Pain under the right scapula behind from the back: causes
- Causes of pain under the right scapula
- Diseases of the gallbladder
- Subdiaphragmatic abscess
- Broncho-pulmonary diseases
- Kidney Diseases
- Diseases of the musculoskeletal system
- Intercostal neuralgia
- Scapula Pathologies
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
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;
- Diseases of the stomach.
- Kidney diseases;
- Subdiaphragmatic 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 the 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 always 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, virtually intolerable pains.
There is such an attack after eating, more precisely 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 kind of pain is one of the strongest among all possible, it is more common in women.
The appearance of a subdiaphragmatic abscess is also accompanied by acute pains mainly in the right hypochondrium. This is the name of the abscess that arises 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 operations on the abdominal cavity.
Painful sensations arising in this case, are amplified with each breath. The 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.
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 at knocking out the blunting of sound is determined. 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.
In inflammatory diseases of the kidney, 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 to the area of the right scapula. In this case, the stones obstruct the ureter, preventing the free passage of urine into the bladder. Renal pelvis and calyx stretch, causing acute pain, lasting from several minutes to several days. Besides her, the patient is worried about 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 there is observed crawling, numbness.
A disease such as intercostal neuralgia is widely known. It manifests itself as sharp sudden pains in the back like a lumbago, and also, dulging on the intercostal spaces, with 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.
Like any anatomical unit, the scapula can also be affected by injuries and diseases of the following type:
- Bruises and fractures;
- infectious diseases;
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 shoulder blade 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 of this area.
Extremely rare tumoral proliferation of the right scapula and can be both benign and malignant. Most often, these types of tumors develop here:
- Ewing's sarcoma;
Dull pain in the region of the right scapula can also be explained by injuries to the trapezius muscles, which usually occur only with serious local trauma.