Shoulder pain in the back

introduction

Under a posterior shoulder pain refers to a pain that is mainly (not always exclusively) concentrated on the posterior portion of the shoulder joint. These include pain in the area of ​​the rear rotator cuff, cervical vertebra blockage, thoracic vertebra blockage, herniated disc of the cervical spine, movement disorder of the shoulder blade (scapula) or Torn muscle fibers in the shoulder .

A posterior shoulder joint pain can be caused by direct damage to the anatomical structures involved or as a transmitted pain in the case of damage to an anatomically distant location that is not causally an illness from Shoulder joint represent, arise.

Please note

Under no circumstances does the “self” diagnostic take the place of a visit to your trusted doctor! We also make no claim to the completeness of the differential diagnoses presented (alternative causes). We assume no liability for the correctness of the self-diagnosis you have made! We strictly reject any form of self-therapy without consulting your doctor!

Anatomy of the shoulder joint

1. Humerus head
2. Shoulder height (acromion)
3. Shoulder joint
4. Collarbone (clavicle)
5. Raven bill process (Coracoid)
6. Shoulder joint (glenohumeral joint)

Appointment with a shoulder specialist

I would be happy to advise you!

Who am I?
My name is Carmen Heinz. I am a specialist in orthopedics and trauma surgery in the specialist team of .

The shoulder joint is one of the most complicated joints in the human body.

The treatment of the shoulder (rotator cuff, impingement syndrome, calcified shoulder (tendinosis calcarea, biceps tendon, etc.) therefore requires a lot of experience.
I treat a wide variety of shoulder diseases in a conservative way.
The aim of any therapy is treatment with full recovery without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

• Lumedis - your orthopedic surgeon
  Kaiserstrasse 14
  60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
You can find more information about myself at Carmen Heinz.

To the diagnostic

Using our “self” diagnostic is easy. Follow the respective link offered, where the location and description of the symptoms best match your symptoms. Pay attention to the point of the shoulder joint where the pain is greatest.

Vertebral blockage

• Synonyms:
  Cervical spine obstruction, thoracic spine obstruction, segmental dysfunction
• Place of greatest pain:
  The pain typically radiates from the cervical spine, more rarely from the thoracic spine to the back shoulder. In a few cases only the back shoulder can hurt without noticing the blockage.
• Pathology / cause:
  If there is a blockage of the vertebra, the mobility between two vertebral bodies is impaired. Vertebral bodies are articulated to one another by small vertebral joints. These vertebral joints can “get caught” and thereby limit mobility in this part of the spine. This hooking can take place both in the flexed position (flexion blocking) and in the extended position (extension blocking) and on the right as well as on the left vertebral joint. This leads to the typical pain with restricted movement to the right or left in rotation (turning) and pain when bending or stretching. In the case of very pronounced blockages, all directions of movement can also be restricted.
• Age:
  It mainly affects younger hypermobile patients, some of them frequently recurring (recurrent).
• Gender:
  Women> men
• Accident:
  An accident can also cause a spinal column blockage, but mostly blockages arise from backward movement or sleep.
• Type of pain:
  piercing, bright
• Pain development:
  The pain felt is not caused by the jammed vertebral joint itself, but by the tension in the adjacent muscles that occurs as a reaction.
• Pain occurrence:
  Usually starting suddenly!
• External aspects:
  The tense muscles next to the spine are often visible as a bulge. Furthermore, the connective tissue hardens (swelling) over the affected muscles.
• Further information:
  

  You can find further information under our topics:

  • Vertebral blockage
  • disc prolapse
  • Spine

Where is your pain?

Medical terms on the subject of shoulder

For the exact anatomical assignment, we refer to the Anatomy Lexicon our page.

