What causes pain below the right scapula on the back?

Aug 18, 2024 Source: Cainiu Health
Disease description:

I've been experiencing pain under my right shoulder blade lately. Sometimes it's a dull ache, and other times the pain is quite severe. The discomfort becomes particularly noticeable when I move my arm or sit for extended periods. I'd like to know what might be causing this.

Doctor's answer (1)
Dr. Chen Jian

Possible common causes of pain below the right scapula in the upper back:

1. Muscle strain: This is one of the most common causes. Prolonged static postures, such as extended computer use or repetitive labor, may lead to muscle strain below the right scapula, causing aching or soreness.

2. Trauma: A direct blow or sprain to the area below the right scapula may cause local fractures or soft tissue injuries, resulting in pain.

3. Skeletal problems: Such as rib fractures, scoliosis, or intervertebral disc herniation. These conditions may be accompanied by localized tenderness and restricted movement.

4. Internal organ diseases: Certain internal diseases may also cause referred back pain, such as cholecystitis, liver disease, lung infections, or cardiac issues. This type of pain is often accompanied by other symptoms such as fever, shortness of breath, or chest pain.

5. Nerve injury or inflammation: Conditions such as intercostal neuralgia or shoulder periarthritis may also cause pain below the right scapula.