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Sharp cramping pain in back under shoulder blades

Question by Eugene:

I Have a sharp grasping pain in the back and under the shoulder blades. Started to hurt on the right side due to shock, pain and now the left. Can't breathe deeply, hurts to sneeze. The pain is worse when I lie down.

Answer:

Good day. Pain in the back and under the shoulder blades after injuries can be for the following reasons:

  1. damage to the edges and spine.
  2. inflammation of the intercostal nerves (intercostal neuralgia).
  3. blood in the pleural cavity (with broken ribs).

Shortness of breath is often observed on the background of injury of the thorax or rib fractures. The radiating pain from one side to the other may indicate inflammation of the intercostal nerves.

To determine the cause of the above symptoms it is advisable to make x-rays of the ribs. It will show bone-destructive changes and to study the condition of the pleural cavity. If the air or the accumulation of blood in the pleural cavity, doctors do not find, can not worry about the breathing. Pain can be eliminated by non-steroidal anti-inflammatory drugs.

Be careful, such as diclofenac, Ketorolac, negatively affect the condition of the intestine. They provoke a stomach ulcer. Consequently, to eliminate inflammation injuries recommended nimesulide (Nise).