About right shoulder blade pain Reasons and treatments
The shoulder is the most flexible joint in the body, and looking at the number of daily activities in which a person uses his shoulder, from brushing hair, to reaching the top of the closet, we can imagine how flexible and important that joint is. However, that important joint in the human body is fully susceptible to infection, and cause right shoulder blade pain or even the left shoulder blade that pain may be directly or as a symptom of a disorder in one of the body’s organs.
While we will talk about this in detail later in this article, it is important to know the components of the shoulder.
The shoulder consists of three bones, the upper bone (upper arm), shoulder blade, and collarbone. The hummer is covered with a quantity of muscles and ligaments that make the arm able to rise and rotate, and any problem that occurs in those ligaments or muscles, causes shoulder pain.
Because there are many causes of shoulder pain, our article focuses on knowing the pain of the right or left shoulder blade, and we will try in some detail to know everything related to these symptoms, how they are diagnosed, their causes, and how to treat them.
Right shoulder blade pain
The feeling of right shoulder blade pain is very common, and its causes range from simple to serious, such as a heart attack or liver problems that cause pain in the right or left shoulder blade. Because of the multiple causes of right shoulder blade pain, pinpointing the cause of pain is difficult, as the pain is caused by many possible causes.
The shoulder blade is a triangular bone, located behind the shoulder, and each blade of the shoulder blades is connected to the collar bone, and three groups of muscles that help move the shoulder.
The shoulder can perform a wide range of movements, and the muscles attached to the shoulder blade allow the shoulder to rotate, move up, down, and side, and due to the large number of shoulder movements, it is easy for the shoulder to be injured, causing pain in the shoulder blade. Unfortunately, the right shoulder blade pain is not always caused by direct causes related to the shoulder itself, as the blade shoulder pain may be caused by pain and disorder of an organ close to the shoulder.
Causes of right shoulder blade pain
A person can feel pain in the shoulder blade due to a number of reasons. These causes include the following:
1- Muscle causes.
Muscle fatigue is the most common cause of right shoulder blade pain, as excessive use of the arms or upper torso may be a direct cause of pain in the shoulder blade, and pain may be accompanied by feeling pain in other muscle groups, such as: shoulder muscles, Or back muscles.
Right shoulder blade pain is caused by simple causes such as: wrong sleeping position, sleeping on one side for a long period of time and frequently, and other muscle conditions that cause the feeling of right shoulder blade pain include tear cuff muscles, or fibromyalgia syndrome.
2- Causes related to bones and joints.
Although breaking the shoulder blade is not uncommon, as the shoulder blade is one of the most difficult bones in the body to break, the causes of breaking the shoulder blade usually include falls, or car accidents, and the shoulder blade may be broken without accidents, and this occurs when There is a history of cancer. Osteoporosis may also affect the shoulder blade, neck, or shoulder, causing pain in the shoulder blade.
Arthritis may lead to pain in the shoulder blade, osteomyelitis may affect the shoulder joint directly, or the pain may be caused by other joints, such as: spine joints. Pressure on the nerves in the neck caused by vertebral collapse, slipping, or spinal stenosis may lead to pain in the shoulder blade.
3- Heart related causes
Although the feeling of right shoulder blade pain is less common than chest pain caused by heart problems, the right shoulder blade pain is a symptom of a heart attack, and may cause other heart problems, such as: Pericarditis, or aortic dissection. Feeling of left shoulder blade pain alone.
4- Lung-related causes
A large number of people with lung cancer and mesothelioma suffer from a feeling of shoulder pain or right shoulder blade pain, and Pankwist tumor – a form of lung cancer that grows above the lungs – is a cause of shoulder pain, blades of the shoulders, and arms, and these pains are among Common symptoms of lung cancer, and other conditions such as lung embolization, or pneumothorax, may cause right shoulder blade pain.
5- Causes related to the chest wall (skin and soft tissues)
Herpes zoster – a skin disease caused by infection with the virus itself that causes chickenpox – may cause pain in the shoulder blade, may cause pain and burning in the affected nerve area, and the pain of the shoulder blade may precede the appearance of the rash by days, making it difficult to diagnose the cause of right shoulder blade pain At first.
