[54F] Experiencing sharp, consistent back pain under left shoulder blade

Patient Description

A 54-year-old female presents with a 7-day history of sharp, consistent pain located in the back directly under the left shoulder blade. The pain is described as deep and does not subside or change in character. Initially, there was a brief episode of nausea on the first day, which has not recurred. The patient denies any recent injuries, changes in breathing, shortness of breath, chest pain, fever, or unexplained weight loss. The pain is unaffected by deep breathing or coughing. The patient's medical history is significant for a colectomy performed in 1988 due to ulcerative colitis. Currently, the patient is on Valtrex for herpes management and reports no known drug allergies or other medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Musculoskeletal Pain: This is a common cause of back pain. It could be due to muscle strain, poor posture, or underlying conditions such as arthritis. However, this type of pain usually changes with movement, which you did not report.

    • Treatment often involves physical therapy, pain relievers, and lifestyle modifications such as improving posture and ergonomics.
  • Pancreatitis: This is inflammation of the pancreas, which can cause pain in the upper abdomen that radiates to the back. However, pancreatitis usually causes severe pain and is often associated with nausea and vomiting, which you did not report.

    • Treatment typically involves hospitalization, pain management, and treating the underlying cause.
  • Kidney Stones: These can cause severe pain in the back or side below the ribs, and the pain can be constant and not change with movement. However, kidney stones usually cause other symptoms such as changes in urination, which you did not report.

    • Treatment can involve pain management, drinking lots of fluids, and sometimes procedures to remove or break up the stones.
  • Shingles: This is a viral infection that causes a painful rash. However, you did not report a rash.

    • Treatment involves antiviral medications and pain management.

What you can do

  1. Continue to monitor your symptoms. If your pain becomes severe, seek immediate medical attention.
  2. Try over-the-counter pain relievers such as ibuprofen or acetaminophen. Always follow the package instructions.
  3. Rest and avoid heavy lifting or strenuous activity which could exacerbate the pain.
  4. Apply a warm or cold compress to the painful area.
  5. Stay hydrated and eat a balanced diet.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe pain
  • Fever
  • Unexplained weight loss
  • Difficulty breathing
  • Changes in urination
  • A rash in the painful area

Please remember that while I strive to provide accurate information, I am not a doctor. This advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

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People Also Ask


What are common causes of back pain under the shoulder blade?

Common causes of back pain under the shoulder blade include muscle strain, poor posture, arthritis, or less commonly, conditions like pancreatitis or kidney stones. It's important to consider the nature of the pain and any accompanying symptoms.


Could my back pain be related to my history of ulcerative colitis and colectomy?

While your history of ulcerative colitis and colectomy is significant, it is unlikely to be directly related to your current back pain unless there are complications or related conditions. It's best to consult with a healthcare provider for a thorough evaluation.


How can I differentiate between musculoskeletal pain and other serious conditions like pancreatitis or kidney stones?

Musculoskeletal pain often changes with movement and can be relieved by rest or over-the-counter pain relievers. Pancreatitis usually involves severe abdominal pain and nausea, while kidney stones often cause changes in urination. If in doubt, seek medical advice.


What are the signs that my back pain might be due to shingles?

Shingles typically presents with a painful rash that follows a nerve path. If you notice a rash developing in the area of your pain, especially if it is blister-like, seek medical attention for evaluation and possible antiviral treatment.


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