Pain In The Upper Back And Below The Shoulder Blades?

Illustration of Pain In The Upper Back And Below The Shoulder Blades?
Illustration: Pain In The Upper Back And Below The Shoulder Blades?

Good night. It’s been 3 days since I experienced pain in the back and around the right and left shoulder blades, sometimes accompanied by pain in the gut. Sometimes when resting or lying down, it still hurts. I also have a history of GERD. Is the pain caused by GERD or something else? R nThank you

1 Answer:

Thank you for asking I am dr. Princess Claudya will help answer your questions.

Back pain as you feel, can be caused by disorders of the structures in the back, such as the spine, ribs, muscles, nerves, ligaments, etc., such as in the following diseases:

Pinched nerve. This condition can be caused by muscle tension pinching the surrounding nerves or caused by the connecting part of the spine that is out of place and pinching the spine (hernia nucleus pulposus / HNP). The pain is usually felt in the back and the part that is innervated. In HNP, one of the risk factors is frequent lifting of heavy objects
Muscle pain (myalgia): can be caused by overexertion, incorrect posture when sitting or standing
Injury to the spine and surrounding tissue
Osteoporosis, which is pain due to bone fragility due to reduced bone mass. Usually occurs in the elderly or post menopausal women
Ankilosing spondylitis: caused by the body's immune system attacking the spine. Often accompanied by other autoimmune diseases such as uveitis, psoriasis, etc.

Apart from being caused by structures in the back area, back pain can also be caused by refered pain to certain organs, such as in the case of:

Chest pain due to coronary heart blockage
Gastroesophageal reflux (GERD): stomach acid that rises back into the esophagus
Inflammation of the stomach (gastritis)
Inflammation of the pancreas (pancreatitis)
Inflammation of the gallbladder (cholecystitis)

To confirm your condition, you should check with a general practitioner first. The doctor will dig further into your complaint and will perform an examination of the spine and nerves. If necessary, the doctor will perform supporting examinations such as x-rays, or refer you to an orthopedist, neurologist, or internal medicine specialist for further tracking. Specialists can also perform supporting examinations such as CT scan, bone densitometry, or MRI if needed. And after that the doctor will provide treatment for your complaint according to the underlying conditions.

Some things you can do at home to deal with complaints and prevent worsening are:

Get used to standing or sitting in an upright posture so as not to overload the spine
Avoid lifting heavy weights
Avoid constipation, which can worsen your back pain complaints, by consuming fiber-rich foods, namely fruits, vegetables, whole grains
Exercises, especially swimming, yoga, pilates, which focus on the spine can increase muscle strength and flexibility of ligaments in the spine
Use a back brace to help maintain good back posture and prevent worsening of the condition, especially if your case is HNP
You can take over-the-counter pain medications such as paracetamol to relieve your complaints

For your stomach complaints, here's what you should do to improve your symptoms and prevent their worsening:

Avoid eating foods that irritate the stomach such as spicy or acidic foods
Eat regularly, avoid eating late
Avoid smoking, alcohol, high caffeinated drinks
Avoid sleeping immediately after eating. We recommend that you give a break of about 2-3 hours

That is the explanation from me. Hopefully helpful and useful. Get well soon :)


dr. Princess Claudya

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