Unexplained upper back pain

Posted by catlady87 @catlady87, Mar 2 4:21pm

I've had chronic pain in my upper back, around my shoulder blade (but not the shoulder itself) for years. It seems concentrated between my spine and shoulder blade, but can spread to my elbow, my pectoral muscle and muscle below my shoulder blade. It's like a loop around my actual shoulder. Xrays and MRI don't show anything. Typical blood work was normal. I'm on my 4th round of PT. I go to a chiropractor and get massages regularly. Dry needling seems to help a little. When the pain gets bad, it's sharp and sort of pulsing. Then the muscles can be sore for a few days after. It almost feels like if I use the angry muscle or turn the wrong way it's like pulling on a tight string. Sometimes massage can make it worse. Ibuprofen helps sometimes but ice can make it worse. Heat doesn't always help either. Muscle relaxers don't help much besides helping me sleep. It's worse at night, especially after sitting at my desk, driving, or sitting on the couch and when I first lay down. I'm wondering if anyone has had similar pain or has suggestions of what other kind of doctor or test to try? Everywhere I go I just seem to get told "I don't know." And given the same exercises that didn't help the first time. I don't know what else to try and my doctors aren't giving me any other suggestions.

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@catlady87

This sounds very similar to my issue. Does the dry needling help at all? It has definitely helped loosen my muscles, but not completely and it doesn't last forever. There has got to be some reason why some of us have these muscles that won't relax.

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I get this upper back pain but I went to a rheumatologist, chose them myself and they diagnosed fibromyalgia.Always bothers me when drying dishes or spending two hours in the kitchen, told they were tight, but there are risks with neck massage so just put up with it.However the rheumatologist said the best antidote was exercise and I don't take pills due to side-effects.

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@catlady87 do you sit in the same position with your computer, tablet, cell phone, etc? I’ve found that I usually sit in my same easy chair with my arms in the same position and the result is pain across my shoulder blades. I have a compensating scoliosis in that area so my left side is weaker than the right. So one side pulls on my thoracic spine. I also have OA of my entire spine as well.

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catlady87, mine sounds exactly like yours. I have slight scoliosis to the left which gives me rotation ( a different plane) to the right. I've been reading that scoliosis that begins in the lumbar region results in upper body rotation in the opposite direction. This rotation in the spine raises the connecting rib, just slightly. so that the rib rubs uncomfortably against the muscle under the shoulder blade. My scoliosis has it's highest degree under the shoulder blade. The counter rotation is at T2 and T3. The chiropractor can reposition the vertebra which gives me instant relief which I lose after sitting for long, unless I use a pool noodle vertically behind the aching side which would be the opposite of the scoliosis rotation.
None of this is evident in a supine MRI.
You might see a chiropractor. They are easy to get in to see. You don't have to have an adjustment, but they can tell you about the mechanics of your back by feeling your bones.
The discomfort is annoying.

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Try MFR deep myofascial tissue release there’s a section on it at the Mayo Clinic forum online. If you are an older person that may be from repetitive motion activities like working brought on by your profession. As we get older, our muscle groups weekend and they attach to each other And they pull on ligaments and bones, causing lots of pains deep my facial tissue release will tell you if that’s where your solution lies. Which I think it is because it sounds like it from the areas you explain and how they are involved. Try a couple different therapist because they each work differently And if it has been brought on by poor posture and a lifetime of work, you’re going to have to do this on an ongoing basis to age better. Unfortunately, I was born very round shoulder, and I was also an artist working very long hours and still continue to abuse my body. I also have degenerative disc disease so I’ve also had multiple surgeries that involve my spine and bones. However, I continue to struggle with placing a demand on my musculature because I want to continue to do art and work at 68. So for me a myofascial release therapist is going to be something I have to figure in probably for the rest of my life as well as a good exercise routine as well as cutting back on hours. I go twice a month and I could sit for nine months now and I can really feel over nine months the muscles breaking down as groups. However, when I work long hours still doing Art they’ll clump back together because that’s a lifetime habit.. There’s a saying “you play you pay“. It should’ve been “you work, you wear“

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