Recently, I have a backache in my right shoulder. What is the reason?

There are many reasons for the pain in the back of the right shoulder, which can be caused by different diseases. You can observe several common popular science problems, hoping to help you, from top to bottom.

Subgangland regional strain

This situation is more common in occupational diseases, such as teachers, hairdressers, laboratory technicians, etc. They often work with their upper limbs, which may lead to muscle and fascia strain in this part, stimulate nerves, cause local pain, and radiate to shoulder pain. As long as you deal with the pain points in this area manually, you can eliminate the symptoms.

thoracic-outlet-syndrome

Hypertrophy and spasm of the middle bundle and anterior bundle of scalene muscle can cause compression of brachial plexus nerve passing through it, which can cause radiation pain and numbness of shoulder, back and upper limbs. It is not feasible to deal with local muscle pain points, and the compression of brachial plexus must be relieved.

Local muscle strain

Back pain may be due to rhomboid muscle strain, and shoulder pain may be due to deltoid muscle strain, which can touch the tenderness of local tissues. The pressing pain will be consistent with the usual symptoms. This is relatively simple, and the pain symptoms can be eliminated by massage ball self-treatment.

cervical spondylopathy

Some patients with cervical spondylosis will be stimulated by cervical disc herniation or cervical plexus nerve compression, resulting in local radiation and pain. The treatment of this problem should treat cervical spondylosis, and if the muscles are also painful, they should also be treated simultaneously.

Conclusion In fact, a few scapulohumeral periarthritis can also cause back and shoulder pain, but the probability is not very high. It is best to diagnose the pain in person. From consultation to palpation to making plans to try to solve problems, we should start from the root of pain, not the surface.

Back pain in the right shoulder is also a common symptom in people's daily life. There are several common diseases that can cause this symptom. Although they all cause pain in the right shoulder and back, their severity and other accompanying symptoms also have their own characteristics: 1. Right scapulohumeral periarthritis: also known as adhesive shoulder arthritis, is a common cause of pain in the right shoulder and back. It is mostly caused by soft tissue degeneration of shoulder joint, long-term overactivity, poor posture, right upper limb trauma or too long fixation time, shoulder contusion and improper traction treatment. The main manifestations are limited movement in all directions of the right shoulder and local pain. With the continuous development of the disease, the range of pain gradually expanded to the right shoulder and back and the middle of the upper arm. In severe cases, you can't lift your right upper arm and touch your back with your backhand. X-ray examination showed different degrees of shoulder osteoporosis, MRI examination showed joint capsule thickening and synovial capsule exudation.

2. Right neck and shoulder pain: mostly related to sequelae of acute neck and shoulder injury, chronic strain and local wet and cold stimulation. Often manifested as chronic pain in the neck, shoulders and back, symptoms get worse in the morning or after the weather changes and catching a cold, and the pain will be relieved after the activity, often recurring. During acute attack, local muscles will twitch and become stiff, and their activities will be limited to some extent. When the weather changes, it is cold and humid, overworked and nervous, the pain symptoms will be aggravated. X-ray examination can make the bones of neck and shoulder have different degrees of degenerative changes. The erythrocyte sedimentation rate of some patients is accelerated. When anti-hemolytic streptococcus 0 is positive, it indicates that the lesion is related to rheumatic activity.

3. Right upper lobe pleurisy and tuberculosis: These two diseases can also cause pain symptoms in the right shoulder and back, which are often obvious when coughing or breathing, but they are not simple shoulder and back pain, and are often accompanied by symptoms of lung diseases such as fever, emaciation and fatigue, such as cough, expectoration, chest tightness and hemoptysis.

4. Lung cancer: Lung cancer around the right lung will cause pain in the back of the right shoulder when it invades the pleura in the late stage, especially when the tumor in the superior sulcus of the right lung oppresses the organ or tissue at the outlet of the right thoracic cavity, it will cause severe chest and shoulder pain, venous dilatation, edema and limited upper limb movement.

5. Diseases of the hepatobiliary system: intrahepatic bile duct stones and cholecystitis often have symptoms of right chest back pain and right upper abdominal pain. Pain usually radiates to the right shoulder. Often accompanied by fever, jaundice, nausea, vomiting and other symptoms of hepatobiliary inflammation.

6. Herpes zoster on the right shoulder and back. The skin and soft tissue on the right shoulder and back will have tingling symptoms 3-4 days before the eruption, and the pain symptoms will continue after the eruption, but the diagnosis is clear.

