But the term "pain in the area of the vanes" is collective. Use it, if the pain is located:
- below the blade;
- directly on the shoulders;
- between the shoulder blades.
Pain under the shovel
The pain under the shovel, can be located to the right or to the left. On this basis they differ and why.
Stomach ulcer
The most frequent cause of pain in the area of the vanes is a stomach ulcer. The pain is localized in the epigastric, but may also spread in the chest department of the backbone, to the left of a spatula and to the left of the nipple.
The pain of gastric ulcer are characterized by periodicity, seasonality, the gradual increase, as well as the complete elimination or the weakening after vomiting.
The last and leads to the conclusion that the cause of the pain – failures in the functioning of the gastrointestinal tract. The vomiting appears to the height of pain, that is to say, when the strongest pain.
The majority (70%) of the patients there is also the following symptoms: heartburn, salivation, belching, regurgitation.
Psychological problems
The second measure of the prevalence of the cause are psychological problems. Pain syndrome describes patients as well:
- the feeling of "pour" the heart and the blood, and the feeling that the heart had stopped, the patients speak of that at the time of pain of an attack it seemed to them that the heart jump out of your chest;
- a tingling sensation;
- the feeling of compression;
- pressure;
- the severity;
- the heat in the chest;
- cold quake;
- the pain constantly radiates in the right-hand side, in the groin, the paddle, which can hurt the back and neck;
- anxiety.
- the feeling of fear.
- who in the throat (rare symptom);
- the lack of air (rare symptom).
The myocardial infarction
He only occupies the third place by the degree of prevalence. Myocardial infarction precedes a severe attack of angina. Appears a sharp pain by the sternum, which, as a general rule, it radiates and on the left side of the scapula, the back, neck, jaw.
The pain does not go away, even after the receipt of the vasodilator drugs (nitroglycerine, validol), help only narcotic pain relievers. In most cases, the pain in the field of the vanes occurs after emotional or physical.
The osteochondrosis of the cervical spine
Pain attack in the patients described in the following way:
- the dull pain, on one side only, located just below the nape of the neck;
- the sensation of pain caused by the morning, which is the cause of the wound of awakening;
- the pain intensifies to the excess of bending right to the extension of the neck, with heavy loads in the cervical region of the spine;
- when thermal effects of pain relief, for example, is sufficient to take a warm water bath;
- the pain radiates to the head and in the hand;
- paresthesias in the shoulder area;
- vertigo.
Intercostal neuralgia
Pain under the shovel, when intercostal neuralgia is herpes zoster paroxysmal nature. The pain intensifies when walking, deep breathing, coughing, sneezing, physical exertion, and to palpation. In some cases, there are other symptom is the excessive tension of the muscles.
It is because of this that the pain not only covers the area below the blade, but the kidneys, the heart, the back. Are frequent when intercostal neuralgia also of the sensation of tingling, burning sensation, disorders of sensitivity.
The perforation of a stomach ulcer
Pain syndrome that is characterized by:
- unbearable sudden pain, which radiates in supraclavicular area;
- nausea and vomiting;
- the person experiences a sense of fear, of excitement on his face covered cold then;
- the patient must force the situation – lying on the right side or on the back, pressing to the east of the hip in the stomach, intense pain;
- the activity involves the increase of the pain.
Spasm of the gallbladder (or bile ducts)
In this case, the pain usually occurs with the topic of the shovel, and stems from the fact that the drainage ducts get clogged stone. In the result, and develops colic:
- Appear unbearable, severe pain in nature;
- With the words of the patients stabbing pain, cut";
- The epicenter of pain is located in the area of the right hypochondrium;
- In some cases, the pain radiates to the shoulder, the neck, the jaw, the eyes.
A person suffering from such pain, in general, restless. He constantly changes your position in the search for a least painful option. As the characteristics of the pain it should be noted the fact that the phenomenon is usually accompanied by nausea and vomiting.
Subphrenic abscess
For such a case is characterized by a sharp pain in the shoulder, which is each time higher at the time of the inspiration. Very often, the pain radiates to the shoulder (to the right). As other manifestations of an abscess, you should call the leukocytosis, as well as the increase of the temperature.
Kidney disease, of an inflammatory nature (pyelonephritis, nephritis).
The presence of such diseases, is almost always present pain in the lumbar area and in the shoulder. At the same time we observe an increase in the frequency of urination, it gives the feeling of pain.
The injury of the scapula
The injury of the scapula can occur as a result of a strong blow in the area of the vanes or if it falls from the shoulder blade.
In some cases, the injury of the vanes (and the fracture) are a consequence of the failed falls on the elbow or on the ground hand in hand.
There are frequent situations when the fracture of the blades is complicated due to the displacement of the lower fragments as a result of the influence exerted on them by the nearby muscles.
The man are always present severe pain, which are intensified with each movement of the hands.
In most cases, the fracture of the blades is accompanied by swelling or swelling. Sometimes, changes in the shoulder joint can be seen and visually.
Pterygoid shovel
This phenomenon is pathological. As a general rule, pterygoid blade is the result of paralysis, a blow, trapezoidal, diamond or front zipper of muscle. The paralysis, in turn, can be the cause of the myopathy, neuroinfections or damage to the optic nerve.
There are, however, and traumatic pterygoid shovel, in development as a result of repeated injuries in the forearm or as a result of damage length of breastfeeding and the bread. Next to this is a case quite frequent in the practice of the athletes and circus artists.
Scapular crunch
In this case, as its name indicates, is feeling the crunch, sometimes with a moderate pain of the nature and meaning of gravity.
Osteomyelitis of the scapula
This phenomenon develops as a result of open, the bones of the damage (the best example is the wound of fire). As a general rule, the more symptoms are present all the signs of the general intoxication.
Pain between the shoulder blades
Finally, it is necessary to consider those cases in which the pain occurs between the blades.
Common character of all these situations is the presence of a stunning feeling, a certain glaze, as well as the feeling of crawling chills. Causes of the onset of pain are:
- Ischemic disease of the heart;
- Kyphosis, as well as kyphoscoliosis;
- Humeroscapular periarthrosis;
- The hernia clinic of the spine;
- The osteochondrosis;
- Intercostal neuralgia;
- The scoliosis;
- Spondiloarthrosis;
- Angina pectoris;
- The protrusion of the disk, is housed in the division of the spinal column;
- Duodenal ulcer 12, stomach;
- A number of diseases of the liver and the gallbladder.
It is worth noting, that the pain associated with the shoulder blades, often occur in the background of the professional activity, in one way or another related to the excessive tension of the relevant muscles.
In any case you can not neglect the pain, it is important to contact a specialist, which can prevent the development of adverse effects and quickly resolve the cause. Even if the pain has past, you should seem a doctor. Because the real problem is not going away by itself, it is necessary to treat.