Pain under the right shoulder blade from behind from the back: causes
- Causes of pain under the right shoulder blade.
- Diseases of the gallbladder
- Subphrenic abscess
- Bronchopulmonary diseases
- Kidney disease
- Diseases of the musculoskeletal system
- Intercostal neuralgia
- Pathology of the scapula
Pain under the right shoulder blade is almost always difficult to diagnose. They can be caused by diseases of the spine, internal organs, intercostal nerves. In addition, the cause may be injury or fracture of the scapula itself. Consider what specific diseases cause the appearance of this symptom.
Causes of pain under the right shoulder blade.
The pains localized under the right scapula are most often signs of the following diseases:
- disorders of the musculoskeletal system;
- pathologies of the gallbladder and bile ducts;
- gallstone disease;
- diseases of the stomach.
- kidney disease;
- subphrenic abscess;
- bronchopulmonary diseases;
- myofascial syndrome;
- intercostal neuralgia.
The pains under the right shoulder blade are dangerous because they usually appear far away from the location of the pathology. This is due to the presence here of many nerve endings, through which the signal from the sore spot is transmitted. As a result of this phenomenon, called the syndrome of reflection or repercussion, it is rather difficult to establish the true cause of such pain.
For the same reason, it is almost impossible to establish their origin independently, and it is necessary to consult a 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
Painful 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, usually arising from the blockage of the bile duct stone. They are colicky and extremely intense. This is a very strong, almost intolerable pain.
There is such an attack after a meal, more precisely with the abuse of fats, spicy seasonings, spices. Such products as milk, eggs, chocolate, coffee are poorly tolerated by patients. The attack of hepatic colic occurs, as a rule, a few hours after taking such food. This happens most often early in the morning or at night.
A distinctive feature of pain is a sharp and tearing nature, their localization in the right hypochondrium with irradiation to 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 agitated, screaming or groaning, as well as constantly searching for a more comfortable place. There is increased pallor and sweating. Almost always a painful attack is accompanied by nausea and vomiting.
It can be noted that this type of pain is one of the strongest among all possible, it is more common in women.
The emergence of subphrenic abscess is also accompanied by acute pain mainly in the right hypochondrium. So called the abscess, which arose between the diaphragm and liver. It appears in case of complications of a peptic ulcer caused by perforation of ulcers located on the posterior walls of the duodenum or stomach. This pathology can also be a complication of various abdominal operations.
The pain that arises in this case increases with each breath. The pain radiates to the right shoulder blade, as well as to the shoulder from the side where it originally originated. At the same time, body temperature rises, the general condition worsens, leukocytosis is noted in the blood.
Right-sided pneumonia or bronchitis complicated by pleurisy can also cause pain under the right scapula. In diseases of this group, the patient has a cough, fever, wheezing in the lungs or bronchi. Over the inflammatory foci when tapping is determined by the dullness of the sound. The patient's condition is accompanied by severe intoxication. Pain is observed in the chest and back, including under the right scapula.
Cancer of the right lung, having metastases in the pleura, is also manifested by pains on the right. A disease of this kind for a long time may not bother at all. But this is only possible until the tumor reaches a certain size.
In inflammatory diseases of the kidneys, pain is noted in the lumbar region, with frequent irradiation to the iliac region, under the right scapula and right hypochondrium. They are accompanied by painful and frequent urination, fever, malaise.
Renal colic, which is a common symptom of urolithiasis, can also be given to the area of the right scapula. In this case, the stones block the ureter, interfering with the free passage of urine into the bladder. The renal pelvis and calyx are stretched, causing acute pain that lasts from several minutes to several days. In addition to her, the patient is worried about nausea, fever.
Diseases of the musculoskeletal system
Under the right shoulder blade, pain caused by diseases of the spine often radiates. This is mainly osteochondrosis, scoliosis, intervertebral hernia, localized in the thoracic region. The nature of the painful sensation depends on the underlying disease. The pain caused by this cause can sometimes move under the left shoulder blade, and sometimes give in the middle. It is often additionally observed while crawling, numbness.
Such a disease as intercostal neuralgia is widely known. It manifests itself with sharp sudden back pains of the type of lumbago, as well as diverging along the intercostal space, dull aching pains. A common cause of this phenomenon is pinching the roots or viral neuroinfection. Typical for this disease is pain when feeling the painful area, as well as increased pain during physical exertion, deep breaths, sneezing.
Pathology of the scapula
Like any anatomical unit, the scapula may also be affected by injuries and diseases of the following type:
- bruises and fractures;
- infectious diseases;
Fractures of the right shoulder blade are rarely occurring and occur only with a direct blow to it, as well as with falls on a straightened right arm. Characteristic is the diverse location of the line of fracture, which at the same time can pass through the corners and edges of the scapula, as well as along the articular cavity. The function of the right hand, if the shoulder joint is not damaged, does not suffer at the same time, but the pain under the scapula can be quite strong.
Like any bone formation, the right shoulder blade may be prone to infectious diseases such as osteomyelitis and tuberculosis . The infection is brought here by a hematogenous route or from skin abscesses of a given area.
Tumor-like growths of the right scapula are extremely rare and can be both benign and malignant. Most often, these types of tumors develop:
- Ewing's sarcoma;
Dull pains in the area of the right shoulder blade can also be attributed to trapezoid muscle injuries, which usually occur only with serious local injuries.