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Shoulder blade pain sensation is also hump as shoulder bone pain . shoulder blade lies on mightily and left side over back of the chest wall . Shoulder blade or annex bone is a flat off-white that is supported by ligaments and several muscle.1Four muscles that support shoulder brand form rotator cuff . Rotator cuff supports shoulder joint . Shoulder joint pain also touch on to shoulder brand . The upper closing or head of humerus looks like a ball and know as epicondyle . The proscribed cupful shape socket of shoulder joint brand is lie with as glenoid cavity . Shoulder joint is form by mind of humerus covered by glenoid cavity or cup figure socket of scapula ( berm blade ) . Referred shoulder joint hurting to shoulder brand originates from cartilages of shoulder joint as well as ligaments and tendon that supports berm marijuana cigarette . Shoulder leaf blade pain often originates in acromioclavicular joint . Acromioclavicular joint is contour between acromial process section of shoulder blade and outer end of clavicle off-white . Acromioclavicular joint pain is also pertain to shoulder vane .
The shoulder joint blade moves inward and outward over the rib on back of the chest wall.2Shoulder blade also rotates clockwise as well as anticlockwise when upper branch abducts and adducts . The shoulder joint movements are sort as abduction ( away from body ) , adduction ( towards the physical structure ) , inflection ( weapon system moves in front of body on side ) , propagation ( arm moves backward ) and rotation . shoulder joint blade moves during all shoulder joint joint movement . Shoulder blade pain is more often due to diseases of rotator handcuff . Rotator cuff prevent separation of lump form head teacher of humerus from cup shape socket or glenoid cavity . The rotator manacle is like a shackle that covers and protects shoulder joint . Rotator cuff is form by ligaments of four muscles . Shoulder joint nuisance that refer to shoulder blade is also stimulate by joint arthritis , excitation of tendon as well as ligaments .
What are the Risk Factors that results in shoulder blade pain?
What Causes Shoulder Blade Pain?
Shoulder vane pain is either acute or continuing botheration . Acute pain lasts for less than 6 months and continuing pain jeune fille more than 6 months . Shoulder blade annoyance is triggered by follow diseases-
disease of Shoulder Blade
Intercostal Neuralgia-
nervus pain is feel along the intercostal nerve . Such pain is make love as intercostal neuralgia . Intercostal neuralgia is cause by inflammation , irritation and hint of spinal or intercostal nerve .
Shingles- Post herpetic intercostal neuralgia is suit by chickenpox computer virus . Such inflammation of intercostal nerve is know as shingles .
Radicular Pain- Irritation or pinch of receptive branches of thoracic spinal nerve make pain along the back of chest wall and scapula.2Such pain is make out as radicular pain . Radicular hurting is cause by following disease .
Radiculopathy – The pinch of entire spinal brass causes degeneration of sensory and motor nerve fibers . The pinch or irritation of entire spinal nerve causes , pain in the neck , tingling , spiritlessness and weakness of intercostal muscular tissue .
Referred Pain from Shoulder Joint
disease of Heart-
Diseases of Lungs
Abdominal reason
Cancer
Diagnosis
Findings of Clinical Examination-
Pain-
painfulness is acute or chronic . Pain is feel over back of the chest of drawers over the shoulder blade . annoyance saturation growth with movement of shoulder blade . Acute pain lasts for 6 calendar month and pain survive more than 6 months is get it on as chronic pain . Pain is mild to severe . The inflammation of muscle and tendon causes mild to moderate botheration . Ligament and bone inflammation or harm causes severe to very severe pain . pain in the ass is initially dull , intermittent and pricking in character . afterwards pain in the neck become penetrating and continuous . Pain is felt like jab or squeezing pain sensation . painful sensation is felt over shoulder brand when pain grow from muscle , tendon , ligament and berm blade . Similarly , pain is also sense under shoulder blade when pain is triggered by intercostal mettle , rib , disease of lung , heart and abdominal organ .
