The right side of the shoulder and back pain, there are many reasons, can be due to different diseases, as well as the shoulder and shoulder is not the same, Cope a few of the more frequently encountered, you can correspond to their own performance to observe, I hope to help you, according to the priority from top to bottom.

The infraspinatus region strain

This is mostly seen in occupational diseases, such as teachers, hairdressers, laboratory personnel, often lifting the upper limb work, may lead to myofascial strain in this region, stimulate the nerve, resulting in localized pain, radiating to the shoulder pain, as long as through the manipulation to deal with the pain in the region of the excitation point, the symptom can be eliminated.

Thoracic outlet syndrome

The middle and anterior bundles of the trapezius muscle are hypertrophied and spastic, which can lead to entrapment of the brachial plexus nerves passing through them, which can lead to radiating pain and numbness in the shoulder, back, and upper limbs.

Local muscle strain

Back pain may be due to rhomboid muscle strain, shoulder pain may be due to deltoid muscle strain, you can touch the local tissues of the compression pain, the pain of the pressure will be consistent with the usual symptoms, this is more simple, can be handled by the massage ball self-treatment, the elimination of pain symptoms can be eliminated.

Cervical spondylosis

Some patients with cervical spondylosis, due to cervical disc herniation or cervical plexus nerve entrapment, stimulation of the nerves innervating the shoulder region and the back region, resulting in localized radiating caused by the pain, the treatment of this problem to treat the cervical spondylosis, and if the muscle pain is also to be treated simultaneously.

Conclusion

In fact, a few cases of frozen shoulder can cause back pain and shoulder pain, but the probability is not very high. It is best to diagnose the pain in person, from questioning, to palpation, to making a plan to try to solve the problem, and always start from the root cause of the pain, not the surface.

Right shoulder and back pain is also a symptom that people in ordinary life easily encountered, caused by this symptom of the common diseases are the following, although they will cause the right shoulder and back pain, but the severity of their degree of severity and other accompanying symptoms are also unique:

1. Right frozen shoulder: also called adhesive shoulder arthritis, is the cause of the right side of the back pain. The most common cause of back pain is the right side of the shoulder. It is mostly caused by degenerative changes in the soft tissues of the shoulder joint, long-term over-activity, poor posture, trauma or immobilization of the right upper limb for too long and improper treatment of contusion and pulling of the shoulder. The main manifestation of the right shoulder to all directions of the movement is limited and local pain, as the disease continues to develop, the scope of the pain has gradually expanded to the back of the right shoulder and the middle of the upper arm, the right upper limb can not be lifted up, and can not touch the back of the back of the back hand in severe cases. x-ray examination with varying degrees of osteoporosis of the shoulder, the nuclear magnetism*** vibration examination of the manifestations of the joint capsule thickening and bursal exudation.

2. Right-sided neck and shoulder pain: Mostly due to the sequelae of acute injury to the neck and shoulder, chronic strain and localized damp and cold stimulation. The actual pain in the neck and back of the shoulder is often manifested as chronic pain, which is aggravated in the morning or after the weather changes and coldness, and the pain will be reduced after the activity, which is often recurrent. During an acute attack, the local muscles will be spasmodic and rigid, and the activity will be limited to a certain extent. When encountered with weather changes, cold and damp, overwork and mental stress, the pain symptoms aggravated. x-ray examination can be different degrees of degenerative changes in the neck and shoulder bones, some patients with accelerated blood sedimentation, anti-hemolytic streptococcus 0 positive suggests that the lesion is related to rheumatic activity.

3. Pleurisy, tuberculosis of the upper lobe of the right lung: These two diseases also cause pain in the back of the right shoulder, often obvious when coughing or breathing exercise, but not simple shoulder and back pain, often accompanied by fever, lethargy, fatigue, and coughing, coughing up sputum, chest tightness, hemoptysis, and other symptoms of lung disease. Other symptoms.

4. Lung cancer: When right peripheral lung cancer invades the pleura in the late stage, it will cause pain in the right shoulder and back, especially when the right suprasellar tumor compresses the right thoracic outlet organs or tissues, it will cause severe pain in the chest and shoulder, varicose veins in the upper limbs, oedema, and limitation of upper limb movement.

5. Hepatobiliary system: Intrahepatic bile duct stones and cholecystitis are often associated with right-sided chest and back pain and right upper abdominal pain. The pain usually radiates to the right shoulder. It is often accompanied by fever, jaundice, nausea, vomiting, and other symptoms of inflammation of the hepatobiliary system.

