shoulder and back pain
Introduction
Introduction Pain in the back of the shoulder to the back and back, called shoulder pain. There are many patients with shoulder and back pain, most of which are caused by local bone or soft tissue diseases of the shoulder. It is also possible that the tumor has metastasized to the shoulder. Therefore, after the treatment, the back pain can not shoulder pain, shoulder pain, medical back, blind massage, scraping, cupping and other treatment methods, so that patients lose the best treatment opportunity. Common causes are caused by local bone or soft tissue diseases in the shoulder, and the disease of the organs is reflected to the shoulder and back or other parts of the tumor. The shoulder and back pain caused by the transfer of the tumor to the shoulder and back, and the shoulder and back pain caused by respiratory diseases.
Cause
Cause
1, the common cause is caused by local bone or soft tissue disease of the shoulder.
2. Others have scapular pain caused by organ diseases that are reflected to the shoulders or other parts of the tumor and transferred to the shoulders and back.
Shoulder and back pain caused by respiratory diseases, usually in the back, side back or shoulders, common diseases are pleural adhesions, lung cancer and tuberculosis.
Examine
an examination
Related inspection
Electromyography molybdenum target X-ray examination Codyman sign
(1) Generally, the primary disease can be traced or traced back to the history of primary tumor surgery.
(2) The pain symptoms are persistently aggravated, and some patients can reach the mass.
(3) X-ray examination can be found in the shoulder and back with cancerous osteolysis or bone occupying lesions.
Diagnosis
Differential diagnosis
1, shoulder and back muscle pain: shoulder and back muscle pain may be caused by cervical spondylosis, may also be caused by low back muscle fasciitis or phlegm.
2, the back has a vague numbness discomfort: the back has a vague numbness discomfort is considered to be caused by neuralgia. Pain is one of the common symptoms of neurology. This kind of pain refers to the pain that is felt without external stimuli, also known as spontaneous pain. There are many types of spontaneous pain, and the lesions can be divided into peripheral neuropathic pain and central nervous pain.
3, shoulder blade soreness: the scapula is also called the tibia and fibula. Located behind the thorax, it is a triangular flat bone between the 2nd to 7th ribs. Scapular soreness is caused by long-term deformation of the muscles. It may also be caused by chronic muscle inflammation due to a long-term posture.
4, the continuous pain of the back of the back: the continuous pain of the back of the back is mostly caused by the injury of the lower back, common in lumbar muscle strain, back muscle fasciitis, lumbar disc herniation.
Respiratory diseases
Shoulder and back pain caused by respiratory diseases, usually in the back, side back or shoulders, common diseases are pleural adhesions, lung cancer and tuberculosis.
Identification points:
(1) shoulder and back pain is often accompanied by respiratory symptoms and signs.
(2) Increased shoulder and back pain during breathing.
(3) The spinal examination has no lesions, no movement, and no local tenderness.
(4) Chest imaging examination showed lung or pleural lesions.
Circulatory disease
Shoulder and back pain caused by cardiovascular disease. With angina pectoris, myocardial infarction is the most common.
Identification points:
(1) The pain site is mostly located behind the sternum or in the anterior region, and can be radiated to the shoulder.
(2) It is often induced or aggravated by physical activity and improved after a break.
(3) Pain is often transient, and the pain can be quickly alleviated or disappeared after the application of vasodilators.
(4) Examination of the electrocardiogram at the time of onset can reveal myocardial ischemia changes.
Digestive diseases
Shoulder and back pain caused by digestive diseases, common biliary colic, pancreatic disease, stomach and duodenal tumors.
Identification points:
(1) Pain generally has a fixed site. For example, biliary colic often involves the right chest and back. Pancreatic diseases often involve the left lower back. Gastric and duodenal tumors or penetrating ulcers are often involved in the middle of the back.
(2) Pain attacks are often associated with dietary factors.
(3) Ultrasound and gastrointestinal angiography can confirm the diagnosis.
Bone tumor or organ tumor metastasis
Bone tumors or other organ tumors, such as kidney, bladder, uterus, lung and other tumors, can be transferred to the shoulder blades, vertebral bones, ribs can cause shoulder and back pain.
The main points of identification are:
(1) Generally, the primary disease can be traced or traced back to the history of primary tumor surgery.
(2) The pain symptoms are persistently aggravated, and some patients can reach the mass.
(3) X-ray examination can be found in the shoulder and back with cancerous osteolysis or bone occupying lesions.
