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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Pain In The Shoulder Blades And Back Be Treated?

I have recently had a terrible pain in my back between my shoulder blades that goes through to my chest. I cannot eat anything without feeling discomfort since I had a terrible pressure in my chest. I ve been told I have Esophagus spasm and a medicine has been ordered called remeniden? My real concern is I have mucus from my throat every morning that is cream in color and I haven t felt well in some time. Tired and weakness. I have been told a few yrs ago that I have a hiatal hernia. I don t know what is causting the mucus, tiredness and weakness. My middle back hurts since having this episode. Thank you for your response.
Mon, 23 Oct 2017
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Internal Medicine Specialist 's  Response
Hello dear patient

Pain between the shoulder blades, otherwise known as interscapular pain, can have many causes. While this symptom is commonly caused by something as minor as a muscle strain, it's important to be aware that it may also be a sign of something more serious, sometimes something as serious as a heart attack or lung cancer.


What are some conditions that can cause this pain, what questions may your doctor ask you, and what tests might be recommended to get you answers?

Structures between the shoulder blades include:

1.Skin(herpes zoster)

2.Muscles: The muscles present in the region between the shoulder blades include the rhomboids and middle and lower trapezius muscles. These muscles play a key role in keeping the shoulder blades back and down.

3.The thoracic spine(cervical and thoracic spine spondylosis)

4.The thoracic aorta (the thoracic part of the largest blood vessel which carries blood from the heart to the rest of the body.

5.Part of the esophagus (GERD, esophageal spasm)
6.Part of the heart(heart attack etc)
7.A portion of the lungs(pleuracy, pneumonia, pulmonary embolism)

so any thing happened above mentioned organs cause shoulder blade pain.

For you esophageal spasm may be one of the cause for pain.

Tricyclic antidepressants may help for it.

Please consult your doctor if symptoms are not improved.
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How Can Pain In The Shoulder Blades And Back Be Treated?

Hello dear patient Pain between the shoulder blades, otherwise known as interscapular pain, can have many causes. While this symptom is commonly caused by something as minor as a muscle strain, it s important to be aware that it may also be a sign of something more serious, sometimes something as serious as a heart attack or lung cancer. What are some conditions that can cause this pain, what questions may your doctor ask you, and what tests might be recommended to get you answers? Structures between the shoulder blades include: 1.Skin(herpes zoster) 2.Muscles: The muscles present in the region between the shoulder blades include the rhomboids and middle and lower trapezius muscles. These muscles play a key role in keeping the shoulder blades back and down. 3.The thoracic spine(cervical and thoracic spine spondylosis) 4.The thoracic aorta (the thoracic part of the largest blood vessel which carries blood from the heart to the rest of the body. 5.Part of the esophagus (GERD, esophageal spasm) 6.Part of the heart(heart attack etc) 7.A portion of the lungs(pleuracy, pneumonia, pulmonary embolism) so any thing happened above mentioned organs cause shoulder blade pain. For you esophageal spasm may be one of the cause for pain. Tricyclic antidepressants may help for it. Please consult your doctor if symptoms are not improved.