Esophageal Cancer Pain Between Shoulder Blades

People suffering from shoulder blade pain experience varying degrees of discomfort, including muscle spasms, limited range of motion, weakness of the arm closest to the affected shoulder blade, and aching, dull, or sharp pain specific to the area in question.

Before we discuss the relationship between shoulder blade pain and acid reflux and GERD, we need to define these GI problems clearly.

The resulting predominant symptom people feel is a burning sensation in the chest area. This is what is commonly referred to as “heartburn.”

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Gastroesophageal reflux disease or GERD, is a severe form of acid reflux disease where people have regular, consistent symptoms of acid reflux with no relief.

Some other common symptoms of GERD include upper abdominal pain, difficulty swallowing, a sensation of a lump in your throat, a sour taste in your mouth after waking up, and bad breath.

Due to the extensive network of nerves that interconnect various organs and tissues, the pain signal sensed and interpreted by the brain is felt in the tissue nearby.

Shoulder Blade Pain

Specifically, the sensory nerves in the esophagus share the same ascending signal pathway to the brain as the phrenic nerves that communicate pain in the diaphragm and abdominal area.

Back pain; rather, the intensity of heartburn is so marked that the pain felt in the chest and esophagus will radiate to the area between your shoulder blades.

For example, you can try eating “GERD-safe” foods such as oatmeal, bananas, green vegetables, root vegetables, melons, yogurt, and foods with high water content.

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One effective yet simple exercise you can do anywhere is to bring your straightened right arm directly in front of you, place your left hand on your right elbow, and gently pull it toward your left side.

Hold the stretch for at least 30 seconds, breathing slowly and deeply. You should feel a really nice stretch in your shoulder blade area. Repeat the same stretch with your left arm.

Targeted back-strengthening exercises help create stability in the back area and help with faster recovery. Resistance band pull-aparts are great for this purpose.

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Choose a resistance band you can comfortably pull apart with your hands, stand or sit upright, hold the band out directly in front of you at shoulder width, and gently pull it apart.

Bring it back to the starting position, and repeat it 10 – 15 times. Rest for one minute, and repeat the exercise one more time. You can do this 2 to 3 times a week.

However, these symptom-reduction strategies may not be enough for most people. This is likely true for people suffering from GERD or severe acid reflux.

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These inexpensive options work for occasional heartburn. Common examples are Tums and Rolaids. The thing to remember about these products is that they work for a very short time, usually only 30-60 minutes before the heartburn symptoms return.

The reason is that they do not work to reduce stomach acid directly, but rather form a temporary bubbly layer on top of your gastric contents. When these bubbles dissipate inside your stomach, the heartburn returns.

A longer-acting treatment option is the use of H2 receptor antagonists. These medications can be purchased over-the-counter and work by binding to the receptors in your stomach involved in acid production.

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The best class of drugs used to treat frequent, persistent, or severe heartburn and GERD are the proton pump inhibitors or PPIs.

They work well because their site of action in the body is directly where stomach acid is produced, the hydrogen-potassium ATPase pump.

If you decide to try a PPI, please consult your doctor first, as they may interfere with your prescription medications. However, most of these interactions are not clinically significant, and PPIs can be taken relatively safely.

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Another important point to note is to ask your doctor if your symptoms are consistent with GERD vs. Gastritis. If you wish to learn more about this topic, you can read my article here.

Also, it is important to note that these medications take 1-4 days to take full effect, unlike the H2 antagonists – so you need to give them time to work.

If you are considering PPI therapy (some people refer to them as the purple pills for acid reflux), ask your doctor if they are comfortable with you starting dual treatment with the PPI and an H2 antagonist for the first week.

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This regimen must be approved and overseen by your doctor. If your doctor suspects that you have GERD, a proper diagnosis must be completed first. If GERD is confirmed, proper treatment options must be initiated. This is because untreated GERD can cause esophageal cancer.

As with any other part of the body, any damage or injury to a muscle or tendon in the general area of the shoulder blades can bring about pain.

Muscle strain: This is perhaps the most common cause of scapular pain. Any heavy lifting or intense workout, poor posture, sitting at the computer for extended periods of time, or even sleeping in an atypical position can trigger this type of pain.

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Injuries:  Any injury to muscle or tendon in and around the general area of the shoulder blades can be felt as pain here as well. As I mentioned above in my discussion above about the relationship between interscapular pain and GERD/acid reflux disease, referred pain can result.

You should seek immediate medical attention, ESPECIALLY if you or a loved one are experiencing the following symptoms in addition to pain between the shoulder blades:

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Can Pain Between Shoulder Blades Be Caused By Acid Reflux?

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