My spine and right arm hurt. Shoulder pain radiates to arm

Neck pain radiating to the arm, caused by cervical osteochondrosis, all kinds of spinal injuries. Treatment is carried out by a vertebrologist.

Experienced doctors at Dr. Ignatiev’s Clinic treat ailments of the cervical spine using manual therapy methods. An appointment with a chiropractor is required in advance.

Neck pain radiating to the arm occurs with equal frequency in men and women. The number of cases is increasing every year. And in childhood, neck pain may occur.

According to the mechanism of occurrence, they are distinguished: reflex and radicular (radicular) syndromes.

Reflex syndromes are a consequence of irritation of the sensory nerve endings, which are located in the longitudinal posterior ligament of the spinal column. This leads to tension in the muscle fibers at an appropriate and irritating level. The pain is characterized by local or diffuse character. Often the pain is dull within existing tight spots in the muscles or a specific muscle group. The pain only intensifies with any movement. For example, we can cite diseases such as glenohumeral periarthritis.

With radicular pain (radicular), the symptom is caused by the mechanical effect of bone growths or hernial protrusion of the spinal disc on a vessel or nerve root. The pain syndrome is characterized by acute, “shooting” pain that can spread to the entire nerve root. The pain is accompanied by numbness or severe weakness of the corresponding muscle fibers. Pain may intensify with movements in the corresponding spinal region.

pain relieves after vomiting;
seasonal pain;
pain associated with eating;
has an increasing character;
heaviness and heat in the chest;
tingling;
congestion in the ears;
pressure;
hardening of the heart;
lump in the throat;
feeling of fear;
anxiety;
numbness of the limbs;
cold shiver;
unpleasant, twisting, twisting pain;
pain radiating to the arms, neck, collarbone;
pain occurs during heavy physical activity or after excitement;
pain does not go away after taking vasodilators;
nausea, fever.

To develop an effective treatment program, the doctor conducts a differential diagnosis of such ailments as torticollis, kyphosis, herniated cervical disc, scoliosis, cervical myositis, disc protrusion in the cervical spine, cervical radiculitis, spondylosis, head injuries, postpartum and birth injuries, lumbago, osteochondrosis.

direct, indirect;
soft, mechanical hard (aggressive);
active, passive.

Today, most of the therapeutic techniques of manual therapy are usually combined under one general name - neuromuscular techniques. During execution, soft tissues are affected, including such parts as muscles. All together are united by methodological influence on the functions of the nervous system.

Neuromuscular techniques include:

positional relaxation techniques - countertension or tension, craniosacral techniques, functional techniques;
muscle-energizing techniques - stretching and post-isometric relaxation, reciprocal inhibition, fast, slow eccentric isotonic contraction, concentric isotonic contraction, simple isotonic contraction;
manual direct techniques - transverse friction, pressure on trigger points, transverse friction, ischemic compression, soft tissue mobilization, acupressure;
myofascial release;
lymphatic drainage techniques;
rhythmically applied and relaxing techniques - vibration, traction, inhibition, kneading, tapping;
McKenzi method;
joint mobilization – rhythmic, positional;
stretching – static, active isolated and lightweight;
push high-speed low-amplitude techniques - leverless, short-lever and long-lever.

When performing neuromuscular techniques, a therapeutic positive effect is achieved through the application of various loads to soft tissues:

tensile loading – the use of traction, straightening, stretching and extension. The purpose of such loads will be to lengthen the soft tissues. This type of load is aimed at aggregating collagen fibers, increasing the natural thickness of the connective tissue layer with its strength characteristics, improving blood flow, and deactivating body trigger points;
compression load - used to shorten and expand tissues, leads to an improvement in the quality of blood circulation and at the same time lengthens the tissues. Lengthening the muscles leads to proper relaxation. This is achieved by directed pressure from the belly of the muscle outward, passing into the area of the tendon apparatus. Similar pressure may be applied to the muscle belly and muscle spindle cells. During compression, along with tissue elongation, mechanoprocesses are activated;
combined loads;
rotational loads – lead simultaneously to compression and elongation of soft tissues. This type of load improves blood circulation and activates mechanical processes. The doctor, performing flexion loads, causes compression of the tissues on the concave side, and stretching occurs on the curved side;
scissor loads - the doctor displaces some tissues on the surface relative to others and deeper ones.

