The main causes of back pain in the area below the shoulder blades but above the waist

Discomfort in the back usually occur due to pathological disorders of the spine. However, not so clear. Often pain in the back below the shoulder blades is caused by diseases of the internal organs, psychosomatic causes, or traumatic injuries. So before you start the treatment, you need to find out what exactly was the cause of the pain reaction of the body. Usually to do it yourself this is impossible, you need to apply for a consultation with a doctor.

The cause of the pain

To ache below the shoulder area for a number of reasons. If the person experiences a sharp pain, it is caused by trauma to the back or spine, inflammatory processes in it. If the person describes pain as aching, pulling, of medium intensity, it is likely talking about the pathologies of the spine or the heart, blood vessels, stomach of chronic. Dull pain observed in diseases of the bladder and heart.

Among all the conditions causing pain under the shoulder blades, the most common factors associated with pathological changes in the spine. This is because the spine is (all its parts, including the chest) is constantly under an increased load, keeping the weight of the human body and allowing him to walk straight. If the person is not engaged in strengthening the muscular frame of the back, not watching posture, then it starts to hurt back.

Diseases of the spine

back pain below the shoulder blades


Osteochondrosis – one of the most common causes of pain in the back. The disease occurs if the person has irregular and insufficient physical activity. In this case, significantly weaken the back muscles and chest, which is complemented by unpleasant painful symptoms, because the spine cannot cope with the load. On the intervertebral disc pressure of the vertebrae that does not allow the disks to get enough nutrients. Under this influence, they are deformed, changing their structure. Due to such changes in the discs are irritated nerve endings, spinal cord ceases to be resilient, on the vertebrae and disks are formed osteophytes. All this combined produces a back pain in the scapula area, left or right, depending on where exactly zaselyalsya nerve endings.

Osteochondrosis of the cervical spine is manifested by discomfort in the back of the head, neck, and then the soreness goes below – down to the scapular region. A person can feel that the neck, head numb.

Types of osteochondrosis

If the patient has osteochondrosis of the thoracic spine, the back starts to ache directly in the space between the shoulder blades. The soreness is felt in the chest. People have commented that they find it difficult to breathe (deep breathe). And there are cases that due to thoracic degenerative disc disease a person feels pain in the heart.

It happens that the pain reaction in the back under the shoulder blades manifested degenerative disc disease of the lumbar spine. In this case, the sharp pain response observed in the lumbar region, radiates to the lower extremities, and if the disease progresses, the pain begins to give in the region of the left scapula. Typically, back pain above the waist, caused by pathological changes in the spinal column, worse when the person actively moves.

To improve the condition of the sick person, using the recipes of traditional medicine, as well as massaging the sore area. If the pain continues, be sure to consult a doctor. This pathology deals with the neurologist, who after the diagnostic measures will make the appointment of the necessary medications and additional treatment methods (physiotherapy, exercise therapy, massage, etc.).


In the case where the back pain caused by myositis or inadequate muscle tone, the treatment may be the regular run of specially selected physical exercises. Also in this case, you can apply rubbing the muscles in the area below the shoulder blades infusions (home or pharmacy preparation), to apply tepidus ointment. But even in this case, you must obtain advice from a physician to exclude possible negative consequences and also take into account the individual characteristics of the organism.

Intercostal neuralgia

The disease is caused by compressive effects on the nerve endings from the vertebrae. Intercostal neuralgia paroxysmal inherent in moments of acute of varying intensity and characteristics. The pain is like a dull and rapiente. In the process of diagnosis the doctor interrogates the patient, collects anamnesis, performs external inspection, palpation, to establish the most painful places. Also assigned x-ray examination, ultrasound examination. The source of pathological changes often formed in the area of inflammation of the organs located in the chest. Disease of the lungs, bronchi, pleura, often accompanied by the fact that in humans, back pain in the area just below the shoulder blades. It happens that the pain in neuralgia is felt not only in the back, but in the chest.

For the treatment of intercostal neuralgia used techniques, aimed primarily at eliminating the causes of the attack, weakening or complete elimination. Be sure to prescribe medicines, stopping the inflammatory process. In the treatment of neuralgia also effective are physiotherapy. They're all designed to relieve back pain, stimulate tissue regeneration, enhance the flow in these nutrients due to improved circulation.

  • Transcranial electroanalgesia.
  • UHF.
  • Fluctuationem.
  • Magnetotherapy.
  • Laser therapy.
  • Acupuncture.
  • Mud.


