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Sudden pain in back
Pain in the upper back shoulder blade while breathing it gets worse pain is also felt in chest while breathing
Answers (16)
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Most likely it's muscular pain . However if you have breathing difficulties with the pain , you need to consult a physician in your area.If not take pain reliever like zerodol p twice daily for 3 days and observe
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1)Chest x ray to exclude pneumothorax
2)Blood test- D-dimer, CBP, KFT
3)ECG
4)May need CTPA if CXR clear and high D-dimer
All the best.
www.jgsr-health-education.in
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Tab eterocoxib Mr two times a day after food for 7 days.
Hot water bag locally.
Volini spray locally two times.
Low pillow to use.
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Please consult a General Physician in your area for a physical examination and further management. Such aches and pains should not be treated by Tele-consultation.
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Pain in the upper back near the shoulder blade that worsens while breathing and is also felt in the chest is most commonly due to musculoskeletal causes, such as:
• Muscle strain or spasm around the shoulder blade or upper back
• Costochondritis (inflammation of rib joints)
• Postural strain from long sitting, computer work, or improper sleeping position
Because the pain increases while taking a deep breath, it may also be pleuritic pain, which can occur with:
• Chest wall inflammation
• Viral infection or pleurisy
• Rarely lung conditions like infection or pulmonary embolism
If the pain is localized, increases on movement or deep breathing, and improves with rest, it is usually muscle or rib-related rather than a heart problem.
Next Steps
You should monitor for any warning signs. Seek medical evaluation and consider ECG and chest examination if any of the following are present:
• Severe chest pain or pressure spreading to arm/jaw
• Shortness of breath
• Fever or cough
• Pain lasting more than 3–5 days
• History of recent injury, heavy lifting, or long travel
If symptoms are mild, the usual management includes:
• Paracetamol or mild anti-inflammatory medicine (if no contraindication)
• Local heat application to the upper back
• Rest and avoiding heavy lifting
• Gentle shoulder and back stretching
Health Tips
• Maintain good posture, especially if you work long hours sitting.
• Avoid sleeping on very high pillows which strain the upper back.
• Apply warm compress for 10–15 minutes twice daily to reduce muscle spasm.
• Gentle shoulder blade mobility exercises can help relieve tension.
• Practice slow deep breathing to avoid stiffness of chest wall muscles.
If the pain persists beyond a few days or worsens with breathing, a clinical examination and possibly a chest X-ray/ECG may be needed to rule out other causes.
You can also consult online and share more details about the pain location and duration so that I can guide you further and help arrange appropriate evaluation if required.
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Muscolo skeletal or asthma or pneumonia? Any fever or cough? Any history of jerks? Fall? Heavy weight lifts? Kindly consult with me on 94 two six eight six 78 nine six.
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Most likely its muscle strain .get a ecg to ruled out cardiac cause. Take proper muscle relaxants and painkiller to quick relief.
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Could be a muscle spasm or rupture.
Avoid any lifting or pushing weights, bending, undue back stretching. Take tab dolocide m.r one every 8hours for 4 to 5 days after meals.
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Dr. Koushik
MBBS
4 yrs exp
Karimnagar
I understand your concern. However, giving specific medical advice without a proper evaluation may not be safe or accurate. A brief consultation will allow me to understand your symptoms, medical history, and any reports you may have, so I can guide you properly. Please feel free to consult me here and I’ll be glad to assist you.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Pain in the upper back near the shoulder blade that increases while breathing and is also felt in the chest is usually due to pleuritic pain (pain related to breathing).
Possible causes:
• Muscle strain or costochondritis (most common)
• Pleurisy (inflammation of lung covering)
• Lung infection / pneumonia
• Pulmonary embolism (rare but serious)
• Gallbladder disease (sometimes causes right shoulder blade pain)
need urgent evaluation
• Severe chest pain
• Shortness of breath
• Fever or cough
• Sweating, dizziness, nausea
Recommended evaluation:
• Physical examination
• Chest X-ray
• ECG (to rule out heart cause)
Temporary advice:
• Rest and avoid heavy activity
• Paracetamol or mild painkiller if needed
• Warm compress if muscular pain suspected
If the pain is severe, sudden, or associated with breathlessness, she should visit emergency immediately.
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Dr. Saarika
General Physician
4 yrs exp
Chennai
Looks like muscular skeletal pain, but you need to get an ECG done to evaluate any cardiac issues
Next Steps
avoid any strenuous activity.
Do visit your nearby physician for general evaluation
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Dr. Sreeram Moukthica
General Physician
8 yrs exp
Hyderabad
Based on patients symptoms- it seems like a pleuritic pain, And considering the previous diagnostic conditions- pain can be associated with Gas/bloating or any inflammation caused by IBD in your muscles and bones ! U can check on gall stones and any inflammation caused in your lungs!
Seek Emergency care , if the pain is associated with SHORTNESS OF breath, any associated dizziness or the chest pain spreading to your arms - and this can be treated as emergency situation!
Considering your ongoing medication list-
Mesacol can cause chest pain ( as it can rarely present as acute condition)
Cizaspax - is used for your stomach motility- so not a treat, but please cross check how you feel after taking the medication
Next Steps
Please go to pulmonologist,general medicine or cardiac doctor to thoroughly evaluate u on physical examination,
An X RAY or CT chest can rule out the issue and if further needed, u can get a cardiac ultrasound along with an ECG!
And simple Abdominal ultrasound can rule out gall stones
Blood tests are recommended as per the signs elicited by your family doctor or the attending physician of your case
Thank you!
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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