Diseases of the cardiovascular system
With pain in the chest on the right side, almost every doctor will first suspect the presence of cardiac pathologies, especially if the patient is no longer young, and the patient himself leads a sedentary, unhealthy lifestyle and has a history of cardiovascular and endocrine diseases.
Aortic aneurysm
An aneurysm is a weak section of the wall of the main artery in our body. In this place the wall stretches, bulges, and at some point it can either burst or tear. This condition is life-threatening, therefore, at the first suspicion of an aneurysm, the patient will be prescribed an X-ray or MRI, where the pathology will be identified and a decision will be made on the need for surgical treatment.
Angina pectoris
If there is pain in the upper right side of the chest, this may indicate the presence of angina pectoris: it occurs due to impaired blood supply to the myocardium and is often a consequence of atherosclerosis (the formation of plaques on the inner walls of blood vessels).
Pericarditis
The pathology is caused by the accumulation of fluid in the cavity of the heart muscle (pericardium), as a result of which its function is impaired. This condition is most often observed in men, and at a young age - from 20 to 50 years.
Myocardial infarction
Sudden acute pain in the chest on the right, more often in women and less often in men, which does not go away even after taking strong painkillers, indicates myocardial infarction. This is a deadly condition caused by impaired blood supply to the heart muscle.
Types of pain under the shoulder blade on the right
Pain varies in severity and nature. Depending on the characteristics of the pain syndrome, it can be assumed what the underlying cause is. Thus, with intercostal neuralgia, the pain is almost always acute, intensifies with movement and coughing, turning into sharp shooting pains. Myositis is characterized by aching pain that can intensify with movement. Knowledge of the characteristics of pain syndrome in a particular pathology simplifies diagnosis.
Shpidonov Gennady Stanislavovich
Neurologist
Rostov State Medical University (neurology)
10 years of experience
Aching pain in the right shoulder blade
Aching pain in the area of the shoulder blades is characteristic of diseases of the musculoskeletal system, osteochondrosis, hernias and protrusions of intervertebral discs, myositis, and glenohumeral periarthritis in the initial stage. Similar pain can occur with diseases of the abdominal and thoracic organs, with neurological pathologies and pathologies of the spinal cord.
Acute pain under the shoulder blade on the right
Acute pain under the scapula on the right or left is a symptom characteristic of injuries, fractures, muscle strains, and tumors of the scapula. The cause of acute pain may be a hernia or protrusion of the intervertebral disc with radicular syndrome.
Sharp pain in the area of the right shoulder blade
Sharp pain in the area of the right shoulder blade is possible with intercostal neuralgia, diseases of the lungs, bronchi and pleura. Similar symptoms are observed with advanced glenohumeral periarthritis, severe myositis, and injuries.
Stitching pain behind the right shoulder blade
Stitching pain behind the right or left shoulder blade can be a symptom of diseases of the lungs and pleura (with pleurisy), myositis. Volatile stabbing pains are characteristic of radicular syndrome, when pain occurs due to pinching of the spinal cord roots, intercostal neuralgia.
Nagging pain in the right side of the back under the shoulder blade
A nagging pain in the right side of the back under the scapula is a symptom characteristic of acute or chronic cholecystitis, pancreatitis, and cholelithiasis. Similar symptoms can occur with kidney pathologies. Nagging pain in the right shoulder blade with a feeling of heaviness in the right hypochondrium may be a sign of subdiaphragmatic abscess, cirrhosis of the liver, or urolithiasis
Shpidonov Gennady Stanislavovich
Neurologist
Rostov State Medical University (neurology)
10 years of experience
Constant pain on the right side under the shoulder blade
Constant pain on the right or left under the scapula is a possible sign of a benign or malignant tumor of the scapula. Constant pain can also occur with chronic diseases of the spine, such as spondyloarthritis, spondyloarthrosis, osteochondrosis or intervertebral disc herniation.
Burning pain on the right side of the shoulder blade
Burning pain in the scapula area is a characteristic sign of herpes zoster before the appearance of rashes, intercostal neuralgia, and neuritis of the intercostal nerves. This symptom can occur with diseases of the spinal cord, such as multiple sclerosis, spinal cord tumors. Infringement of the spinal cord roots by a hernia in the thoracic spine can also lead to burning pain in the scapula area.
Digestive diseases
Quite often, a patient’s complaints that he has pain on the right side of the chest can signal problems with the gastrointestinal tract. As a rule, such diseases are accompanied by a number of very characteristic additional symptoms - nausea and vomiting, increased body temperature, and upset stool.
Hepatitis
A dangerous disease that affects the liver develops as a result of transfusion of infected blood into the human body (forms B and C), and is also transmitted through dirty hands (form A). A characteristic symptom of hepatitis is not only pain, but also yellowing of the whites of the eyes, associated with an increase in the amount of bilirubin in the blood.
