cause of sudden back pain within the shoulder blade - and can cause quite intense pain. Often there are myalgias in the rhomboideus, latissimus dorsi and rotator cuff muscles in addition to impaired joint movement. Other more serious causes are lung disease and many other diagnoses. See list higher up in the article. If you elaborate on your concerns in the comments section below, we can do more to help you.
Q: Cause of pain on the outside of the shoulder blade?
A common cause of pain on the outside of the shoulder blade is rotator cuff dysfunction, as often with high overactivity in the supraspinatus and subscapularis. Such pain occurs almost always in combination with impaired joint function in the neck, chest and / or shoulder.
Q: Cause of pain on the shoulder blade?
Supraspinatus myalgia combined with upper trapezius surges are the most common causes of pain on the shoulder blade. This also happens in combination with poor movement or function of the neck, chest and shoulder. Feel free to ask us directly via the comments box or Facebook if you have any questions.
Q: Can foam roll help me with shoulder pain?
Yes, a foam roller can help you with stiffness and myalgias, but if you have a problem with the shoulder blade, we recommend that you contact qualified health professionals in the field of musculoskeletal subjects and get a qualified treatment plan with associated specific exercises - most likely so will You also need joint treatment to normalize the condition. Foam roller is often used against the thoracic spine and shoulder blade to increase circulation in the area.
Q: Why do you get shoulder pain?
Pain is the body's way of saying that something is wrong. Thus, pain signals must be interpreted as meaning that there is a form of dysfunction in the area involved, which should be investigated and further remedied with proper treatment and exercise. Causes of pain in the shoulder blade can be due to sudden misload or gradual misload over time, which can lead to increased muscular tension, joint stiffness, nerve irritation and, if things have gone far enough, discogenic rash (nerve irritation / nerve pain due to disc disease in the middle back).
Could there be a relationship between low blood pressure and sore shoulder blades / shoulder pain?
It is known that low blood pressure (also known as hypotension) could lead to sore muscles due to low blood circulation, so the answer is actually yes to your question. Often it is muscles that do not have such a good blood supply from before that can be affected first - this includes the muscles within the shoulder blades and in the rotator cuff muscles. If you smoke and also have low blood pressure, this problem is further aggravated.
Q: Man asks - what should be done with a sore shoulder blade full of muscle knots?
muscle knots have most likely occurred due to a misalignment of the muscles or a misalignment. There may also be associated muscle tension around joints in the nearby chest, ribs, neck and shoulder joints. Initially, you should get qualified treatment, and then get specific exercises and stretching so that it does not become a recurring problem later in life. You can also use the following exercises to Exercise chest and shoulder stability.
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