The Pain under the right scapula behind from the back: reasons. Why does it hurt under the right shoulder blade
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Pain under the right scapula behind from the back: reasons


The pain under the right scapula almost always represents a difficulty for diagnosis. They can be caused by diseases of the spine, internal organs, intercostal nerves. In addition, the cause may be a trauma or fracture of the scapula itself. Consider what specific diseases cause the appearance of this symptom.

Causes of pain under the right scapula

Pain under the right scapula behind from the back: reasons The pain localized under the right scapula, most often are signs of the following diseases:

  • disorders of the musculoskeletal system;
  • pathologies of the gallbladder and bile ducts;
  • cholelithiasis;
  • diseases of the stomach.
  • kidney diseases;
  • sub-diaphragmatic abscess;
  • broncho-pulmonary diseases;
  • myofascial syndrome;
  • intercostal neuralgia.

The pains under the right scapula are dangerous in that they usually appear far from the location of the pathology. This is due to the presence of many nerve endings here, through which the signal is transmitted from a sore spot. Because of this phenomenon, called a syndrome of reflection or repercussion, it is quite difficult to establish the true cause of such pains.

For the same reason, it is almost impossible to establish their origin on their own, and you should definitely contact your doctor. It is necessary to take into account the fact that under the right scapula there are simply no internal organs that could become the center of inflammation, therefore a comprehensive examination is necessary for diagnosis.

Diseases of the gallbladder

Pain sensations under the right scapula are often caused by pathological processes in the gallbladder and its ducts. They are associated with spasms of the muscles of the gallbladder, which usually arise when the bile ducts are blocked with a stone. They have the character of colic and are characterized by extreme intensity. These are very strong, practically intolerable pains.

There is such an attack after eating, or rather when you abuse fat, spicy seasonings, spices. Poorly tolerated by patients and products such as milk, eggs, chocolate, coffee. An attack of hepatic colic occurs, usually within a few hours after taking such a meal. It happens most often in the early morning or at night.

A distinctive feature of pain sensations is a sharp and tearing character, their localization in the right hypochondrium with irradiation into the right shoulder, right shoulder blade. There are cases when the pain is felt in the right jaw and even in the right eye. The patient is usually nervous, screaming or moaning, and also constantly looking for a more comfortable place. There is increased pallor and sweating. Almost always a painful attack accompanied by nausea and vomiting.

It can be noted that this type of pain is one of the most powerful among all possible, it is more common in women.

Inflammation of the pancreas usually gives pain under both scapulae. When involved in the pathological process of the head of the pancreas, the intensity of pain is stronger on the right.

Subdiaphragmatic abscess

The emergence of a subdiaphragmatic abscess is also accompanied by acute pains mainly in the right hypochondrium. This is the name of the abscess between the diaphragm and the liver. It appears in the complications of peptic ulcer arising from perforation of ulcers located on the back walls of the duodenum or stomach. Such a pathology can also be a complication of various abdominal operations.

Painful sensations arising in this case, are amplified with each breath. Pain radiates to the right shoulder blade, and also to the shoulder from the side where it originated originally. In this case, the body temperature rises, the general condition worsens, and leukocytosis is noted in the blood.

Broncho-pulmonary diseases

Right-sided pneumonia or bronchitis complicated by pleurisy can also cause pain under the right scapula. With diseases of this group, the patient is coughing, fever, wheezing in the lungs or bronchial tubes. Above the inflammatory foci with tapping determined blunting sound. The patient's condition is accompanied by severe intoxication. Painful sensations are observed in the chest and back, including under the right scapula.

Cancer of the right lung, having metastases in the pleura, also manifests itself with pain on the right. A disease of this kind for a long time can not disturb anything at all. But this is possible only until the tumor reaches a certain size.

Kidney Diseases

In inflammatory kidney diseases, there are painful sensations in the lumbar region with frequent irradiation into the iliac region, under the right scapula and the right hypochondrium. They are accompanied by painful and frequent urination, fever, malaise.

Renal colic, which is a common symptom of urolithiasis, can also give back to the area of ​​the right scapula. In this case, concrements clog the ureter, preventing the free passage of urine into the bladder. Renal pelvis and calyx are stretched, causing acute pain, lasting from several minutes to several days. Besides her, the patient is disturbed by nausea, fever.

Diseases of the musculoskeletal system

Under the right shoulder-blade often pain radiates due to diseases of the spine. This is mainly osteochondrosis, scoliosis, intervertebral hernia, localized in the thoracic region. The nature of the painful sensations in this case depends on the underlying disease. The pain caused by this cause can sometimes move under the left scapula, and sometimes render in the middle. Often additionally observed at the same time crawling, numbness.

The pain under the right scapula is also caused by broken ribs on the right side. In this case, a swelling is noted at the site of the fracture, bone fragments are often probed.

Intercostal neuralgia

Widely known is a disease such as intercostal neuralgia. It manifests itself as sharp sudden pains in the back like a lumbago, and also, dulging on the intercostal spaces, blunt aching pains. A common cause of this phenomenon is pinching roots or viral neuroinfection. Typical for this disease is soreness with palpation of the pain zone, as well as increased pain during physical exertion, deep breaths, sneezing.

Scapula pathologies

Like any anatomical unit, the scapula can also be affected by injuries and diseases of the following type:

  • bruises and fractures;
  • infectious diseases;
  • tumor.

Fractures of the right scapula occur rarely enough and occur only with a direct impact into it, as well as when falling on a straightened right arm. Characteristic is the diverse location of the fracture line, which in this case can pass through the corners and edges of the scapula, as well as through the articular cavity. The function of the right arm, if the shoulder joint is not damaged, does not suffer, but the pains under the scapula can be quite strong.

Like any bone formation, the right scapula can be prone to infectious diseases such as osteomyelitis and tuberculosis . An infection is brought here by hematogenous way or from skin abscesses in this area.

Extremely rare are tumor-like proliferation of the right scapula and can be both benign and malignant. Most often, these types of tumors develop here:

  • osteoma;
  • chondroma;
  • Ewing's sarcoma;
  • chondrosarcoma.

Dull pain in the right shoulder can also be attributed to injuries to the trapezius muscles, which usually occur only with serious local trauma.

| 30 August 2015 | | 1 523 | Directory of Symptoms
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