A typical winging of scapula is due to paralysis of serratus anterior muscle due to damage of long thoracic nerve due to infection, inflammation or injury. Treatment is by physiotherapy and maybe surgery.
Pain under the left shoulder blade is usually a referred pain from abdomen like stomach ulcers, acidity, pancreatitis, or ectopic pregnancy or from the chest like in heart attack, pericarditis, pleuritis, pneumonia, pulmonary embolus, and aortic dissection. Pain under right shoulder blade is usually due to gall stones, duodenal ulcer and liver infection. Hence an ultrasound, liver function test and an upper GI endoscopy is needed for diagnosis. A pain between shoulder blades could be due to acidity or duodenal ulcer or due to dilated bile duct with involvement of pancreas or a combination of either. Hence you need to investigate for liver and gall bladder issues, pancreatitis with tests for serum amylase and lipase, and to rule out acidity or duodenal ulcer by taking omeprazole and seeing if your pain responds to it.
Since I cannot examine you and know other related conditions you may be having, nor is a detailed history possible on net, I have listed the various possibilities that should be looked into. Please consult your PCP to run tests and examination to clinch a diagnosis.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.