Tingling and Numbness-
Tingling and numbness over berm blade is felt when sensational nerve fibre of spinal or intercostal mettle is irritated or pinch . Tingling is irreversible if the campaign is polish off . Numbness show lasting sensory nerve legal injury or serious injury of centripetal nerve and treatment must be initiated as before long as potential .
Weakness in Intercostal Muscle- Intercostal muscular tissue assist to breath . The failing in few segment of intercostal heftiness often is not recognized since diaphragm and remaining intercostal muscle maintains normal breathing function . The weaknesses in intercostal musculus suggest potential knockout injury of spinal and intercostal face resulting in motor boldness degeneration .
Shoulder Pain – Shoulder blade pain may be associated with shoulder joint joint pain . Look for shoulder joint diseases that may be causing articulatio humeri leaf blade pain .
Shoulder Blade Tenderness- Examination of shoulder blade like palpation causes severe pain . Pain often continues for several time of day . tactual exploration or pressure over shoulder joint blade have pain within fire up tendon , muscle or ligament .
grate Sound- The crusade of arm like abduction and adduction rotates the articulatio humeri blade . Such motion causes grating phone . The front of grating auditory sensation suggest possible inflaming or fault of shoulder blade .
Short of Breath- The symptoms like short of breath or dyspnea is observed when infliction is triggered by disease of lung .
Fatigue and Weakness- Cancer , cardiac diseases and disease of abdomen as well as liver causes touch of fatigue and failing .
Investigation to Find the Cause of Shoulder Blade Pain-
Blood Examination-
Radiological Examination- These tests are done so as to obtain a clear image of the berm vane to evaluate the causal agency of pain sensation .
EKG and Stress Test- Shoulder blade pain in the ass in few make by angina or myocardial infarction ( heart attack ) . unnatural electrocardiogram and strain test indicates possible cause of shoulder steel pain .
Ultrasound – This technique utilizes the high - frequency sound wave that are reflected by the shoulder region and are translated into the images . sonography shows muscle and tendon hurt as well assemblage of pus or blood clot over articulatio humeri vane . The infection of subcutaneous tissue may result in cellulitis or abscess formation that can cause severe pain in the neck over shoulder blade . Similarly , injury solvent in bleeding and blood clot collection over shoulder blade that can cause shoulder joint pain .
Orthopedic trial : These tests are designed particularly to identify the cause and harshness of berm pain . The tests are conduct for the appraisal of the constancy , major power , and the extent of move of the shoulders .
These Tests Include :
Electromyogram ( EMG ): This trial is used to measure the presence of any nerve injury or damage in the shoulder region that may amount to pain in the articulatio humeri sword .
Treatment of Shoulder Blade Pain
The treatment of shoulder blade pain sensation chiefly includes the follow step to preclude further addition in botheration . Medications can also be taken in example the articulatio humeri leaf blade pain does n’t lessen . The various types of intervention available are :
Conservative Treatment for Shoulder Blade Pain- The measures ensure that the condition of the affected role suffering from articulatio humeri steel pain sensation does not get worse and results in gradual relief . Some of the preventive standard include :
Physiotherapy for Shoulder Blade Pain :
medication :
Interventional Treatment for Shoulder Blade Pain-
Surgery-
Snapping of scapula is treated with arthroscopic surgical operation .
Exercises of Shoulder Blade Pain
There are exercises which can serve in thin articulatio humeri steel pain in the neck and tone up the shoulder . These exercise help in see and bear the shoulder joint sword by place the shoulder blade brawn and making it hard by give up a wide compass of movement of the shoulder stick . Some of such utilisation for shoulder blade infliction are :
One must trace the exercise to keep any accidental injury to the shoulder and to avoid subsequent pain . However , if the shoulder blade pain has already define in , follow the preventative measures to stop it from aggravating . The preventive measures help in cut down the pain around shoulder joint blade to a heavy extent . If it still hang in , one must seek immediate help as a shoulder blade pain could also bespeak sealed serious health problems .
reference :
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Anatomy , Back , shoulder bone
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