What causes pain and pulling sensation in the shoulder blade when bending the head down?

Generally, pain in the scapular region when lowering the head may be caused by muscle strain, shoulder periarthritis, cervical spondylosis, or other reasons. Appropriate treatment should be based on the specific cause. Detailed analysis is as follows:

1. Muscle Strain

Prolonged heavy physical labor may easily damage soft tissues around the scapula, leading to symptoms such as pain and swelling. Massage can help relax muscles and improve local blood circulation, thereby relieving discomfort.

2. Shoulder Periarthritis

Shoulder periarthritis causes degenerative changes in the shoulder joint and surrounding soft tissues. Patients commonly experience shoulder and back pain and stiffness. Under medical guidance, medications such as ibuprofen sustained-release tablets, diclofenac sodium sustained-release capsules, and meloxicam tablets may be used for treatment.

3. Cervical Spondylosis

Jobs requiring prolonged periods of head-down posture may alter the physiological curvature of the cervical spine. If spinal cord or nerve compression occurs due to disc protrusion, symptoms such as neck and shoulder aching, pain, and numbness may develop. Under medical supervision, medications such as eperisone hydrochloride tablets, naproxen tablets, and celecoxib capsules may be prescribed for treatment.

Besides the above-mentioned causes, similar symptoms may also result from conditions such as back myofasciitis, rheumatoid arthritis, or fractures. If symptoms are severe, it is recommended to promptly visit a qualified hospital for accurate diagnosis and receive effective treatment under the guidance of a professional physician.