6. Herpes zoster on the right shoulder and back Tingling in the skin and soft tissues of the right shoulder and back occurs 3-4 days before the rash appears, and the pain continues after the rash appears, but the diagnosis is clear.

Overall, the causes of right shoulder and back pain are complex, and it is not rigorous to identify the cause by pain symptoms alone. If you have persistent right shoulder and back pain, it is important to pay attention to it, and depending on the severity and extent of the pain and other accompanying symptoms, you should choose a targeted complementary examination to identify the cause as soon as possible, and then proceed to a rational and formal treatment.

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Right shoulder and back pain can be caused by a variety of factors, depending on how long the discomfort lasts! Simply sort out:

Can cause the right shoulder and back pain of the disease is probably, cold, wind, cervical spondylosis, fall sleep can sometimes involve these parts of the discomfort, and stomach discomfort may also radiate here, frozen shoulder, shoulder around the muscle group of a muscle damage, intercostal neuralgia, as well as coronary angina pectoris caused by radiating pain, the lungs of the occupation, etc.

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If there is no cardiovascular system, the premise of the digestive system disease, then it is likely that the cervical spine, muscle and other causes of pain or discomfort.

In fact, in the clinic often see some patients with cervical spondylosis, especially the nerve root type of cervical spondylosis, their pain is more obvious, the effect of the body position is very prominent, lying down does not hurt, standing pain, low head does not hurt, tilted headache, and even a part of the patient's pain is very obvious, do not dare to walk upright, and a part of the dare not to see the cold wind, do not dare to blow the air conditioning, the wind, the cold will aggravate the pain of the symptom, in general, except for In addition to the stiffness and discomfort in the neck, the pain is concentrated in the inner side of the subscapularis corner near the thoracic spine. Cervical spine nuclear magnetic can be diagnosed clearly. Treatment can be based on the age of the situation to choose the appropriate surgical or conservative treatment, the time is long, can not be anxious, slowly will be relieved.

Of course, this is only one aspect, if the pain is very long, affecting the life, activities, or recommended to go to the hospital to check, a clear diagnosis, early treatment! The first thing you need to do is to get a good deal on a new product or service!

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The right shoulder and back pain it is too many reasons, must be combined with the actual situation to judge, first of all, must be combined with whether there is a relevant history of trauma, if there is a certain history of trauma, it is likely to be the shoulder joint or scapula fracture caused by pain, or even rib fracture and pain, if you rule out the fracture of the factors need to be clear whether ligaments or tendon injuries caused by pain. If the fracture is excluded, it is also necessary to determine whether there is any ligament or tendon damage that causes pain, and sometimes it is necessary to carry out ct and nuclear magnetic testing of the shoulder. Secondly, there are some chronic shoulder diseases, such as frozen shoulder or cervical dorsal musculoskeletal fasciitis, or the axillary nerve has suffered a certain amount of compression, the incidence of this is not low in the clinic, including some previous traumas, after three or four years will also appear this situation. Secondly, there are other systemic diseases, such as cholecystitis, which can cause right shoulder and back pain, and even myocardial infarction, which is relatively rare. So in general the clinical symptoms are relatively mild, but we must find the underlying nature of the cause of the disease, different patients have different clinical manifestations, must be combined with the onset of the process of clinical examination, clinical examination, imaging, hematology, a variety of circumstances **** with the diagnosis, so that we can ultimately clarify the specific changes in the situation and factors. This will reduce the number of missed diagnoses and misdiagnoses, and ultimately lead to a fundamental cure.

Check the heart first, then the gallbladder!

Don't ignore the possibility of cholecystitis (gallbladder stones) if you have pain in the right shoulder and back. Often encounter such a situation, the right shoulder and back pain patients to the hospital, the first department is orthopedics or acupuncture, the doctor to the neck and shoulder and chest CT, magnetic *** vibration are examined can not find clear evidence. Then attempted acupuncture and massage, various Chinese medicine physical therapy was ineffective. Finally ultrasound found that the patient had gallbladder stones, and 95% of cholecystitis is caused by gallbladder stones.

Why does cholecystitis cause right shoulder and back pain?

