Pain under the left scapula behind from the back: reasons
- Peptic Ulcer
- Vegetative Crises
- Myocardial infarction
- Angina pectoris
- Diseases of the broncho-pulmonary system
- Diseases of the musculoskeletal system
With such a symptom, as the pain under the left shoulder blade behind the back, you have to face quite often. This signal of your body can mean there are serious problems in it and, therefore, in no case should you drown out its anesthetics. Among the many pathological conditions accompanied by such a symptom are serious cardiac, gastrointestinal and neurological diseases. Let us consider in more detail the possible causes of this phenomenon.
It is generally believed that the main cause of pain under the scapula from the left side of the back is a heart attack. This is not at all and, in fact, most often such a symptom arises from the stomach ulcer.
The features of the manifestation of pain in this case are as follows:
- growing character;
- seasonality of pain;
- weakening after vomiting;
- communication with meals.
The peptic ulcer is also indicated by the presence of heartburn or eructation. About 75% of patients experience relief from vomiting, which occurs at the apex of pain without prior nausea. Sometimes patients with ulcer try to cause it artificially for this reason. Such pain can be felt not only in the region of the left scapula, but also present in the epigastric region, irradiate into the left nipple and behind the sternum. Almost always there is some connection with meals: pain can be hungry, early, late, night. If such a connection is found, the peptic ulcer can be considered confirmed.
Severe pain, giving to the collarbone and under the shoulder blade, occurs when the ulcer is perforated. In this case, we observe:
- cold sweat;
- a characteristic posture with knees tightened to the abdomen;
- lowering blood pressure;
- decrease in heart rate.
Much less often in the left side of the back there are pains caused by acute pancreatitis . For him, girdling and cramping pain sensations are more characteristic. Most often they are of a sudden nature and appear in the epigastrium with a reflection on the left side of the trunk - in the chest, heart area, under the left scapula.
In this case, the patient describes his pain sensations quite colorfully. In addition to these, he is troubled by such accompanying symptoms:
- feeling of tightness and heaviness in the chest;
- fever in the chest;
- lack of a specific place of pain localization;
- pain in the heart;
- feeling of trembling and fear;
- lack of air;
It can not be said that this hurts only in the area of the left scapula. The pain then goes to the left arm, then goes to the area of the clavicle, then falls to the bottom of the abdomen. Patients experience a feeling of lack of air, a feeling of cardiac arrest and throat contraction. The thorax at this time seems to him to be compressed or gripped by the feeling of heat.
Only in third place among the causes of pain under the left scapula is myocardial infarction. This life-threatening condition manifests itself by paroxysmal pains in the chest, giving to the left jaw, the left arm and the left scapula. Pain sensations with a predominance of burning at the same time initially appear in the retrosternal region and spread on the left side. Localization and irradiation of pain are the same as with angina pectoris. Distinctive features of pain during infarction are:
- extreme intensity of pain;
- absence of a positive reaction to nitroglycerin;
- duration is more than 15 minutes.
Painful sensations during a heart attack are very intense and cause some patients to scream. Individual patients complain of severe numbness of the wrists in combination with prolonged chest pain. It occurs more often in the night or pre-hours and lasts, as a rule, more than half an hour, and sometimes several hours.
Another cardiological disease can manifest itself with acute pains under the left scapula - it is angina . With her pains primarily arise in the retrosternal region, then as if "pour" into the left side. By the nature of manifestation, they are sharp and constricting, disappearing at rest and after taking nitroglycerin. To a lesser extent, the patient is helped by Validol.
In most cases, the disease is caused by coronary artery atherosclerosis. Angina pectoris often occurs with physical and emotional stress, after severe hypothermia or overheating of the body, alcohol intake, and acute and heavy food.
Diseases of the broncho-pulmonary system
Constant pain under the left scapula may indicate a developing left-sided pneumonia, as well as dry pleurisy. Confirmation of the presence of these diseases is an increase in pain during coughing, sneezing and just deep inspiration. If the pain is really caused by pneumonia, then it can somewhat subside in a horizontal position and when the body turns to a healthy side. As a rule, the following symptoms are typical for this disease:
- dry or, much less often, wet cough;
- presence of an impurity of pus or blood in the sputum;
- subfebrile body temperature;
- shortness of breath, lack of air.
Pain sensations are always directed towards the affected lung, they are of medium intensity and noisy, localized under the left shoulder blade into one sore point.
Painful symptoms with pulmonary diseases almost always indicate the presence of pleurisy. In this case, the pain can sometimes manifest itself as a slight tingling under the scapula, intensifying with deep inspiration to the cutting and piercing sensations. In most cases with a pleurisy there is a sharp painful symptom of a pricking nature, the intensity of which is proportional to the depth of breathing.
Diseases of the musculoskeletal system
Some diseases of the musculoskeletal system may also be accompanied by a painful symptom in the region of the left scapula. Most often this manifests itself cervical osteochondrosis. He worries with unilateral aching pains at the bottom of the occipital bone, which are amplified by the movements of the head and are constantly given into the arm and under the shoulder blade. In addition to pain in this pathology, the following symptoms occur:
- numbness of the upper limbs;
- paresthesia of the hands;
At the beginning of the disease, the pain sensations are unclear and irradiate towards infringement of the roots. Drawing and spontaneously subside pain often passes after warming or bathing in a warm bath. Over time, they become more and more familiar, arising after a dream or a long, sedentary work that requires static tension. They spread downwards from the back of the head - along the arm, along the back, including the shoulder blade.
Another disease, a typical symptom of which is pain under the left scapula, is intercostal neuralgia. It is a frequent consequence of osteochondrosis and is manifested by lumbago and intense shingles that give to the right or left, including under the shoulder blade. Pain sensations caused by intercostal neuralgia spread along the intercostal muscles and intensify with coughing, deep breathing, and inclinations. The most severe and severe episodic pain in the left shoulder region is caused by this disease. They, however, subsided when the pain zone is warmed and relaxed.
In favor of intercostal neuralgia, the presence of pain in her palpation. An ingrained character of the disease and a protracted deforming process in the spine is indicated by the presence of characteristic burning under the scapula. It is important in this case not to confuse these feelings with manifestations of angina pectoris.
If the intercostal neuralgia is combined with pleurisy, the pain takes a surrounding nature.
The pain under the left scapula can also be caused by the scapular-rib syndrome, which means a disease of the muscle that lifts the scapula. It is attached to the transverse processes of the upper cervical vertebrae. If this muscle is injured, overcooled, or simply overloaded, it is not able to perform its function normally, consisting of the neck tilts and the uplifts of the scapula.
The scapula-rib syndrome manifests itself with aching, intense pain in the forelegs, areas above and below the scapula. A characteristic feature of this pathology is the presence of a crunch when moving with shoulders and hands. Long-term static stress and constant dynamic loads create a situation where the pain becomes permanent, increasing under the influence of cold or draft.