Causes of pain under the left shoulder in the back from the back

To understand what pathology your body has overcome, you need to accurately describe the symptoms. Back pain under the left shoulder from the back is a common symptom of serious health problems. The difficulty in defining a specific disease is that pain in this area of the back can manifest in various pathologies. From vascular lesions to pathologies of the nervous system.

Types of pain sensation

When the pain appears on the left below the shoulder, it is necessary to understand what the character is. Several types of pain are known:

1. The pain under the left shoulder of a herpes character lasts a long time, the discomfort covers an area of the back. During a painful attack, there is a feeling of shortness of breath, coughing and shortness of breath appear. The situation is related to the fact that in the intercostal space there is a nerve pulse.
2. The burning sensation is accompanied by numbness of a part of the skin. The patient feels a tingling sensation that spreads throughout the body.
3. Growing character. The peculiarity of this type is that the entire left arm begins to hurt, provoking an increase in muscle tone. Making hand movements becomes unbearable.
4. Intense sharp. The person loses the ability to assume a supine position on the left side. Shortness of breath with difficulty suction is observed. Movement increases the pain, then it becomes difficult to move.
5. Discomfort in the back of the shoulder, characterized by displacement. The incision pain occurs in the left shoulder, then localizes to the center along the spine. The patient has an audible sigh.
6. Dull and painful, it may be said, the easiest manifestation previously listed. Complaint in the shoulder area will be only when the person moves, raises the injured arm.
7. Traction syndrome will appear in the upper back, below the spine in the lumbar region.
8. And another kind - a sharp character.

The list is not limited to the listed types of pain symptoms. There is a strong pain and tingling sensation that can not be confused with other manifestations.

Attention should be paid to the nature of the pain syndrome. It will be easier for a medical specialist to determine your pathology.

What causes the onset of the syndrome?

Why is there discomfort under the shoulder? The appearance of pain under the shoulder can be explained by human anatomy. Often a part of the body is affected, and the unpleasant sensation from it spreads along the nerve trunks to other organs. The left shoulder blade "extends" to the coastal arches, which together form the thoracic cage. With the help of ligaments and intercostal muscles, the coastal arches are connected to each other.

Beneath each rib are the vessels and nerves that extend from the spinal cord, from the spinal column. The left rib and shoulder complex has a protective function. They limit the internal organs from any kind of damage: heart, left lung, stomach, spleen, pancreas and aorta.

As a result of the anatomical location of the shoulder, two major groups can be the cause of pain:

1. Caused by a violation of the musculoskeletal system. This also includes muscle pain syndrome.
2. Feelings due to dysfunction of internal organs.

diagnostic

To determine the cause of the pain and to make an accurate diagnosis, he was prescribed the following types of diagnosis:

• X-ray examination of the spine.
• Gastroscopy.
• CT, MRI.
• EKG.
• Ultrasound of the abdominal organs.
• UAC, LHC.

Depending on the injury factor, a specialist will prescribe treatment.

What does it have to do with

If it hurts from behind, the sensation is localized under the left shoulder - usually accompanied by one of the following disorders:

• Pathology of the musculoskeletal system;
• Diseases of a cardiac nature;
• Diseases of the bronchopulmonary sphere;
• Digestive tract dysfunction.

Musculoskeletal disorders

There are cases when the manifestations of painful sensations arise as a result of skeletal destruction. Patients suffering from osteochondrosis, spinal curvature, spondyloarthritis, hernia and other disorders feel pain in the left below the shoulder. The symptom is of two types.

• First, aches and pains are associated with chest disease. The character is aching, restricts movements, does not allow a deep breath.
• Another type makes itself felt in the form of abdominal pain.

Shoulder-shoulder periarthritis is an inflammatory disease of the shoulder structure. Radiation pain occurs in the left arm, the left half of the back, which causes stiffness and pain of movements.

Sprengel syndrome is the presence of a pterygoid shoulder in a patient, congenital or resulting from a disease. Prolonged pain and needle piercing is characteristic.

Pathologies related to the heart and blood vessels

Acute myocardial ischemia - myocardial infarction. With a heart attack, compression in the chest region is characteristic. It spreads from the heart to the left shoulder, arm and lower back. This condition can be fatal if left untreated. It is characterized by a pronounced burning sensation and severe pain under the left shoulder, which interferes with normal absorption and excretion.

The difference between myocardial infarction is that it does not stop taking nitroglycerin, the attack lasts more than 15 minutes. Numbness of the hands is common. With the development of the state, one can not hesitate.

Disease of the cardiological sphere, manifested by acute incisions in the heart with radiation below the left shoulder - an attack of angina pectoris. Primary manifestations - compression in the region of the heart spreads to the left side. Cardialgia is tight and sharp, can be aggravated by movement.

The difference between angina pectoris and a heart attack is that an angina pectoris attack can be stopped by taking nitroglycerin or with physical and psychological rest. The cause of the attack is arteriosclerosis of the cardiac (coronary) arteries. Provoking factors: hypothermia or overheating, alcohol abuse, excessive food intake.

A vegetative crisis is a condition similar to the manifestations of angina or heart attacks. Significance and compression appear under the left shoulder and in the sternum. Spreads over the left shoulder, forearm, reaches the distal phalanges of the fingers. Radiates to the left side of the jaw and to the area between the shoulders.

