Female right shoulder blade pain

If female friends often feel pain in the right shoulder blade, they should pay attention to observation. Many of the pains are paroxysmal, which may be caused by muscle strain or weather changes. They should pay more attention to keeping warm. However, if they find that their movements are restricted during the onset of the disease, they should go to the hospital for a comprehensive physical examination. It may be a symptom induced by a potential primary disease.

1. Shoulder pain

At first, the shoulder pain is paroxysmal, most of which are chronic. Later, the pain gradually intensifies or becomes a sudden pain or a knife-like pain, and is continuous. The pain often worsens with climate change or after fatigue. The pain can spread to the neck and upper limbs (especially the elbows). When the shoulder is accidentally collided or pulled, it often causes tearing pain. Shoulder pain is lighter during the day and heavier at night, which is a major feature of this disease. Most patients often wake up in pain in the second half of the night and cannot fall asleep, especially cannot lie on the affected side. This situation is more obvious in those caused by blood deficiency. If the pain is caused by cold, the patient will be particularly sensitive to climate changes.

2. Limited activity

The movement of the shoulder joint in all directions may be limited, especially in abduction, elevation, internal and external rotation. As the disease progresses, long-term disuse may cause adhesion of the joint capsule and soft tissues around the shoulder, and muscle strength gradually decreases. In addition, the coracohumeral ligament is fixed in a shortened internal rotation position, which restricts the active and passive movements of the shoulder joint in all directions. Actions such as combing the hair, dressing, washing the face, and putting hands on the waist are difficult to complete. In severe cases, the function of the elbow joint may also be affected. When the elbow is flexed, the hand cannot touch the shoulder on the same side, especially when the arm is extended backward, the elbow flexion cannot be completed.

3. Fear of cold

The affected shoulders are afraid of cold, so many patients wrap their shoulders with cotton pads all year round. Even in summer, they dare not let the wind blow on their shoulders.

4. Tenderness

Most patients can feel obvious tenderness points around the shoulder joint, most of which are in the tendon groove of the long head of the biceps brachii. Subacromial bursa, coracoid process, supraspinatus muscle attachment point, etc.

5. Spasticity and atrophy

In the early stage, the deltoid muscle, supraspinatus muscle and other muscles around the shoulder may experience spasm, and in the late stage, disuse muscle atrophy may occur, with typical symptoms such as protrusion of the shoulder process, difficulty in raising the shoulder, and difficulty in bending backward. At this time, the pain symptoms are actually alleviated. There is mild atrophy of the deltoid muscle and spasm of the trapezius muscle. There may be obvious tenderness in the supraspinatus tendon, the long and short head tendons of the biceps brachii, and the anterior and posterior edges of the deltoid muscle. The limitations of shoulder joint are most obvious in abduction, external rotation, and extension.