back pain, Pain between shoulder blades

BACK PAIN BETWEEN SHOULDER BLADES (INTERSCAPULAR PAIN)

Possible causes of back pain between shoulder blades https://www.nhs.uk/conditions/shoulder-pain/:

(1) Shingles
Depending upon which nerve roots the virus affects, shingles can cause pain nearly anywhere in the body and may occur well before a rash is noticed. The pain may be most pronounced in the region between your shoulder blades but tends to concentrate on one side of your body.

(2) Epidural anaesthesia
People who have an epidural for labour or a C-Section sometimes experience intense interscapular pain. This pain resolves when the drip is slowed down and this pain goes away after labour.

(3) A vertical compression fracture in the thoracic region.
Compression fractures, often due to osteoporosis, may cause interscapular pain.

(4) Scoliosis
Scoliosis of the thoracic spine may cause pain between shoulder blades.

(5) Pulmonary Embolism
Pulmonary emboli occur when clots in the leg (deep vein thrombosis) break off in the leg and travels to the lungs. The pain is often sudden in onset, sharp and may be associated with severe shortness of breath, although sometimes people notice only mild discomfort.

(6) Acid Reflux
Gastroesophageal reflux (acid reflux) may cause referred pain to the back in the region between the shoulder blades. Other symptoms include chest pain, hoarseness and difficulty swallowing.

(7) Nerve entrapment
Nerve entrapment on rhomboid muscles can cause pain between the shoulder blades.

(8) Gallbladder disease
Referred pain from gallbladder disease often occurs as a stabbing pain between the shoulder blades and may be associated with pain on the right upper quadrant of the abdomen and nausea.

(9) Muscle strain
The most common cause of pain between the shoulder blades is a muscle strain. This can result from poor posture (especially leaning forward with prolonged sitting or standing), excess lifting and activities that involve twisting.

(10) Trauma
Example of this is trauma on the shoulder.

(11) Arthritis
Arthritis in the neck or even the ribs may cause interscapular pain.

(12) Herniated or Bulging Discs

(13) Heart Attack

(14) Cancer
Lung cancer can cause referred pain between the shoulder.

back pain

BELOW ARE 10 STRUCTURAL PROBLEMS THAT MAY CAUSE BACK PAIN

  1. Muscle spasm and strained muscles or ligament. Activities that can lead to muscle strains or spasms include; lifting something improperly, lifting something too heavy, making an abrupt and awkward movement.

2. Injuries on the back, fractures and falls can cause back pain.

3. Ruptured disks. Each vertebra in the spine is cushioned by disks, if the disk ruptures, there will be more pressure on a nerve resulting in back pain.

4. Bulging disks. In much the same way as ruptured disks, a bulging disk can result in more pressure on a nerve.

5. Sciatica. A sharp and shooting pain that travels through the buttock and down the back of the leg caused by a bulging or herniated disk that is pressing on a nerve. Sciatica can also cause numbness, tingling and weakness in the lower back, buttocks, legs and feet.

6. Arthritis. Osteoarthritis can cause problems with the joints in the hips and lower back.

7. Spinal stenosis. A narrowing of space around the spinal cord.

8. Abnormal curvature of the spine. If the spine curves in an unusual way, back pain can result. An example is a scoliosis in which the spine curves to the side.

9. Osteoporosis. A condition where the bones, including the vertebra of the spine, become brittle and porous making compression fracture more likely.

10. Kidney problem. Kidney stones or kidney infection can cause back pain. https://www.nhs.uk/conditions/back-pain/causes/

back pain, Middle back pain

CAUSES OF MIDDLE BACK PAIN & STEPS TO REDUCE THE RISK OF MIDDLE BACK INJURY

Middle back is the region of the back between the rib cage and base of the spine. In this region, there are 12 spinal disks, several vertebrae, muscles and ligaments. There are many causes of middle back pain ranging from injury to poor posture. Some of the causes of middle back pain are injury, age, arthritis, fractured vertebrae, kidney problem, herniated disks, muscle sprain or strain, poor posture, scoliosis, tumour. https://www.nhs.uk/conditions/back-pain/causes/

Not all cases of middle back pain are preventable, but the following steps may reduce the risk of injury:

  • Maintain a healthful weight. Being overweight puts extra stress on the back muscles.
  • Sleep on one side or on the back. People who sleep on their stomach may experience spinal misalignment. It is best to sleep on the back, or one side with a pillow between the knees.
  • Practice proper posture. Stand tall with the shoulders back and keep the pelvis in a neutral position.
  • Ergonomically optimise all workspace. Make sure computers are at eye level, look for a seat with armrests and lower back supports, and wear supportive shoes.
  • Lift with caution. Where possible, avoid heavy lifting or find someone to help. When lifting, keep the back straight and bend at the knees.
  • Try physical therapy. Ask the therapist for a personalised program to improve posture, core strength, and mobility.