Back pain at right shoulder blade

If you find pain in your right posterior shoulder blade, you should first find out the cause based on your own situation. The causes of pain are complex. For example: pain caused by incorrect posture, colds, back muscle myofasciitis, lumbar spondylosis, liver and gallbladder, gastrointestinal tract and other diseases can also cause low back pain. Some people with certain medical knowledge can find the cause according to their own situation, and those who do not have a medical foundation can go to the hospital for diagnosis. The most common back pain disease is cervical spondylosis. The symptoms of cervical spondylosis are:

The clinical symptoms of cervical spondylosis are relatively complex. The main symptoms include neck and back pain, upper limb weakness, numbness of fingers, lower limb weakness, difficulty walking, dizziness, nausea, vomiting, and even blurred vision, tachycardia and difficulty swallowing. The clinical symptoms of cervical spondylosis are related to the site of the lesion, the degree of tissue involvement and individual differences.

1. Cervical spondylotic radiculopathy

(1) It has typical radicular symptoms (numbness, pain), and the range is consistent with the area innervated by the cervical spinal nerves.

(2) The head pressure test or brachial plexus traction test is positive.

(3) The imaging findings are consistent with the clinical manifestations.

(4) Pain point blocking has no significant effect.

(5) Diseases other than cervical spine such as thoracic outlet syndrome, carpal tunnel syndrome, cubital tunnel syndrome, frozen shoulder, etc. that mainly cause upper limb pain.

2. Cervical spondylotic myelopathy

(1) Clinical manifestations of cervical spinal cord damage.

(2) X-rays show bone hyperplasia at the posterior edge of the vertebral body and spinal canal stenosis. Imaging confirmed the presence of spinal cord compression.

(3) Excludes amyotrophic lateral sclerosis, spinal cord tumors, spinal cord injury, multiple neuropathy, etc.

3. Vertebral artery type cervical spondylosis

(1) The patient has had a history of cataplexy. Accompanied by cervical vertigo.

(2) The neck rotation test is positive.

(3) X-rays show segmental instability or bone hyperplasia of the axis joint.

(4) Often accompanied by sympathetic nervous system symptoms.

(5) Exclude vertigo caused by eyes or ears.

(6) Except for the insufficiency of the basilar artery caused by compression of the vertebral artery segment I (the segment of the vertebral artery before entering the transverse foramen of C6) and the vertebral artery segment III (the segment of the vertebral artery before leaving the cervical vertebrae and entering the skull).

(7) Vertebral arteriography or digital subtraction vertebral arteriography (DSA) is required before surgery.

4. Sympathetic cervical spondylosis

The clinical manifestations include a series of sympathetic nervous system symptoms such as dizziness, blurred vision, tinnitus, numbness of hands, tachycardia, precordial pain, etc. X-rays show instability or degeneration of the cervical spine. Vertebral arteriography was negative.

5. Esophageal compression type cervical spondylosis

Bird-beak-like hyperplasia in front of the cervical vertebrae compresses the esophagus and causes dysphagia (confirmed by esophageal barium examination), etc.

6. Cervical spondylosis

Cervical spondylosis, also known as local cervical spondylosis, refers to pain in the head, shoulders, neck, and arms and corresponding tenderness points. There are no obvious degenerative changes such as intervertebral disc stenosis on X-rays, but there may be changes in the physiological curve of the cervical spine, intervertebral instability, and mild bone hyperplasia.