What Are the Most Common Causes of Upper Back Pain when Breathing?

Pain of shoulder and back Pain of shoulder and back is a common clinical symptom, which is mostly caused by local bone or soft tissue disease of the shoulder and back. It may also be that the tumor has metastasized to the shoulder. Treatment should find the primary disease causing shoulder and back pain, and treat the cause. Treat symptomatically if necessary.

Basic Information

English name
shoulder and back pain
Visiting department
orthopedics
Common locations
Shoulder, back
Common causes
Pleural adhesion, lung cancer, tuberculosis, cardiovascular disease, biliary colic, pancreatic disease, stomach and duodenal tumors, tumor metastases to scapula, vertebra

Causes of shoulder and back pain and common diseases

Respiratory disease
Shoulder and back pain caused by respiratory diseases are usually in the back, lateral back or scapula. Common diseases include pleural adhesion, lung cancer and tuberculosis.
Circulatory system disease
Shoulder and back pain due to cardiovascular disease. Angina pectoris and myocardial infarction are the most common.
3. Digestive system diseases
Shoulder and back pain caused by digestive diseases, common biliary colic, pancreatic disease, stomach and duodenal tumors.
4. Bone tumor or organ tumor metastasis
Bone tumors or tumors of other organs, such as kidney, bladder, uterus, lung and other tumors, can cause shoulder and back pain caused by metastases to the scapula, vertebrae, and ribs.

Differential diagnosis of shoulder and back pain

Shoulder and back muscle pain
Shoulder and back muscle pain may be caused by cervical spondylosis or lumbar back muscle fasciitis.
2. There is faint numbness and discomfort in the back
Faint numbness in the back may be caused by neuralgia. Pain is one of the common symptoms of neurology. This kind of pain is pain that is felt without external stimuli. It is also called spontaneous pain. There are many types of spontaneous pain. According to the site of the disease, it can be divided into peripheral neuropathic pain and central neuropathic pain.
3. Respiratory diseases
Identification points: shoulder and back pain are often accompanied by respiratory symptoms and signs. Shoulder and back pain worsen during breathing. There were no lesions on the spine, no restricted movement, and no local tenderness. Chest imaging showed lung or pleural lesions.
4. Circulatory system diseases
Identification points: most of the pain site is located behind the sternum or precardiac area, can be radiated to the shoulder. Often induced or exacerbated by physical activity, and improves after rest. Pain is usually transient, and pain can be quickly reduced or disappeared after application of vasodilators and oxygen. Check the electrocardiogram at the time of the attack to find changes in myocardial ischemia.
5. Digestive system diseases
Identification points: pain usually has a fixed site. Such as biliary colic often involves the right chest and back; pancreatic disease often involves the left lower back; stomach and duodenal tumors or penetrating ulcers are often involved in the middle of the back. The onset of pain is often related to dietary factors. Ultrasound and gastrointestinal angiography can confirm the diagnosis.
6. Bone tumor or organ tumor metastasis
Identification points: The primary disease can be traced or traced back to the history of primary surgery. The pain symptoms continued to increase, and some patients could touch the mass. X-ray examination can find cancerous osteolytic or bone occupying lesions on the shoulder and back.

Shoulder and Back Pain Check

Routine physical examination, spine examination, chest imaging examination, electrocardiogram examination, ultrasound and gastrointestinal angiography, X-ray examination, etc.

Shoulder and back pain treatment principles

Find the primary disease that causes shoulder and back pain, and treat the cause. Relax yourself and treat symptomatically if necessary.
Ways to relax:
Raise elbows
Protect your chest with both hands, push your elbows firmly toward the spine, and lean your head back. Hold for 3 to 5 seconds and relax. Repeat 3 to 5 times.
Compete with Xiang
Place the neck and neck joints with both hands, press the neck forward, and tilt your head backwards to make the muscles strong. Do 5 times, or once along each section of the cervical spine.
3.Shoulder spin
Lift your shoulders, move them back towards the spine, then rotate and do 5 times.
4. Neck extension
Stretch your neck as far back as you can, lift your lower jaw as hard as you can, and relax for 3 to 5 seconds, then repeat.

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