Stomach ulcer
It may appear as the body’s response to the abuse of spicy, fatty and fried foods, as well as alcohol. Often, peptic ulcer disease is preceded by other gastrointestinal lesions. The pathology is characterized by the formation of a perforation in the wall of the stomach, through which its contents enter the abdominal cavity. As a rule, with an ulcer, the patient complains that the pain is most intense on the right side (including in the chest) during or after eating.
Pancreatitis
Pancreatitis (inflammation of the pancreas) in our country is not treated very responsibly, believing that it is enough to relieve pain symptoms. In fact, such a careless attitude towards the disease can lead to a number of more serious problems that will require urgent surgical intervention.
Painful swallowing
The content of the article
Painful swallowing (odynophagia) is a symptom that accompanies many diseases. It can be independent or coexist with dysphagia.
Pain when swallowing is felt at the level of the neck or in the chest area and is described by patients as painful squeezing, aching pain, a burning or tingling sensation. The pain may spread to the back.
Odynophagia often leads to weight loss. Her treatment is causal in nature.
Common causes of pain when swallowing:
- purulent sore throat;
- tongue abscess;
- peritonsillar abscess;
- epiglottis abscess;
- phlegmon of the floor of the mouth;
- throat cancer;
- laryngeal cancer;
- esophagitis (reflux, viral, fungal);
- foreign body in the throat or esophagus;
- damage to the wall of the throat or esophagus due to injury or a foreign body;
- Crohn's disease;
- scleroderma;
- Zenker's diverticulum;
- diphtheria of the pharynx;
- Plummer-Vinson syndrome;
- esophageal motility disorders.
Very hot or very cold drinks and foods can also cause a sore throat.
These are just some of the causes of a sore throat. In fact, there are several dozen diseases associated with this symptom.
Spinal problems
The back is also often able to “give” under the ribs or into the chest. This occurs if there is an injury, sprain after intense physical activity, and as the main concomitant symptom of some pathological conditions.
Intercostal neuralgia
This term refers to compression of the roots of the intercostal nerves. As a result, the latter become irritated and respond with intense pain in the chest on the right or left, often radiating under the shoulder blade.
Intervertebral hernia
This is a musculoskeletal disease in which there is a gradual thinning of the wall of the fibrous ring and, as a result, its rupture.
Scoliosis
The “sickness” that our parents and school teachers used to scare us as children is not as harmless as it might seem. Deforming over time, the spine often produces more or less intense pain and various pathologies.
Ankylosing spondylitis
A situation in which pain in the back and/or chest on the right is a frequent companion to this pathology, manifested by inflammation of the intervertebral joints. The disease is chronic, limits joint mobility, stunts growth and ultimately leads to disability.
The main causes of pain under the right shoulder blade
Let's look at the main causes of back pain in the area of the right shoulder blade. Do not forget, the presence of this symptom may indicate a serious surgical disease that requires emergency medical attention.
Gallbladder diseases
Back pain in the area of the right shoulder blade is a common symptom in acute or chronic cholecystitis (inflammation of the gallbladder). Thus, local pain in the area of the inner corner of the right scapula, which increases with pressure, is called Kharitonov’s symptom - this is one of the specific signs of acute inflammation of the gallbladder. Similar points are present on the inside of the scapula in its lower part, and in the area of the transition of the scapula to the collarbone, on the right.
If there are stones in the gall bladder, which interfere with the flow of bile, intense abdominal pain occurs, radiating to the right shoulder blade, right shoulder, and interscapular space. The nature of the pain in the back is aching, pulling, while the pain in the abdomen is sharp, cutting, paroxysmal. If you have such symptoms, you should immediately consult a doctor for examination and to exclude acute surgical pathology.
Subphrenic abscess
Subphrenic abscess is an acute surgical disease, a complication of acute cholecystitis, appendicitis, and other surgical pathologies of the abdominal organs, in which pus accumulates. Most often, an abscess forms on the right, above the liver, and is accompanied by pain in the abdomen, lower back, and the right side of the back under the shoulder blade. Subphrenic abscess can also occur after surgery on the abdominal organs as a complication.
Bronchopulmonary diseases
Diseases of the bronchi and lungs, such as pleurisy, pneumonia, bronchopulmonary cancer, are almost always accompanied by pain in the chest and back. Due to the large number of pain receptors in the pleural cavity, pain can be sharp, acute, and intensify with breathing, coughing, and sneezing. The localization of pain is different and depends on the location of the focus in the lungs or pleural cavity.
Shpidonov Gennady Stanislavovich
Neurologist
Rostov State Medical University (neurology)
10 years of experience
Kidney diseases
Kidney diseases such as acute pyelonephritis, renal colic, kidney stones, abscess, cancer may be accompanied by pain in the shoulder blades. If the right kidney is affected, the patient will experience back pain under the right shoulder blade. If left, then left. The nature of the pain is sharp, pulling, cutting, paroxysmal, pain occurs simultaneously with pain in the lower back and hypochondrial areas in front. Fever, pain when urinating, nausea and vomiting are possible.