The pathology is characterized by chills, dyspnea, chest tightness, and shortness of breath. The syndrome is short-lived and spreads to the epigastric region, the neck. When you take sedatives and tranquilizers, you can stop the vegetative crisis.

Bronchopulmonary diseases

Diseases of the respiratory system are also the cause of the appearance of unpleasant sensations in the back area on the left. The main place is occupied by pneumonia or pleurisy, if at least one lung is affected. Pain syndrome is accompanied by coughing, sneezing, and increased pain with deep breathing. It is characterized by an increase in temperature, a decrease in weight, shortness of breath in the lungs during auscultation. Summer very hard to breathe. One type of pain is cutting.

Disorders of the digestive system

Increased pain is characteristic of stomach ulcers. It is associated with the use of food, after vomiting, the pain subsides. In the stomach area, it begins to retract. A plausible sign that this is a peptic ulcer is heartburn. Pain not only in the subscapularis, but also on the left side of the chest. The process is accompanied by muscle tension, difficulty breathing.

If the pain syndrome appears suddenly and manifests itself with sharp impulses, it is necessary to urgently contact an ambulance. Acute pancreatitis can cause severe discomfort. Feelings are herpes in nature, the attack takes place suddenly. A rare cause may be rupture of the spleen. With trauma to the tissues of the spleen, bleeding occurs, almost impossible to stop. Urgent surgery is required.

Damage to the scapular region

1. Osteochondrosis of the cervix.
2. Violation of the walls of the intercostal nerves.
3. Shoulder rib syndrome (occurs with physical overload, injuries, can also slip and cause this syndrome).
4. Malignant skeletal neoplasm.
5. Osteomyelitis (may appear after a gunshot wound)
6. Loss of subscapularis.
7. Periarthritis shoulder-shoulder.

Psychosomatic

There are cases when painful sensations on the left arise with psychological pathology or strong psycho-emotional stress. The reason for the appearance of pain syndrome is clear to everyone, it is provoked by stress and emotional stress. Psychosomatic diseases are associated with pain in the shoulder area, somatic disorders are observed. This includes:

1. The temperature rises to high figures.
2. Compression, burning in the sternum.
3. Lumps in the throat.
4. Feeling short of breath.

Who to contact

Given the intensity and nature of the shoulder pain, you can seek help from the following specialists:

• Calling an ambulance team is required in case of sudden onset of symptoms with increasing pain and deteriorating health.
• In case of trauma, which resulted in unpleasant sensations (stretching, weight lifting), contact a traumatologist.
• Difficulty breathing, bluish skin color, tingling sensation in the chest area should be the impetus for referral to a cardiologist.
• It is necessary to consult a neurologist and orthopedist in case of pain that increases with hand exercise, physical activity, with known spinal disorders.

• Postprandial pain, dyspeptic disorders (nausea, vomiting) is a reason to visit a gastroenterologist.
• Consult a pulmonologist if your back hurts, especially on the left below the shoulder, accompanied by coughing and shortness of breath.
• When the pain is permanent or temporary, appears for no apparent reason, they turn to a therapist. After a thorough examination and diagnosis, the therapist refers the patient to a close specialist.
• If, as a result of instrumental examination methods, it was not possible to determine the cause of the symptoms, with frequent stress, psycho-emotional stress, consultation with a psychologist and psychiatrist is required.

Subcapsular pain therapy

There is no general therapeutic plan for managing patients suffering from pain in the upper back region. Therapy is performed taking into account the etiology of the disease. For symptoms associated with disorders of the musculoskeletal system, treatment is performed according to the following protocol:

It is necessary to provide the patient with a special treatment.

• Provide peace. There are times when adequate rest eliminates muscle strain, restores function, and relieves pain.
• The medical method of treatment is used for inflammatory processes. NSAIDs (non-steroidal anti-inflammatory drugs) are prescribed.
• For long-term, chronic pain, antidepressants are prescribed.
• With muscle spasm, muscle relaxants are administered. To achieve the maximum effect, the drug is most often prescribed in combination with NSAIDs, analgesic drugs, massages and physiotherapy procedures, exercise therapy.
• Appointing massage courses has a beneficial effect on muscle condition. Helps relieve muscle spasm, relieve pain, improve blood circulation and well-being.
• Acupuncture is used to restore nerve conduction, to eliminate painful symptoms.

The method of therapy is prescribed individually for bronchopulmonary, cardiological and gastrointestinal diseases. Necessary vitamins, antibacterial drugs, analgesics and NSAIDs are selected.

Patients with symptoms of heart attack and angina pectoris undergo urgent hospitalization.

When diagnosing aneurysms and severe pathologies, they use surgical intervention.

Prophylaxis

1. Daily exercise, gymnastics. Walking for half an hour.
2. Complete balanced diet.
3. Prevent damage to joints and bones.

What the doctor says

Medical specialists recommend that patients who have had an angina attack or heart attack regularly take prescribed medication, follow a diet, and avoid stress. Spinal cord disease requires long-term therapy with NSAIDs and exercise therapy. Pathologies of the gastrointestinal tract are stopped with the use of special medications and adherence to a diet.

Doctors advise adhering to a healthy lifestyle, it is easier to prevent a disease than to cure it.

cONcluSiON

If you know for sure the cause of the discomfort under the left shoulder, then you can start treatment sooner. It is necessary to find out the exact cause of the concern. As soon as you have symptoms of any of the considered pathologies, consult a doctor immediately. Be healthy!