Here are some important location names:

• dorsal - back
• ventral - front
• medial - inside
• lateral - outside, laterally

Posterior rotator cuff tear

• Synonyms:
  Rotator cuff damage, infraspinatus muscle tear, teres minor muscle tear
• Place of greatest pain:
  Pain usually exists under the posterior roof of the shoulder, sometimes radiating to the upper arm, especially when externally rotated.
• Pathology / cause:
  A rotator cuff tear is usually one of the sequelae of an impingement syndrome. A shoulder tightness syndrome that has persisted for years leads to continuous wear and tear of the rotator cuff tendons. Sudden movements or an accident can completely tear the previously damaged tendons.
  Even a tendon that has not been previously damaged can tear due to a large amount of force as a result of an accident.
• Age:
  Increase in the disease with age.
• Gender:
  Men / women: 2: 1
• Accident:
  Usually the cause is wear and tear, in rare cases an accident can be the cause of the damage.
• Type of pain:
  pulling, stabbing.
• Pain development:
  Load-dependent. In the case of large tears, the loss of function of the tendon can simulate partial paralysis of the arm (pseudoparalysis).
• Pain occurrence:
  load-dependent
• External aspects:
  no

For more information, see: Rotator cuff tear

disc prolapse

• Synonyms in the broader sense:
  Nucleus pulposus prolaps, intervertebral disc protrusion, disc prolapse, protrusion, nerve root affection
• Place of greatest pain:
  A herniated disc can cause a variety of pains. Herniated discs of the cervical spine, especially C4 and C5, can cause pain in the back shoulder.
• Pathology / cause:
  The causes of a herniated disc are very diverse. As a rule, they are based on wear (degeneration) of the disc ring.
• Age:
  More often with increasing age, but also possible at a younger age.
• Gender:
  no gender preference
• Accident:
  Mostly due to wear and tear, rarely also due to an accident.
• Type of pain:
  Drawing pains radiating to the affected arm
• Pain development:
  Pressing the nerve root at the exit from the spine causes a malfunction of the nerve, which means that the pain can be partially perceived on the shoulder.
• Pain occurrence:
  often persistent pain
• External aspects:
  Usually none.

You can find further information under our topics: disc prolapse

Movement disorder of the shoulder blade

• Synonyms:
  Shoulder blade dysfunction, scapula dysfunction, shoulder blade cracking
• Place of greatest pain:
  Above the shoulder blade, especially above the muscle attachments at the upper and lower pole of the shoulder blade.
• Pathology / cause:
  The causes of a shoulder blade movement disorder are diverse. Possible causes include tendinitis on the shoulder blade (enthesopathy), shoulder blade malformations, but also muscle tension.
• Age:
  Mostly younger patients.
• Gender:
  Women> men
• Accident:
  No
• Type of pain:
  pulling, stabbing
• Pain development:
  load-dependent
• Pain occurrence:
  Load-dependent. Partly also pain at rest and at night.
• External aspects:
  No
• Further information:
  

  Further information on this topic can be found at:

  • shoulder blade

Bench press / bodybuilding

The bench press is next to the large and small pectoral muscles (Mm. pectoralis major & minor) also the Triceps (M. triceps brachii) and the Deltoid muscle trained. Bodybuilding is particularly susceptible to injury, as it is often used to train with weights in the maximum range. You can get through Warm up muscles, correct execution of training and possible support from partners - especially useful when bench press - prevent injuries. However, especially that move and the shoulder a source of pain in injuries. That's because at the rear shoulder on the one hand the Deltoid muscle with its "pars spinalis", that is, its rear part facing the spine arises. On the other hand, that also arises Triceps with one of its three heads on the shoulder blade. The origin of a muscle is that sinewy or fleshy connection between muscle and associated bones. The bone serves as the foundation for the muscle, which, figuratively speaking, is the winch.
So why is pain caused by overuse or injury right here? On the one hand, in bodybuilding the heavy weight can increase Tension lead in the muscles, which inevitably also lead back to the muscle origin. You also need the Triceps brachii muscle in numerous movements that you would not even associate with bodybuilding at first: A typical movement in which the rear part of the M. deltoideus is used, this is "Get the gel bag out of your pocket". Of the M. Triceps Brachii is also needed not only for bench press, but also for Put on the arm on the body - both movements that are performed several times a day and each time anew stimulate the points of origin on the back shoulder.
We all know the feeling after a very strenuous workout, when every muscle literally hurts and you have a strong one aching Has. Sore muscles are nothing more than smallest cracks of muscle fibers. These reconnect within days, regenerate and the muscle grows. However, if you exaggerate the load, for example with bench press or bodybuilding in general, larger cracks appear, up to the well-known Torn hamstring. This can also occur at the muscle origin at the muscle-bone connection and causes severe pain in the rear shoulder area. In individual cases it can even go up to Torn muscle come. Another point at risk in this regard is the origin of the short Biceps head on the anterior shoulder blade.