What causes pain in the back of the shoulder blade that radiates to the front of the chest, and what should be done about it?

Jun 05, 2023 Source: Cainiu Health

Dr. Lin Yunfei

Introduction

Pain in the back of the scapula radiating to the chest may be related to conditions such as intercostal neuralgia, cholecystitis, or angina pectoris, and can be treated through daily care, medication, and other interventions. Specific analysis is as follows: If an aseptic inflammatory infection occurs in the intercostal nerves, the local tissues may be continuously stimulated by inflammation, leading to discomfort symptoms such as pain.

Pain in the back of the scapula radiating to the chest may be related to intercostal neuralgia, cholecystitis, angina pectoris, or other causes. Treatment can be achieved through daily care, medication, and other interventions. Specific analyses are as follows:

1. Intercostal Neuralgia

If aseptic inflammatory infection occurs in the intercostal nerves, local tissues may be continuously irritated by inflammation, leading to discomfort symptoms such as pain.

2. Acute Calculous Cholecystitis

Acute calculous cholecystitis is usually caused by mucosal injury and pressure at the site due to gallstones. Severe pain may radiate to the right shoulder, scapula, and back. Patients can receive intramuscular injections of Atropine Sulfate Injection or Pethidine Hydrochloride Injection under medical guidance for treatment.

3. Angina Pectoris

Angina pectoris is a type of coronary artery disease, typically caused by an imbalance between myocardial blood supply and demand. The main manifestations include chest tightness, pain, or a constricting sensation. Patients can take Nitroglycerin Tablets or Isosorbide Dinitrate Tablets sublingually for treatment.

In addition to the above common causes, this symptom may also be associated with coronary atherosclerotic heart disease, myocardial infarction, etc. Patients should promptly seek medical attention at a hospital, identify the underlying cause, and undergo standardized treatment accordingly.

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