6- Causes related to the pelvis and abdomen
Abdominal or pelvic problems cause pain in the shoulder blade, this pain is fairly common and is caused by irritation of the nerves passing along the base of the diaphragm, causing pain in the shoulder or in the blade of the shoulder.
Postoperative blade pain occurs, as gas injection into the abdominal cavity during laparoscopic surgery irritates the nerves along the base of the diaphragm, leading to pain in the shoulder, or shoulder blade after surgery. Some conditions, such as gallstones, gastric ulcer disease, acid reflux, and liver disease, can cause pain in the shoulder blade, and often cause pain in the right shoulder blade. Pancreatic disease causes the feeling of pain in the left shoulder blade.
In addition to lung cancer, tumors that occur in the chest, such as: lymphomas, or abdominal cancers, such as esophageal cancer, liver cancer, or pancreatic cancer, may lead to pain in the shoulder blade.
The shoulder blade may be affected by bone metastases, which are cancers that begin elsewhere in the body and are transmitted to the shoulder blade bone, such as: breast cancer, lung cancer, esophagus cancer, and colon cancer, feeling of right shoulder blade pain.
Medical diagnosis and examination
The first step in a doctor’s examination of a patient who complains of pain in the right or left shoulder blade is a thorough physical examination, but studies indicate that a physical examination alone is not sufficient to determine the cause of the pain of the shoulder blade.
At the beginning of the examinations, the doctor asks the patient a number of questions that revolve around the medical history and health condition, and the answer to those questions must be specific, in order to help the doctor diagnose the condition with some accuracy.
- Which of the blades in which you feel pain, right or left?
- How long have you been feeling that pain?
- Did the pain start gradually or did it happen suddenly?
- If you were exercising, did you do unusual exercises?
- Do you play sports that cause shoulder pain, such as tennis, swimming, golf, basketball and badminton?
- Is the side in which you feel pain the same as you get used to sleeping?
- How do you describe pain? Sharp, shallow, burning, similar to stabbing
- Are there certain activities or movements that increase pain, such as deep breathing or eating?
- What reduces pain?
- Has the patient felt any other symptoms such as shortness of breath or coughing, chest pain, hoarseness, unexplained weight loss, abdominal pain or any other part of the body?
- Did the patient have a smoking history?
After that, the doctor performs a number of other tests, which include:
This is done by chest or other areas of the body by X-ray or CT, and this can be done using magnetic resonance.
It should be noted here that chest x-ray imaging does not show all the causes of infection, the most prominent of which is lung cancer.
Your doctor may order some tests such as EKG or stress test, keeping in mind that cardiovascular disease in women can be observed only when feeling the pain of the shoulder blade.
Internal examinations (Abdominal area)
The doctor performs an endoscopy to detect the state of the stomach and intestine, where a tube is inserted through the mouth, esophagus, and stomach, so that the doctor can carefully photograph these areas, and an evaluation of the condition of the gallbladder using ultrasound, and also the liver and pancreas are imaged using computerized tomography.
These include a liver function test to check for hepatitis. Also, tests can be done to look for joint infections or connective tissue diseases.
The first step in determining the best treatment is knowing the main cause of the pain triggers. If the pain is due to a muscle strain, then RICE is the most appropriate treatment for that condition.
The RICE treatment is an abbreviation of a number of procedures covered by this treatment:
Rest, Ice, Compression, Elevation
In cases of blade pain in the skeletal muscle shoulder, heat or physical therapy may be helpful.
And if nothing prevents the patient from taking anti-inflammatory drugs, then taking drugs such as Advil (ibuprofen) or Aleve (naproxen) may be effective, causing the patient comfort, and sometimes, massage is useful in some cases.
Regarding other causes of blade shoulder pain, basic treatment is necessary to get rid of pain, such as radiation therapy, orthopedic drugs, or chemotherapy in case of cancer.