Therapeutic mechanisms of action of individual manual techniques

Mechanisms of reflex action of manual therapy:

mechanical stimulation in the area where the stimulus is located, mechanoreceptors, which are connected directly to the spinal cord and muscle fibers of large size and diameter. The doctor activates inhibitory interneurons;
reflex relaxation with muscle lengthening. Occurs due to the activation of the reflex arc of reciprocal inhibition;
manipulation or low-amplitude, high-speed pushing techniques, with which the doctor causes inhibition of the reflexes of γ- and α-motoneurons. This leads to a reconfiguration of muscle tone with further relaxation, eliminates articular intervertebral dysfunction;
periodically repeated stimulation of proprioceptive afferents can interrupt the mechanisms of dynamic wide range chronification in a neuron. Already existing chronification processes can easily regress.

The mechanisms of manual therapy techniques, when they affect soft tissue, can:

improve or normalize the barrier functions of various tissues;
improve the quality of tissue sliding;
ensure synchronization within the muscle with the alignment of different fiber systems in the muscles themselves. This reduces the activity of nociceptive fibers, and with contraction, irritation of the nociceptors of muscle fibers occurs;
reduce deformation and stretch soft tissues. This will enhance the process of aggregation of collagen fibers, increasing their natural thickness and ability to resist applied stretching.

Each technique of therapeutic manual therapy has its own points of specific action with mechanisms for an effective therapeutic effect. For example, the therapeutic effect of the positional mobilization technique, when force is mobilized and maintained for several minutes. And it is associated with stretching tissue connective and muscle structures, improving the quality of blood circulation. The therapeutic effect of rhythmic mobilization is associated with repeated mechanical stimulation of proprioceptors and inert articular tissues. For techniques of myofascial release, transverse and longitudinal stretching, muscle-energizing techniques, the neurophysical basis lies in the gamma system of the most diverse and functional types of spindle receptors. Manual therapy techniques can be used in the treatment of a whole complex of vertebrogenic diseases of the nervous system. With the help of manual diagnostic techniques, a wide variety of pathobiomechanical disorders are identified. The chiropractor prescribes additional examinations for patients. To determine the specific type of pathology in the neck, radiography or MRI is performed. For special purposes, a CT scan can be performed. Using simple radiography, the doctor receives data on the condition of the vertebrae of the neck and indirectly judges the real condition of the intervertebral discs. Soft tissues can be seen by MRI and CT. These diagnostic methods show the tissues of the spine layer by layer: nerve roots, vertebrae, discs, muscles and ligaments. Doctors consider MRI more informative than CT. The main advantage of the first is the use of X-rays, since it is based on a powerful magnetic field. However, MRI can fail the doctor when the patient is being examined with artificial joints, implanted metal structures, electronic devices and pacemakers.

If the cervical spine is affected and your arms hurt, you need to carefully carry out an initial manual diagnosis. the fact is that not all root nerves emerging in the projection of the cervical spine are responsible for the innervation of the upper extremities.

Quite often, if there is numbness in the hands due to osteochondrosis of the cervical spine, there is destruction of the intervertebral disc located between the last cervical and first thoracic vertebrae. The localization of protrusion in the C7-T1 interval is a consequence of cervicothoracic osteochondrosis with serious damage to the innervation of the upper extremities.

In addition, the C6 disc is responsible for the innervation of the shoulder girdle area - when it is damaged, pain is localized in the neck and shoulders. A distinctive clinical sign of this localization is severe pressing pain in the back of the head, not associated with an increase in blood pressure and body temperature. If the C7 intervertebral disc is damaged, the innervation of the shoulder joint and elbow is disrupted. flexion and extension are difficult. patients may complain of constant dull pain in the forearm.

Note! N Unpleasant sensations in the hands are not the only potential complication of cervical and cervicothoracic osteochondrosis. For example, if the radicular nerve is damaged in the C6-C7 interval, the innervation of the thyroid gland is disrupted. If treatment measures are not taken, dysfunction of this organ will soon begin and hyperthyroidism or hypothyroidism will develop. When a nerve is pinched in the C7-T1 interval, the innervation of the trachea, part of the bronchial tree, and larynx is disrupted. This is fraught with the development of asthma attacks, which can turn into bronchial asthma.

