Pain in back shoulder blade is often felt as a dull, achy pain that starts there or radiates from other areas of the body. However, it can also be sharp and stabbing. The pain can occur as a single incident or continue for months.

Musculoskeletal conditions, like a muscle strain or rotator cuff tendonitis can cause this type of pain in the shoulder. Neck related problems, such as a cervical disc or facet injury may also refer pain into this area. Cancers that spread to the bones in the neck, such as pancoast tumors or sarcomas, can also create this type of pain.

If the pain is sudden and severe, or accompanied by chest pain or pressure that does not ease up, it may indicate a heart problem such as a myocardial infarction (heart attack). It can also be a symptom of an aortic dissection, which occurs when part of the largest blood vessel servicing the heart tears. This is also a sign of pericarditis, an inflammation of the lining around the heart.

Other causes of pain in the shoulder blade include acid reflux, peptic ulcers, gallstones, and pancreatitis. Taking medication or making lifestyle changes can help manage these conditions. For chronic pain, a doctor can recommend a pain specialist who may suggest other treatment options, including massage therapy and medication. The neurologist at Redefine Healthcare can use the latest techniques to diagnose and treat this type of pain in your back, shoulder, or neck. pain in back shoulder blade