Diseases of the musculoskeletal system
Diseases of the musculoskeletal system are the main cause of pain in the shoulder blades. Among them are diseases such as spinal osteochondrosis, intervertebral disc herniation, scoliosis, spondyloarthritis and spondyloarthrosis. The source of pain can be a pathological muscle spasm that occurs due to instability of the spinal column, overstrain of the back muscles trying to compensate for the load on the sore back. It is characterized by constant aching pain that subsides with rest. With hernias and protrusions, pain can be caused by pinching of the spinal cord roots. The pain is sharp, acute, radiating to the shoulder blades, upper limbs, chest, and intensifies with physical activity and heavy lifting.
The immediate cause of pain behind the right or left shoulder blade from behind from the back may be associated with the shoulder blade itself, as happens with glenohumeral periarthritis. The disease occurs with degenerative-dystrophic damage to the shoulder joint, and is accompanied by inflammation of nearby soft tissues - muscles, ligaments and tendons. At the beginning of the disease, the pain is episodic in nature and occurs during physical activity, maximum elevation or abduction of the arm, and when throwing with the arm. Then they take on the character of constant pain, and bother you even at rest, sharply intensifying when you move your hand.
Muscle strain and inflammation
Muscle strain and inflammation (myositis) are common causes of pain in the shoulder blade, right or left. Pain occurs as a result of excessive physical activity, when playing sports, or lifting weights. As a result, microscopic ruptures of muscle fibers occur in the affected muscles, and minor hemorrhages are possible. Swelling and inflammation occurs at the site of injury. The pain is sharp and intensifies with movement and physical activity.
Myositis or muscle inflammation can be an independent disease that occurs due to hypothermia, draft, or intoxication due to acute respiratory viral infections. Less commonly, the disease is a consequence of autoimmune or rheumatic diseases. The pain is aching, prolonged, and intensifies with movement. The scapula area is affected quite often due to the presence of developed muscles.
Shpidonov Gennady Stanislavovich
Neurologist
Rostov State Medical University (neurology)
10 years of experience
Intercostal neuralgia
Neuralgia is attacks of sharp acute pain along the nerves, arising due to hypothermia, inflammation or irritation of the spinal cord roots in diseases of the spine. With intercostal neuralgia, pain spreads along the intercostal spaces and can be localized both under the right and left shoulder blades, behind the back, or on the sides and front of the chest. The pain is sharp, sharp, and worsens with breathing, movement, coughing or sneezing. The patient has to spare himself in attempts to relieve the pain, limiting the depth of breathing, trying not to cough or sneeze. In some cases, the pain can be so severe that it is necessary to resort to novocaine blockade of the intercostal nerves.
Diseases or injuries of the scapula
Diseases of the scapula that lead to pain include bruises, fractures and cracks of the scapula, benign and malignant tumors (sarcomas, osteochondromas, osteomas, etc.). Injuries occur due to direct physical impact (impact, falling on your back, traffic accident). A characteristic sign is pronounced swelling of the soft tissues in the area of the scapula, sharp acute pain, intensifying when moving the hand, crunching (in case of fractures, occurs due to friction of moving bone fragments).
With tumors, pain can be of a different nature, from aching, arching pain to severe pain. The pain is constant and not relieved by rest. Visually or by touch, a foreign dense and immovable formation in the area of the scapula associated with it can be determined.
Treatment
It can be conservative or surgical, depending on the diagnosis. Some types of pathologies - for example, hepatitis - require long-term use of antibiotics and strong antiviral drugs, others are based on normalizing the diet and maintaining a healthy lifestyle. The specialists of the Energo clinic, who are true professionals in their field, will definitely identify the causes of back and chest pain, select a method that is suitable for you to solve the problem, and give useful recommendations regarding the period of recovery or remission in the case of a chronic illness.
GERD Treatment Methods
Treatment of GERD is carried out by a gastroenterologist. Treatment is aimed at relieving inflammation of the esophageal mucosa, reducing the frequency of reflux of stomach contents into the esophagus, reducing the damaging properties of refluxate (the substance that enters the esophagus from the stomach), and increasing the protective properties of the esophageal mucosa.
Of great importance is:
Drug treatment
Treatment with medications is prescribed by a doctor and must take into account the individual characteristics of the patient.
Lifestyle change
Normalization of lifestyle is of great importance. It is necessary to quit smoking, limit, or better yet eliminate, alcohol consumption. You should not eat fatty, spicy, sour foods, as well as coffee, tea, chocolate, legumes, cabbage, peas, and brown bread. It is better to take food more often (4-6 times a day), but in small portions. You should not eat before bed (the last meal should be 2-2.5 hours before bedtime). You should sleep with your upper body elevated to reduce the likelihood of reflux during sleep.
Make an appointment Do not self-medicate. Contact our specialists who will correctly diagnose and prescribe treatment.