Pseudocardialgia or false pain in the heart with osteochondrosis

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The heart is located in the center of the chest.
It is densely surrounded by other organs and anatomical structures. In this article we will look at what is below the heart. Sections of the article

Diaphragm

What organ is located under the heart?

Left lobe of the liver

Stomach

Pancreas

What hurts in the left side and what does it mean?

1. Physiological pain in the left side

. Perhaps the most “harmless” signal from the body. Physiological pain can occur as a result of running. The spleen fills with blood and puts pressure on its own membrane, which causes pain. That is why it is necessary to warm up thoroughly before running and maintain even breathing during activity. There is no need to be afraid of such pain, just stop and catch your breath, and when the pain subsides, return to training, slowing down the pace a little.

2. Intestines

. There can be many reasons for pain in the left intestine: intestinal infection, colic, neoplasm growth, irritable bowel syndrome. If the pain is one-time in nature and goes away on its own after a couple of days, there is no need to worry. If the pain continues for more than two days, becomes constant and interferes with normal life, you need to consult a doctor and undergo an examination.

3. Pancreas

. Is the aching pain in your left side constant and worsens after eating? This may be a symptom of chronic pancreatitis, that is, inflammation of the pancreas that occurs due to repeated damage to the organ. If such pain occurs for the first time, but persists for several days, you need to conduct an examination to detect acute pancreatitis.

4. Stomach

. Most of the stomach is located on the left side of the abdominal cavity, so pain associated with this organ most often occurs on the left side. Acute pain in the upper abdomen may indicate gastritis or peptic ulcer. It can occur in both adults and children. Therefore, if a child complains of pain in the left side, he needs to be seen by a doctor immediately.

5. Kidneys

. In diseases associated with the excretory system, pain is often felt in the lumbar region. Severe pain that spreads down the ureter and to the perineum can be caused by renal colic, which occurs when a stone enters the ureter. If the pain is dull, aching, radiating to the lower abdomen, this may be a symptom of pyelonephritis.

Remember that only a specialist can make an accurate diagnosis based on your complaints and the results of additional examinations and tests. Do not panic if pain appears once; anyone can experience it. However, if the pain is accompanied by additional symptoms, then you should pay closer attention to it.

Possible reasons

There are many reasons that can cause pain and tenderness under the shoulder blade. It is necessary to begin the diagnosis by excluding the traumatic factor and possible damage to the scapula. If the pain under the shoulder blade appears suddenly or its occurrence was preceded by any physical or mechanical impact on this area (impact, fall), you should contact a traumatologist and have an x-ray taken. A scapula fracture is a fairly serious pathology, which is characterized by extensive displacement of bone fragments, so the treatment and rehabilitation period can take several months.

Scapula fracture

If the emergency room did not diagnose any injuries (including dislocations, soft tissue bruises, displacement of the thoracic and proximal lumbar vertebrae, etc.), it is recommended to consult a surgeon or orthopedist for pain in the scapula area. The doctor will conduct an initial examination and, if necessary, give a referral to specialized specialists: a neurologist, neurosurgeon, cardiologist, pulmonologist or gastroenterologist.

At an appointment with an orthopedist

Pathologies of the bone frame

This is the most common cause of spinal pain localized in the shoulder blades. Since the scapula bone is part of the upper shoulder girdle, painful sensations (in most cases – chronic, without timely medication and physiotherapeutic correction):

• osteochondrosis;
• spondylosis;
• osteosclerosis;
• bone marrow edema;
• intervertebral hernia and protrusion;
• radicular syndrome;
• rheumatoid arthritis;
• Bekhterev's disease, etc.

Spondylosis deformans

Pain under the shoulder blade on the side of the spine can be a sign of osteoporosis, a disease characterized by a pathological decrease in bone mass. Osteoporosis, regardless of the location of the pathological process, always leads to disability of the patient, therefore bone densitometry can be included in the complex of diagnostic measures.

Osteoporosis of the spine

It is also important to exclude infectious lesions of the scapula - acute hematogenous purulent-necrotizing osteomyelitis (purulent arthritis of the sternoclavicular joint). The pathology has a fairly severe course and is almost always caused by pathogenic bacteria capable of producing pus (staphylococci, mycobacterium tuberculosis). The clinical picture of osteomyelitis is quite pronounced and allows for preliminary diagnosis of the disease during the initial examination.