If you have unpleasant sensations in your hands and you associate their occurrence with pain in the neck and collar area, then you should not put off your visit to a vertebrologist. Call us right now and sign up for a free initial consultation with a vertebrologist or neurologist. During the appointment, an experienced specialist will conduct a full examination, make a preliminary diagnosis, and give individual recommendations for examination and treatment.

Pain in the spine, radiating to the arm

Pain in the spine does not always radiate to the arm; in most clinical cases, osteochondrosis and its complications occur without the appearance of such a clinical sign. Therefore, it is important to understand why pain appears in the spine, radiating to the arm, and what this sign can tell an experienced vertebrologist or neurologist.

We should start with a short excursion into the anatomical structure of the spine and the physiology of the innovation process. Key aspects:

the spinal column is hollow inside - in its canal there is the spinal cord, which, with the help of cerebrospinal fluid, communicates all the bodies with the structures of the autonomic nervous system in the brain;
the spinal column consists of bodies with spinous processes and intervertebral cartilaginous discs separating them (they provide safety for the bone structure of the vertebral bodies and the radicular nerves extending from the spinal cord;
radicular nerves are paired and extend from each intervertebral space; they are responsible for the innervation of individual parts of the body;
in the structure of the root nerves there are motor (motor) and sensitive (sensory) axons;
nutrition and fluid replenishment in the intervertebral discs is carried out due to diffuse exchange with the surrounding muscles of the back frame;
The stability of the spinal column and the stability of the position of the vertebral bodies are ensured by uncovertebral joints, articular capsules and ligaments.

Pain in the neck, collar area and chest can be associated with destruction of the intervertebral disc, dysplasia of cartilage tissue, disruption of the position of the vertebral body, destruction of the tissue of the uncovertebral joint, and pinched nerve fibers. Irradiation of pain to the right or left arm is possible both with damage to the radicular nerve and with a strong local inflammatory process in the area of the damaged cartilaginous intervertebral disc.

True pain in the upper limb against the background of cervical and cervicothoracic osteochondrosis is always accompanied by muscle weakness, numbness, hyperesthesia, and impaired mobility. It is always a consequence of compression of the radicular nerve at the level of the spine. it is necessary to carry out diagnostics in order to exclude the potential possibility of developing various tunnel syndromes.

Which part of the spine is responsible for the arms?

Generally accepted information misleads the patient that the part of the spine responsible for the arms is the neck and collar area. Actually this is not true. The main innervation of the upper extremities, from the shoulder joint to the fingertips, is carried out by the radicular nerves located in the space above the T1 vertebra.

Therefore, the answer to the question of which part of the spine is responsible for the arms does not include only the cervical part. This also includes the cervicothoracic region. By the way, if mobility in the shoulder and elbow joints is impaired, muscle weakness appears in the arms, it is worth looking for pathological changes in the C7 cervical disc. And if the pain affects only the upper shoulder muscles and spreads to the back of the head, then the C6 intervertebral disc is highly likely to be damaged.

Spine hurts and arms go numb

If your arms become numb from your spine, you should seek medical help as soon as possible. It is important to understand that in such a situation acute cardiovascular failure may develop. Especially if the pain and numbness are localized in the left upper limb. To eliminate the risk of developing acute myocardial infarction and ischemia, an ECG should be done.

X-rays are taken not only in the neck and collar area. It is very important to look at the condition of the shoulder and elbow joints. Cubital tunnel syndrome is rarely diagnosed because it is rarely suspected in the differential diagnosis.

If a patient has pain in the spine and arms, the doctor immediately makes an unambiguous diagnosis - cervical osteochondrosis and the patient is prescribed, at best, an X-ray of the cervical spine. Meanwhile, cubital syndrome can cause irradiation of pain and spread of the inflammatory process along the brachial nerve. In this case, the pain in the neck and collar area is radiated.

If your spine hurts and your arms go numb, do not self-diagnose, as it may only seem to you that the main source of discomfort is located in the neck area. It is important to find an experienced vertebrologist and neurologist. These specialists will be able to conduct high-quality differential diagnostics, identify the exact cause of discomfort and prescribe effective treatment.

