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Pain in scapula, breathing difficulty. Tried massage therapy. What is wrong?

I am having a pretty sharp pain just below my right scapula at the top of my lats when I breath deeply or move in certain ways. It has been going for almost 3 months now. I work out almost every day but over Xmas I stopped for over a week hoping that would help. I have tried heating it at night. I have tried massage therapy about 4 times. Nothin seems to help.
Asked On : Thu, 14 Mar 2013
Answers:  1 Views:  29
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General & Family Physician 's  Response

Please do not panic, the below mentioned are causes and may/may not be applicable in your case as the listed history is very limited its difficult to rule out many things.

Pain in the right scapula can also be caused by few things
1) Injury/ blunt impact on surrounding areas
2) nerve that may be getting pinched at some area where it lies between bone and ligaments
3) cervical rib (an extra rib that interfere with movement)
4) over calcified region of scapular bone leading to nerve irritation.
5) chances of cancer in the lung apical / apex / top most region of lungs. ( RARE CAUSE, if not smoking)
6) gall bladder issues in the right portion of the abdomen can send radiation pain up in right shoulder area. -------------------------------------------(rare cause if not drinking much alcohol / female of 40 yr/fertile/obese)

Go and see your physician as its a long term issue.

What mostly PHYSICIAN will do is as follow (just for knowledge)
1) Ask you to do X-RAY of chest and back for scapular area,
2) may ask for CT-scan/ MRI- if he/she thinks a possibility for nerve impingement.
3) will do some blood test and that will include the liver profile
4) Ultrasound to just avoid possibility of gallbladder issue , (just to be on safer side)

Answered: Fri, 15 Mar 2013
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