Important! Treatment for osteomyelitis of the scapula should begin as early as possible, since the progressive growth of bacteria can lead to purulent melting of the bone and the development of a systemic inflammatory reaction.

Osteomyelitis is

Muscle diseases

A large number of muscles are attached to the shoulder blades (for example, the triceps and biceps brachii muscles, deltoid and omohyoid muscles), so inflammatory, infectious and other lesions of the muscle fiber can also be one of the causes of pain in this area. The following diseases most often belong to this group of pathologies.

1. Myositis. This is an inflammation of muscle tissue, which can develop both against the background of infectious pathologies and as a result of traumatic exposure. The prognosis in the vast majority of cases is favorable (myositis ossificans is an exception).

   
   Shoulder myositis

2. Ossification of the subscapularis muscles . This is a serious disease, with a progressive course inevitably leading to disability and death of the patient. The process is the ossification of muscle tissue, in which muscles are replaced by bone formations.
3. Myopathy . A chronic muscle disease that occurs primarily when protein metabolism is disrupted. An extreme form of myopathy is rhabdomyolysis, a pathology in which muscle cells are destroyed and toxic protein breakdown products are released into the blood.

What is myopathy

Pain under the shoulder blade can also be associated with irritation of trigger points - muscle tension nodes, when exposed to which a person feels pain of varying intensity (mainly aching or cutting). Myofascial pain syndrome can be not only a manifestation of chronic pathologies of the musculoskeletal system, but also the result of excessive physical exertion, especially if the person did not have sufficient physical training before starting classes.

Anatomy of the shoulder joint

What symptoms should you pay attention to?

In addition to pain, other symptoms may occur, many of which are a reason to urgently consult a doctor or call an ambulance.

1. Increase in temperature

. This symptom is characteristic of many intestinal infections, acute pancreatitis, stomach diseases, pyelonephritis and many other diseases. Remember, if the temperature does not subside for a long time even after taking antipyretics, you need to contact an ambulance service.

2. Nausea and vomiting

. Similar symptoms can accompany all of the above diseases. Do not delay calling a doctor if there is blood in the vomit or the vomiting does not stop.

3. Diarrhea

. Increased bowel movements can accompany intestinal infections, pancreatitis, gastritis and other diseases. If the stool is black or contains blood, you should immediately contact a specialist.

Less dangerous symptoms that accompany pain in the left hypochondrium are bloating, heaviness after eating food (especially fried, fatty, salty), severe rumbling in the stomach, and heartburn.

Neuropathic pain under the left shoulder blade

Neuropathic pain is a fairly common type of pain in this localization, so diagnosis for complaints of pain under the scapula always begins with excluding possible neurogenic causes (after excluding the traumatic factor).

Neuropathic pain – what is it?

The scapula is a bone located in the upper shoulder girdle and serves as the articulation of the skeletal base of the shoulder (tubular humerus) and the collarbone. The anterior surface of the scapula has a slightly concave shape and is called the costal surface. The posterior surface (dorsal) is adjacent to the spinal column, which consists of five sections and vertebrae connected in a vertical sequence, therefore one of the main causes of pain in this localization is diseases of the spine.

Which doctor should I contact for pain in my left side?

If you experience pain in your left side, you should contact a competent specialist. The first thing you should do is make an appointment with a gastroenterologist, since abdominal pain is the specialty of this specialist. After the examination, the doctor may redirect you to another specialist - a cardiologist, neurologist, surgeon or nephrologist, if it turns out that you do not have a gastrointestinal disease.

Doctors from a variety of specializations are seen at medical clinics in Moscow. In the center’s laboratory, you can donate blood and have an ultrasound scan as prescribed by a doctor, so as not to waste time in queues and find out the results of the examination as quickly as possible. We maintain affordable prices for specialist appointments and procedures necessary for examining the body.

Make an appointment by calling +7 (495) 021-98-73 or leave a request on the website, and our administrators will make an appointment for you.

Do not ignore pain, seek help in a timely manner to prevent possible complications.

Treatment

For treatment, in addition to analgesics, antiviral agents are used to eliminate the cause of the disease.

As already mentioned, pain in the left hypochondrium is just a symptom and not an independent disease. When it first appears, a mandatory comprehensive examination is necessary to help identify the cause of the painful condition and prevent its occurrence in the future. Otherwise, the process may become chronic, threatening constant pain, which leads to apathy, depression and other psychological disorders.

Call our contact center at 8 (495) 230 03 09 and we will help you make an appointment with a specialist!