You can make an appointment for a free appointment with a vertebrologist and neurologist in our manual therapy clinic. All you have to do is call the clinic administrator and agree on a convenient time for your visit.

Can your arm and fingers hurt from your spine?

The fingers and spine are closely connected. In early childhood, through the development of fine motor skills of the fingers, a gradual development of brain activity and psyche occurs. In adulthood, fine motor skills of the hands continue to influence the state of the emotional and psychological mnestic sphere of a person. However, much less attention is already paid to this.

To a greater extent, an adult is concerned about the inverse relationship: numbness in the fingers, painful sensations in them during the development of the cervicothoracic spine. But it is important to understand that it is necessary to conduct a thorough differential diagnosis.

Of course, the answer to the question of whether your arm can hurt from your spine is always positive. Of course, approximately 60% of cases of discomfort in the fingers are in one way or another associated with damage to the intervertebral discs. But the remaining 40% is divided as follows:

15% of cases are the development of carpal tunnel syndrome;
5% of cases relate to the development of carpal valve syndrome;
20% of cases are a consequence of cerebrovascular accident (paresis, paralysis, paresthesia).

Only an experienced doctor can carry out a full differential diagnosis. In some cases, instrumental diagnostics are required: MRI, CT, X-ray, ultrasound and much more.

If your spine hurts and radiates to your right arm

We will not consider in detail the tactics of behavior in a situation where the spine hurts and the left arm goes numb. as mentioned above, in such a situation it is important to immediately seek medical help due to the risk of developing a heart attack.

If the spine and right arm hurt, then this is, with a high degree of probability, osteochondrosis or its complications in the form of hernia and disc protrusion. Therefore, you need to make an appointment with a neurologist or vertebrologist.

It is important to understand that if the spine hurts and radiates to the arm, then this is far from the initial stage of osteochondrosis. Most likely, the degenerative process of destruction of the intervertebral disc has gone too far and emergency measures must be taken to restore it.

You can use the prescriptions given by the doctor at the city clinic. But you should be prepared for the fact that the use of prescribed pharmacological drugs will not bring recovery. Inflammation and pain will be relieved. However, restoration of the intervertebral discs will not occur.

And for the full treatment of osteochondrosis and its complications, it is necessary to act primarily on the cause of this disease - a violation of the diffuse nutrition of the cartilage tissue of the intervertebral discs. You can achieve restoration of diffuse nutrition with the help of reflexology, osteopathy, kinesiotherapy, traction traction of the spinal column, therapeutic exercises and some other manual therapy techniques.

You can make an appointment for a free appointment with a vertebrologist at our manual therapy clinic. During the consultation, the doctor will give you comprehensive individual recommendations regarding the treatment of your case.

Many people suffer from neck pain and arm pain. These are one of the most common complaints in medical practice. Neck pain radiating to the arm can be caused by age-related changes in the spine, injuries, natural progression of diseases, or simple overexertion.

Symptoms

Not everyone with neck pain also experiences arm pain. Neck pain accompanied by arm pain is called cervical radiculopathy.

This type of pain is often very excruciating and can make it very difficult to perform even the most basic daily tasks. Problems in the cervical spine or upper spine can cause neck pain, as well as pain, numbness and weakness in the arms.

Neck pain itself can be nonspecific and is often the result of problems with the neck muscles. Neck pain after a neck and head injury can also be due to muscle problems, such as a muscle strain, but should be evaluated more carefully. Pain in the arm can also be an isolated symptom, but even in this case it is often the result of problems in the cervical spine.

Some areas of the arms and hands may experience numbness (anesthesia) or tingling (paresthesia). These areas may or may not be the same as the areas where pain is felt. These symptoms may be due to pressure (compression) or damage to the nerves in the neck or spinal cord. These symptoms can also be the result of compression or damage to nerves outside the spine. This condition is called peripheral neuropathy.

Weakness in the arms or legs or decreased muscle size or tone may also be symptoms of nerve compression. This situation is more insidious because such symptoms tend to develop gradually and often go unnoticed because they are not as obvious as pain or numbness.

