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Upper Back Pain

My pain started off as what I can only describe as a knot in a muscle behind my shoulder blade. I got my wife to massage the area with a heat rub and took some muscle relaxants but to no avail. Instead the pain has become less localised and now seems to cover the whole underside of my shoulder blade. On its own it is not too bad but deep breaths, coughing, sneezing etc make the pain much more severe speading through to my chest and down the back of my tricep muscle in the arm on that side of my body. Also lifting weight with this arm also brings on the pain.
This driving me insane as I have a physical job.
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st. louis, MO