Condition symptoms pain reaction below the shoulder blades often become traumatic injuries of both the scapula and the spine near the thoracic. Such injuries a person receives at blows, falling. The pain in this case will not allow a person to freely move his arms, and the damaged area will turn red and will become thicker. In the event of injury you need to do x-rays, after which the surgeon or surgeon will prescribe the treatment.

The cause of the pain can be osteomyelitis that develops with open injuries (wounds). The disease is accompanied by inflammatory processes, General intoxication of the organism.

Pathology of internal organs


Very often pain below the shoulder blades is caused by heart disease. For example, myocardial infarction is manifested by the fact that the person puts pressure in the heart area and back pain in spine, left scapula. Pain can radiate to the head, neck, and left shoulder, the hand, to the extent that the patient can not move it. In the case when the discomfort does not stop, if the person is getting on a bit or take a deep breathe, it must be sent immediately to the hospital.

back pain below shoulder blades causes


Various diseases of the gastrointestinal tract (e.g., stomach ulcers) are very often the cause of back pain in the area below the shoulder blades. In the process of progression of stomach ulcer causes destruction of its mucous membrane, the nerve endings near the diaphragm, causing bouts of severe pain not only in the abdomen, but in the back, below the shoulder blades. It is characterized as recurrent, significantly increasing abstinence from food, and after eating without complying with the doctor's recommendations. Painful symptoms become less severe or go away completely after a patient vomited or he applied a hot compress. Additionally, gastric ulcer patients report the next symptoms.

  • Vomiting when the pain is most pronounced.
  • Heartburn, belching.
  • Pain is felt below the shoulder blades in the back as well as gives in the heart.
  • If the disease has destroyed the mucous membrane of the stomach very much or completely, the patients note that they have sore back, shoulders.
  • Sweating.
  • Pale skin.

Treatment of painful reaction from the back gastric ulcer in no event it is impossible to arrange independently, without consulting with the doctor. To treat in this case, the underlying disease that's causing the pain.

Among the traditional medicines that help to reduce the acidity of the stomach, often referred to as baking soda. Doctors however this method is not supported, because soda has too aggressive actually on the mucous membrane of the organ, destroying it and exacerbating the problem.


Pneumonia is inherent in the painful reactions of the body in the chest, in the back. In addition, the human temperature rises in the lungs are heard wheezing, cough, shortness of breath. If pneumonia is unilateral, then the back below the shoulder blades sore from the damaged lung, if bilateral, both sides.

Pain relief depends on the effectiveness of the assistance provided to the patient on the underlying pathology.

Pain in upper back

If the person regularly employs physically, straining the muscles of the back, causes the shoulder rib pain syndrome is associated with excessive strain on the back, trauma to the vertebrae of the thoracic spine, muscle fibers, hypothermia, stay in the draft. Often, even a light breeze is enough to running out of the room and dressed for the weather man felt pain below the shoulder blades. The symptoms of a cold become of the following symptoms:

  • Damaged or frigus musculature provokes weakly expressed pain along the spine.
  • A person is limited in performing normal moves: it's hard to make turns with head, body, to bend down.
  • When you click on the area of the blades there is not very severe pain.
  • Muscle tension in addition to extends back also to the shoulder complex.
  • Shoulder rib pain syndrome responds feeling of heaviness in the middle of the back, shoulders, upper extremities, pain in the chest.
  • Exacerbations usually occur when a person experiences physical load on the muscles of the chest, back.
  • If treatment is not started in time, pathological disorders affect the neck, shoulder joint, upper extremities, ribs, thoracic cage, i.e., the body region located outside of the affected areas of the body.
back pain below the shoulder blades due to stress
The problem of detecting and diagnosing lung-rib syndrome is that to detect it exactly, not to be confused with other pathological changes in the organism only during its attack. Therefore, the appearance of its symptoms should not wait for their resumption as soon as possible to be examined.

Psychosomatic causes

If a person regularly experiences an overload of a psychological nature, stress, this stress has a negative effect on the muscular system of the whole body, including the back. In this case, back pain below the shoulder blades but above the waist are not uncommon. Usually people complain that they are difficult for a long time standing or sitting, as back aches, muscle pull. In the group of risk are people that do not move during the working day and often find themselves in a stressful situation or is forced to disrupt his aggression, annoyance on external factors.

In this case, the back pain goes away when people solve their psychological problems, and learn how to respond to stimuli from the outside.

Causes of pain below scapular region very much. Therefore, in order to figure out why back pain in each particular case, necessary to undertake diagnostic activities that it is impossible to organize independently. If you notice such symptom should consult the doctor and only then engage in treatment.