The so-called “whiplash” injury can have many long-term consequences. Whiplash can cause neck and arm pain, as well as headaches, facial pain, dizziness, irritability, sleep disturbances, and problems swallowing (dysphagia). About 65% of people recover fully from whiplash, 25% have residual symptoms, and 5-10% suffer from chronic pain.

There are many conservative and surgical treatments for neck and arm pain caused by problems in the cervical spine.

Spinal Anatomy: What does a healthy cervical spine look like?

Our cervical spine consists of seven upper vertebrae. The first two vertebrae, C1 and C2, differ in shape from the underlying C3, C4, C5, C6 and C7 vertebrae.

Our spine is made up of bones called vertebrae that sit on top of each other. These vertebrae are separated from each other by intervertebral discs. Intervertebral discs consist of a hard fibrous shell and a soft gel-like center. Healthy discs absorb shock and maintain spinal mobility. Inside the spinal canal is the spinal column, which contains the spinal cord. The spinal cord is a bundle of nerves that runs through the entire cervical spine. Nerve roots branch as they exit the spinal cord. The openings through which nerve roots leave the spinal cord are called foraminal openings. The vertebral arch (lamina) forms the posterior wall of the spinal canal and plays an important role in providing stability to the spine. The spinous process is a bony ridge that we can feel when we touch the spine or the back of the neck. Strong and flexible muscles help support the neck.

Causes

Neck and arm pain can have many causes related to the cervical spine.

1. Protrusion or herniation of the intervertebral disc of the cervical spine

Wearing of the disc can lead to rupture of the fibrous membrane and the formation of an intervertebral hernia. A herniated disc can put pressure on nerve roots and the spinal cord, causing pain, numbness and weakness.

A bulging disc can also put pressure on the nerve. Although the symptoms of a disc protrusion should be much less severe than those of a herniated disc, in the cervical spine, due to the narrowness of the spinal canal, the protrusions have a much more pronounced clinical significance and can cause symptoms of neurological deficit.

2. Spondylosis of the cervical spine

Wear and tear on the spine can lead to bone spurs or osteophytes, which can also put pressure on the discs and nerves, causing pain.

If bone growths put pressure on the intervertebral disc, it begins to flatten and lose water and nutrients.

3. Cervical spinal canal stenosis

Cervical spinal canal stenosis is a narrowing of the spinal column or foramen due to bone growths or herniated intervertebral disc. With central stenosis, the spinal cord can be pinched, and with foraminal stenosis, the nerves exiting the spine through the foraminal openings can be pinched. This pinching can cause pain in the back, shoulders and arms. It may also cause numbness or weakness in the arms or hands.

Treatment

As a rule, in the first stages, the doctor recommends conservative treatment methods to a patient with pain in the neck and arm. Surgical treatment may be indicated only in serious cases or after long-term conservative treatment that has not brought results. There are many conservative treatment methods that have proven effective for neck and arm pain caused by spinal problems. The main goal of conservative treatment is to relieve pain or reduce pain to a tolerable level.

The doctor can teach patients exercises and ways to improve their posture and relieve pressure on the cervical spine. There are many different physical therapy techniques that a doctor may recommend for patients with arm pain, from aquatic therapy to special massage techniques. Also, a set of therapeutic exercises can be compiled specifically for the patient, which will help reduce the load on the spine and reduce symptoms. Massage will help strengthen the neck muscles, which also often leads to improved well-being.

Cervical spine traction

Cervical spine traction is a physical therapy procedure that can be performed either at a doctor's office or at home. Spinal traction helps reduce pressure on the intervertebral discs, increase intervertebral distances and release compressed nerves. The best method of traction is non-load traction using special devices. In this procedure, traction is carried out using the patient’s body weight. In addition, non-stress traction treats the entire spine and has no side effects.

Medicines

Medicines are an effective way to relieve pain and relieve inflammation. However, all medications have side effects. Even seemingly harmless non-steroidal anti-inflammatory drugs (for example, Nurofen) can lead to gastric bleeding. Therefore, we recommend taking medications strictly as recommended by your doctor.

Surgery

Surgical treatment of the cervical spine should be treated with extreme caution, since the consequences of surgical treatment are much more severe than the complications of cervical osteochondrosis.