Because gallbladder inflammation will stimulate the right phrenic nerve endings, and the phrenic nerve is composed of the 3rd, 4th, and 5th cervical nerves, and the 4th cervical nerve divides into dermatomes, and the endings travel through the skin of the shoulder. When the right phrenic nerve endings are stimulated, this signal travels through the phrenic nerve to the 4th cervical ganglion, and at the same time affects the sensory nerve fibers distributed in the skin of the right shoulder, causing the cerebral cortex to experience a misperception, mistaking it for incoming pain from the right shoulder. So the patient feels pain in the right shoulder. Due to the obvious digestive symptoms of acute cholecystitis, it is usually not easy to misdiagnose. While chronic cholecystitis may usually present with vague pain in the right upper abdomen, anorexia of greasy food or abdominal distension, patients often feel discomfort in the back of the right shoulder and right ribs, which is aggravated by prolonged standing or exercise. Because the symptoms are atypical and do not greatly affect the quality of life, many patients are only found during ultrasound.

Dr. Lu reminded: cholecystitis not only leads to right shoulder and back pain, but also induces angina. Because the heart and gallbladder are subject to the same vegetative nerve innervation, the two in the thoracic 4, 5 spinal nerve at the cross. When the gallbladder is infected, the bile duct resistance increases, will launch to cause coronary artery contraction, resulting in myocardial ischemia, heart pain. The clinical term is "bile heart syndrome".

See a lung and heart checkup

Neck and shoulder pain, back pain and so on these terms, in life can be said to be familiar. Especially in recent years, sitting in the office to face the computer, go home and lie down to brush the phone more and more people, resulting in this kind of discomfort in the past mostly seen in the middle-aged and elderly groups, now in all age groups of people have appeared, and even in the teenagers group is no exception. So what is the cause of right shoulder pain? What causes back pain? Today, let's analyze.

What is the cause of right shoulder pain? What causes back pain? --Cervical spondylosis is common.

Some people may say, cervical spondylosis is the disease in the cervical spine, how can cause right shoulder pain, back pain?

This is because, after the cervical spine degenerative changes, the joints lose their intrinsic stability, which is when the muscles play an important compensatory maintenance role to complete the physiological activities of the cervical spine function. The neck's various angular activities are several groups of muscles, including the trapezius, scapularis, and other synergistic cooperation *** with the participation of diastole and contraction to complete. Compensation in the muscle long-term in a state of tension in the movement, and ultimately the formation of neck and shoulder back muscle strain, causing pain.

So, all types of cervical spondylosis will lead to the symptoms of neck, shoulder and back back large soreness. And that's why many patients ask "what's the cause of the right shoulder pain, what's the cause of the back pain" and other related issues, the doctor will prioritize the cause of cervical spondylosis.

In addition, the spinal nerve branches of the fourth, fifth, and sixth cervical vertebrae extend to the back and innervate the skin and muscles of the back. When degenerative changes occur in the cervical spine, if the posterior branches of the spinal nerves in the fourth, fifth, and sixth cervical vertebrae are pulled, back pain can result.

In general, pain in the back of the neck, weakness in the upper limbs, spasms in the lower limbs, numbness in the fingers, dizziness and nausea, and even blurred vision and hearing loss are all symptoms of cervical spondylosis.

What causes right shoulder pain? What causes back pain? --There are a number of other disorders to be wary of as well.

Localized muscle sprains due to inappropriate neck movements, or incorrect sleeping positions, such as neck sprains and falling pillows, can also cause right shoulder pain and back ache. This type of condition is usually shorter in duration, and the pressure point is fixed at the site of the muscle strain, and the pain above the shoulder blade is more common, and more often accompanied by muscle spasms, resulting in limited movement of the back of the neck.

In addition, some common diseases can also cause related discomfort. For example, shoulder arthritis is mainly characterized by shoulder pain and limited movement; rheumatism can also cause pain in the joints, bones, muscles and related soft tissues, especially when the weather is cold and humid, the pain will be exacerbated, and so on.

Therefore, when the right shoulder pain, back pain and other symptoms, and rest can not be relieved, it must be timely examination, clear the condition of the active treatment, to avoid delaying the disease.

It may be a liver and gallbladder problem

The causes of right shoulder and back pain may be the following: first, myofasciitis, myofasciitis can lead to the back of the shoulder, shoulder blade medial pain, can lead to the same side of the upper limb numbness, weakness, especially in the exertion and the night time sleep pressure when the pain as well as numbness of the upper limb, the weakness of the symptom of the heavier. Second, gallbladder disease, when the gallbladder has stones or inflammation, there can be reflexive right shoulder and back pain, which should be diagnosed by relevant examinations. Third, cervical spondylosis, when cervical spondylosis compresses the nerves, the pain in the back of the shoulder can also occur, and then the cervical spine examination should be carried out for diagnosis. Fourth, lung disease or scapula tumor, when the lung appears the tumor of the tip of the lung, the tumor of the upper lobe or the tumor of the scapula, the pain of the back of the shoulder can also appear.