Generally speaking, the disease that causes the pain in the right shoulder and back is still complicated, and it is not rigorous to determine the cause only by the pain symptoms. If there are symptoms of persistent right shoulder back pain, we should pay attention to it. According to the severity and scope of pain and other accompanying symptoms, we should choose targeted auxiliary examination, try to find out the cause as soon as possible, and then carry out reasonable and formal treatment.

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If the pain in the right shoulder and back is caused by many factors, it depends on how long it is uncomfortable! Simply tidy up:

Diseases that can cause pain in the right shoulder and back are probably cold, cold, cervical spondylosis, stiff neck, and sometimes discomfort in these parts, as well as discomfort in the stomach, which may radiate here, scapulohumeral periarthritis, injury of a muscle group around the shoulder, intercostal neuralgia, radiation pain caused by angina pectoris of coronary heart disease, lung occupation and so on.

If there are no cardiovascular and digestive diseases, it is likely to be pain or discomfort caused by cervical vertebrae and muscles.

In fact, some patients with cervical spondylosis, especially those with radicular cervical spondylosis, are often seen in outpatient clinics. Their pain is obvious, and their posture has a prominent influence. It doesn't hurt when they lie down, it hurts when they stand, and it doesn't hurt when they bow their heads. Some patients even feel very obvious pain and dare not walk upright. Others dare not see the air conditioner or blow it. Wind and cold will aggravate the symptoms of pain. Generally, except for stiff neck, it is concentrated near the inner corner of scapula. Cervical MRI can make a definite diagnosis. Treatment can choose appropriate surgery or conservative treatment according to age. After a long time, you can't worry, and it will gradually ease.

Of course, this is only one aspect. If the pain lasts for a long time and affects life and activities, it is still recommended to go to the hospital for examination, definite diagnosis and early treatment! So as not to delay!

Welcome to add a message for the shortcomings!

There are too many reasons for pain in the right shoulder and back. We must judge according to the actual situation. First of all, we must combine whether there is a history of related injuries. If there is a certain history of trauma, it is likely to be pain caused by shoulder joint or scapula fracture, or even pain caused by rib fracture. If the fracture factor is excluded, it is necessary to determine whether there is pain caused by ligament or tendon injury. Sometimes the shoulder needs ct and magnetic resonance imaging. Secondly, there are some chronic shoulder diseases, such as scapulohumeral periarthritis or cervical dorsal myofascitis, or axillary nerve is compressed to some extent. The clinical incidence rate is not low, including some previous injuries, which will occur after three or four years. Secondly, consider some diseases of other systems. For example, cholecystitis can also cause pain in the right shoulder and back, and even sometimes myocardial infarction can cause pain in this part, but it is rare. So generally speaking, the clinical symptoms are mild, but the underlying causes must be found. Different patients have different clinical manifestations, so it is necessary to combine the pathogenesis, clinical physical examination, imaging examination, hematology examination and various situations to make a diagnosis, so as to finally clarify the specific changes and factors. Reduce missed diagnosis and misdiagnosis, and finally get a fundamental cure.

Check the heart first, then check the gallbladder!

Pain in the right shoulder and back, don't ignore the possibility of cholecystitis (cholecystolithiasis). It is often the case that patients with pain in the right shoulder and back go to the hospital. The first department is orthopedics or acupuncture in traditional Chinese medicine. Doctors have checked the CT and magnetic resonance of the neck, shoulder and chest, but they can't find clear evidence. Then try acupuncture and massage, and all kinds of Chinese medicine physiotherapy have no effect. Finally, ultrasound found that the patient had gallstones, and 95% of cholecystitis was caused by gallstones.

Why does cholecystitis cause pain in the right shoulder and back? Because gallbladder inflammation can stimulate the right phrenic nerve endings, which are composed of the third, fourth and fifth cervical nerves, and the fourth cervical nerve branch is a cutaneous branch, and the endings walk on the shoulder skin. When the right phrenic nerve terminal is stimulated, this signal will be transmitted to the fourth cervical ganglion through phrenic nerve, and at the same time, it will affect the sensory nerve fibers distributed in the skin of the right shoulder, causing the cerebral cortex to have an illusion and mistake it for pain from the right shoulder. So the patient will feel pain in his right shoulder. Acute cholecystitis is generally not easy to be misdiagnosed because of obvious symptoms of digestive tract. Chronic cholecystitis usually has symptoms of dull pain in the right upper abdomen, aversion to greasy food or bloating. Patients often feel discomfort in the right shoulder, back and right rib, which is aggravated after standing for a long time or exercising. Because the symptoms are atypical and do not affect the quality of life, many patients will only find them when they have an ultrasound examination.