Sketch on pain in the arm and chest

Briefly - the story of a man who suffered from...physical trauma in the summer and almost made its consequences chronic. But he came in time for a cure.

"Physical Trauma"

At the beginning of August, a healthy, strong man was lifting something like a barbell with outstretched arms. I should have put the “barbell” on the top shelf of the pantry.

The position is uncomfortable (bent over, raising arms, almost on tiptoes), the load is far away and, according to the rule of leverage, created a high load. Well, the man himself - although strong, was detrained at that time.

Three components coincided - and he was shot. Sharp pain, it was only through an effort of will that he did not drop the “bar” down onto something valuable. I stuffed it in somehow, waved my arms, warmed up, applied ointment - and it became easier.

Then the pain again, no longer with such an extreme load.. Warm-up again, ointments again. Summer. He swam a lot and took up physical education, which is actually good. But the pain was annoying at times.

I went to the hospital, they did an x-ray - they didn’t seem to find anything criminal. Also good. But there is pain!

I can't raise my arms - they hurt

At the time of examination, upward movements of the arms are limited due to pain. There is strength up to the horizontal, but beyond that the strength disappears and the pain “paralyzes” the arms. By autumn, the pain in my arm went down, and almost my entire arm began to hurt - from the elbow to the shoulder joint. Especially at night!

Upon careful examination, chest pain was also found. When breathing, with uncomfortable movements. It's good that he's not a hypochondriac - otherwise he would already be in the cardio center.

Quick results in a week

During the examination, I found several old triggers, painful lumps in the shoulder girdle. And I found the probable immediate cause of this unpleasant condition to the right of the shoulder blade. The muscle running along the side of the chest from the shoulder blade was injured and signaled its troubles.

It is clear that we have just begun therapy, and that for a cure it would be necessary to remove all possible weak points and inflamed areas in his back and neck. But he can now raise his arms freely, without pain! And he breathes easily too

Due to severe stress on the vertebrae and back muscles, most of humanity periodically experience pain in different places of the back, including on the right side. And the nature of such pain can be different: stabbing, with a deep inhalation or exhalation, aching, sharp, sharp, dull, with movement and at rest. Back pain, radiating in different directions (to the back of the right shoulder blade, arm, collarbone) raises many questions among those suffering from it, in particular, they are all related to what its causes are, what the diagnosis is and how to treat it correctly. Pain in the right shoulder blade is a phenomenon that occurs quite often in various diseases (and not only the joints and back) and worries people with its sudden appearance.

Before determining the treatment for pain on the right side, it is necessary to understand what causes it to occur and how it manifests itself.

Nature of pain under the shoulder blade

The following types of pain are distinguished:

Aching pain in the area of the right shoulder blade, most often occurring when staying in an uncomfortable position for a long time, with the head bowed.
Acute pain in the area of the right shoulder blade that occurs when coughing, taking a deep breath, sneezing, or moving.
Sharp pain that occurs behind the right shoulder blade spontaneously, during inspiration or at rest.
A dull pain that continues for a long time, does not cease to exist in the area of the right shoulder blade on the right, either at rest or with a change in body position, intensifying with certain factors: inhalation, coughing, sometimes.

Causes of pain under the right shoulder blade

Depending on how the symptoms manifest themselves, their causes are determined. This problem has an extensive list of causes of pain under the right shoulder blade.

For example, if this:

A dull aching pain that has been present on the right side of the back for a long time, then possible causes of its occurrence can be either ordinary muscle spasm due to being in an uncomfortable position for a long time, or problems with internal organs: gall bladder, kidneys, pancreas. Usually this phenomenon occurs suddenly, when coughing, sneezing, or sharply turning the head.
Acute pain, both sharp and not, arising on the right or between the shoulder blades, speaks more about problems of the internal organs than problems with the spine. These can be various human organ systems: cardiovascular, digestive, excretory, etc.
Drawing and stabbing pain under the right shoulder blade is a sign of the onset of diseases of the musculoskeletal system in the early stages: osteochondrosis, etc. Sometimes this is a sign of neuralgia - which occurs under certain conditions (sudden movements, “blow”). The causes of such sensations may be oncological tumors, although rare, they do occur.

It is important to note the fact that pain under the right shoulder blade is accompanied by other symptoms if the cause is diseases of the internal organs.

