Pain between the shoulder blades:
Pain between the shoulder blades (scapulae) can be caused from a number of structures. This pain is frequently from a neck problem (joint, disc, or nerve) and radiates or is referred to this area (similar concept as a heart attack causing left arm pain). Structures between the shoulder blades that can cause direct pain include the muscles, the thoracic spine discs, the joints between the vertebrae in the thoracic spine, and the joints where the ribs attach to the vertebrae in the thoracic spine. Internal organs such as the heart and lungs can refer pain to this area so it is important that it is properly assessed and that your physiotherapist works closely with your doctor to determine an accurate diagnosis. If the problem is due to a joint, muscle, disc or nerve your physiotherapist will be able to treat the cause. The physiotherapy treatment might include:
Education about the condition and how to avoid making it worse, which may include postural corrections or resting positions. .
Therapeutic modalities to improve circulation and/or
reduce inflammation and pain such as ultrasound, laser,
interferential current, electrical muscle stimulation,
acupuncture.
Exercises to stretch or strengthen the appropriate muscles.
Manual therapy to improve the movement in the area.
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Facet Joint Sprain:
This is a sprain of the ligaments that support the vertebrae in the spine. This is often caused by a forceful traumatic movement forcing the body into an extended and rotated position or a forceful flexion rotation (i.e. a motor vehicle accident, sports trauma, slip and fall). Like other joint sprains, the joint will initially be inflamed followed by the healing and remodeling of the ligaments.
Treatment includes:
Education about the condition and how to avoid making it worse.
Therapeutic modalities to improve circulation and/or
reduce inflammation and pain such as ultrasound, laser,
interferential current, electrical muscle stimulation,
acupuncture.
Exercises to stretch or strengthen the appropriate muscles.
Manual therapy to improve the movement in the area.
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