Dr. Lu reminded that cholecystitis not only causes pain in the right shoulder and back, but also induces angina pectoris. Because both the heart and gallbladder are innervated by autonomic nerves, they intersect at the spinal nerves of Thoracic 4 and Thoracic 5. When gallbladder infection and bile resistance increase, it will cause coronary artery contraction, leading to myocardial ischemia and heart pain. Clinically, it is called "gallbladder-heart syndrome" See you later. Do a cardio-pulmonary examination.

These nouns, such as shoulder and neck pain, lumbago and so on, can be said to be familiar in life. Especially in recent years, more and more people sit in the office facing the computer and brush their mobile phones at home, which leads to this discomfort that used to be common in middle-aged and elderly people, and now it appears in people of all ages, even in teenagers. So, what is the cause of the pain in the right shoulder? What is the cause of back pain? Today, let's analyze it together.

What is the reason for the pain in the right shoulder? What is the cause of back pain? -Cervical spondylosis is very common. Some people may say that cervical spondylosis is caused by cervical spondylosis. How can it lead to pain in the right shoulder and backache?

This is because, after cervical degeneration, joints lose their inherent stability, and muscles play an important role in compensation and maintenance to complete the physiological activity function of cervical spine. Various angular movements of the neck are accomplished by several groups of muscles, including trapezius and levator scapulae, cooperating with each other to relax and contract. As compensation, muscles exercise under tension for a long time, which eventually leads to muscle strain of neck, shoulders and back, resulting in pain.

Therefore, various types of cervical spondylosis will lead to a large area of pain in the neck, shoulders and back. This is also the reason why doctors will give priority to cervical spondylosis when many patients ask questions such as "What is the cause of right shoulder pain and what is the cause of low back pain".

In addition, the spinal nerve branches of the fourth, fifth and sixth cervical vertebrae extend to the back and dominate the skin and muscles of the back. When the cervical spine has degenerative changes, if the posterior branches of the spinal nerves of the fourth, fifth and sixth cervical vertebrae are pulled, it will lead to low back pain.

Generally speaking, neck pain, upper limb weakness, lower limb spasm, finger numbness, dizziness and nausea, and even blurred vision and hearing loss are all symptoms of cervical spondylosis.

What is the reason for the pain in the right shoulder? What is the cause of back pain? There are other diseases that need to be vigilant. Improper neck movement or incorrect sleeping posture, such as neck sprain, stiff neck, etc., can also lead to local muscle sprain, leading to pain in the right shoulder, backache and backache. This condition usually has a short course of disease, the tender point is fixed in the muscle strain part, and the pain above the scapula is more common, often accompanied by muscle spasm, which leads to limited neck and back movement.

In addition, some common diseases can also cause related discomfort symptoms. For example, shoulder arthritis, mainly manifested as shoulder pain, limited activity; Rheumatism can also cause pain in joints, bones, muscles and related soft tissues, especially when the weather is cold and humid, the pain will be aggravated and so on.

Therefore, when there are discomfort symptoms such as right shoulder pain, backache and so on in life, which cannot be relieved after rest, we must check in time, make clear the condition and actively treat it so as not to delay the condition.

It may be a hepatobiliary problem.

The reasons for the pain in the right shoulder and back may be as follows: first, myofascitis can cause pain in the shoulder and back and the inside of the scapula, which can lead to numbness and weakness of the ipsilateral upper limbs, especially when you are tired and nervous at night. Second, the disease of the gallbladder, when the gallbladder has stones or inflammation, there can be reflex pain in the right shoulder and back. At this time, it is necessary to carry out relevant inspections before making a diagnosis. Third, cervical spondylosis, when cervical spondylosis compresses nerves, shoulder and back pain will also occur. At this time, the cervical spine should be examined and diagnosed. Fourth, lung diseases or scapular tumors, when lung apex tumors, upper lobe tumors or scapular tumors appear, shoulder and back pain can also occur, so diagnosis and treatment are needed.