Having pain in back shoulder blade can affect your quality of life and limit arm and back movement. Fortunately, the majority of cases of this symptom are due to overuse or muscle strain and can be relieved with rest, ice, and medication. If your symptoms persist, consult a doctor for an examination of your condition and proper treatment.

Most commonly, the trapezius and rhomboids muscles that make up your shoulder blade are strained in a variety of ways. This may happen if you use your shoulders and arms for activities that require overhead arm movements, pulling, or throwing or if you have poor posture. A direct blow to the area, such as in a motor vehicle accident, can also cause muscle bruising and inflammation.

In some rare instances, pain under the shoulder blade can be a warning sign for more serious health conditions such as a heart attack or a blood clot. If your pain is accompanied by shortness of breath or chest pain, it is important to seek medical attention immediately.

To ease pain in your shoulder blade, you can apply hot and cold compresses to help reduce swelling. You can also try self-massage to loosen tight muscles and get more blood flowing to the affected area. If you do not find relief after these treatments, a physiatrist, chiropractor, or physical therapist can teach you specific exercises that will help ease the pain resulting from overuse and injury. They can also provide manual manipulation and other techniques to loosen stiff muscles and misaligned joints.