Causes

Muscular causes: Pain in the shoulder blade often has purely muscular causes. In addition to tension of the trapezius muscle (Musculus trapezius), there may be hardening in the rhomboid muscles (Musculus rhomboideus minor and Musculus rhomboideus major). Typical of pain in the shoulder blade caused by tension in the rhomboid muscles is an increase in the discomfort when the shoulder blades contract in the direction of the spine.

In addition, the pain often radiates into the arm and fingers. Rotator cuff syndrome: The term “rotator cuff syndrome” is an umbrella term for various symptoms caused by wear-related damage. Possible signs of wear and tear range from tiny tears (technical term: ruptures) in the tendon fibers to complete tendon ruptures.

The tendons of those muscles that are part of the so-called rotator cuff are particularly affected. In addition, in many cases the tendons of the biceps and shoulder rotators are also affected. In addition to the typical pain in the shoulder blade and the spine between the shoulder blades, affected patients also have severe restrictions on movement.In many cases, failure to provide suitable treatment leads to the development of inflammatory processes in the area of the tendon fibres and the bursa of the shoulder joint. Impingement syndrome: The term impingement syndrome (synonym: bottleneck syndrome) describes a disorder in which the sliding space of the tendons of the rotator cuff and the bursa between the head of humerus (caput humeri) and the acromion becomes increasingly narrow. The exact causes of this disease are still largely unknown.

Rib joint blocking

Synonyms:Blocking, Segmental Articular Dysfunction
Location of the greatest pain: Depending on the height of the blocked rib, local pain point, more to the side of the thoracic spine center. Very often between the shoulder blades. Strong pain with deep inhalation.
PathologyCause:Temporary, reversible “entanglement” of a rib-intervertebral joint with painful joint capsule tension.
Age:Mostly younger patients (20-35 years).
Frequently in young women with joint hypermobility.
Gender:Women > Men
Accident:Impact injury to the ribcage. Lifting/bending/twisting of the upper body or out of sleep.
Type of pain:Partly dull continuous pain. Light, stabbing pain when moving in the blocked direction.
Mostly pain radiating along the ribs into the chest.
Origin of pain:Sudden onset of pain (lifting / accident) or after getting up in the morning.
Pain occurrence:Permanent pain with persistent blockage. Pain of movement in a certain direction. Pain in movement of the arms.
Pain dependent on breathing. Pain provoked by pressure against the chest.
External aspects:Possible visible protrusion of a rib. Movement of the ribcage to different sides during breathing.