What should I do for pain below the left shoulder blade in the back?
May 13, 2023
Source: Cainiu Health
Dr. Lin Yunfei
Introduction
Pain below the left scapula on the back requires treatment measures based on specific causes. It may be related to physiological factors, or could result from pathological conditions such as intercostal neuralgia or periarthritis of the shoulder. Besides these causes, it might also be associated with fasciitis, cervical spondylosis, lumbar disc herniation, and others. Once symptoms occur, medical consultation is necessary, and regular follow-up visits to the hospital for evaluation are recommended.
In general, treatment for pain below the left scapula and in the upper back should be based on the specific underlying cause. It may be related to physiological factors, or could result from pathological conditions such as intercostal neuralgia or shoulder periarthritis (frozen shoulder). The details are as follows:
1. Physiological Causes
Prolonged exposure to cold temperatures or excessive fatigue can lead to abnormal blood circulation in the scapular region, causing pain in the upper back and shoulders. Proper self-care is important, including avoiding prolonged overexertion and ensuring adequate bed rest. With appropriate lifestyle adjustments, symptoms usually improve gradually.
2. Pathological Causes
1) Intercostal Neuralgia
Conditions such as thoracic spine degeneration or spinal tuberculosis may irritate or compress the intercostal nerves, leading to pain in the chest wall or abdomen. As the condition progresses, the pain may radiate along the rib spaces to the back or scapular area, resulting in referred (radiating) pain. It is recommended to consult a doctor for treatment with medications such as carbamazepine tablets, gabapentin capsules, or phenytoin sodium tablets. Early medication can help alleviate discomfort.
2) Shoulder Periarthritis (Frozen Shoulder)
This condition is often associated with trauma or chronic overuse, leading to restricted active and passive movement of the shoulder joint, accompanied by shoulder pain and limited mobility. Once symptoms develop, medical treatment under a doctor's guidance is necessary. Pain relief can be achieved with medications such as celecoxib capsules, diclofenac sodium sustained-release tablets, or ibuprofen sustained-release capsules.
Besides the above-mentioned causes, conditions such as fasciitis, cervical spondylosis, or lumbar disc herniation may also contribute. If symptoms occur, it is important to consult a physician for proper diagnosis and treatment, and to schedule regular follow-up visits at the hospital.