Treatment of pain under the right shoulder blade

Treatment of pain in the area of the right shoulder blade on the right will depend on what causes it to arise. If the causes are diseases of the internal organs, then treatment is aimed at eliminating the sources of the disease. Who will do this depends on the affected organ. In order to determine the source of the disease, the therapist conducts an examination (visually and palpation), prescribes an ultrasound of organs and other tests, and after receiving the results, sends you to a highly specialized doctor (nephrologist, cardiologist, urologist, gastroenterologist, etc.). As a rule, if pain under the right shoulder blade occurs due to damage to the internal organs, then nothing is done to the sore spot itself, and the disturbing symptom goes away immediately after the treatment gives the first positive results.

If pain in the area of the right side of the back and between the shoulder blades is associated with diseases of the spine, then treatment is aimed at eliminating the source of inflammation. For this purpose, traditional drugs for orthopedics, rheumatology and traumatology are prescribed:

Analgesics.
Corticosteroids.

If the cause of dull, persistent pain is muscle spasm or neuralgia, then warming agents (, Fastum-gel, Bystrum gel, Capsicum) or are prescribed.

Corticosteroids and chondroprotectors are rarely prescribed if NSAIDs have not brought the expected effect, and pain in the back on the right still persists.

After drug treatment

When the pain between the shoulder blades or on the right is relieved, procedures are prescribed to help relax muscle tone and remove the feeling of stiffness:

Massage;
Manual therapy;
Physiotherapy;
Physiotherapy;

All the actions of the above methods are based on relaxing the back muscles, strengthening the thoracic and cervical vertebrae, and preventing pinched nerve roots.

Physiotherapy

Therapeutic gymnastics is an excellent way to cope with pain in the area between the shoulder blades and specifically on the right. The whole complex should be carried out when the disease is not in the acute phase and pain does not bother you.

Exercises are performed after a preliminary warm-up.

While lying on your back, touch the floor with your shoulders as much as possible.
Move to the side the arm from which the pain is bothering you.
With your free hand, touch the crown of your head and tilt your head to the right (since it is the right shoulder blade that hurts, if the left one hurts, tilt your head to the left).
Hold your head as long as possible, while the muscles need to be tensed as much as possible.
Then tilt your head in the opposite direction and again tense your muscles as much as possible.
Relax and repeat the exercise after a couple of minutes.

For pain in the right side of the back, you can try these simple exercises:

With your feet shoulder-width apart, straighten your shoulders as much as possible and try to bring your shoulder blades together so that there is as little space as possible between the shoulder blades.
With your feet shoulder-width apart, clasp your hands and lift them up, placing them behind your head, while looking up, while trying to tense the muscles between your shoulder blades as much as possible.
Placing a tennis ball between your shoulder blades and rolling on it helps prevent muscle spasms, plus these actions are a small massage at home, done on your own.
In a sitting position, tilt your head forward, touching your chin to your chest, while using your hands to create resistance. As soon as you feel strong tension between your shoulder blades, you can relax and repeat the exercise after a minute.
Sometimes a simple hang on the bar helps.

Conclusion

Thus, there are many reasons why there is pain between the shoulder blades; only an experienced doctor can determine them after conducting certain studies. The patient’s task is not to ignore the pain and not to self-medicate, but to seek medical help as soon as possible.

It often happens that pain between the shoulder blades is a sign of serious diseases of the internal organs, and treatment should begin immediately.

If pain from the right upper back is a concomitant sign of organ diseases, then treatment has nothing to do with taking NSAIDs. If the discomfort on the right is associated with diseases of the back and joints, then treatment is traditional for such diseases: taking NSAIDs, corticosteroids, chondroprotectors, followed by a long course of rehabilitation, including massage, physiotherapy, diet, physical therapy.

Invaluable assistance in the treatment of pain in the right upper back is provided by special exercises aimed at relaxing the muscles of the neck and back, stretching the vertebrae and preventing pinched nerve roots. The great advantage of therapeutic exercises is its accessibility: the exercises do not require special physical training or any sports equipment.

Dear readers, that’s all for today, if you want to express gratitude, add clarification or objections, or ask a question to the author, leave a comment.