Experiencing back pain between your shoulders can be uncomfortable and frustrating, affecting daily activities and overall well-being. Whether it’s a dull ache or sharp pain, understanding the causes and treatment options can help you find relief. This guide will explore common reasons for pain between the shoulder blades, effective treatments, and ways to prevent future discomfort.
Common Causes of Back Pain Between Shoulders
Several factors can contribute to pain in the upper back region. Some of the most common causes include:
- Poor Posture – Slouching, hunching over screens, or sitting for long periods can strain muscles and cause pain between the shoulders.
- Muscle Strain – Overuse, heavy lifting, or sudden movements can lead to muscle tension or small tears, resulting in discomfort.
- Spinal Issues – Conditions like herniated discs, degenerative disc disease, or scoliosis can contribute to back pain in the shoulder blade area.
- Nerve Compression – A pinched nerve due to spinal misalignment or inflammation may cause pain that radiates between the shoulders.
- Injury or Trauma – Falls, accidents, or sports-related injuries can damage muscles, ligaments, or bones in the upper back.
- Underlying Health Conditions – Issues like arthritis, fibromyalgia, or gallbladder disease can sometimes cause referred pain between the shoulders.
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How Stress Contributes to Back Pain Between Shoulders
Stress is a common but often overlooked cause of upper back pain. When you’re stressed, your body tends to tense up, leading to tight muscles in the shoulders and upper back. Prolonged stress can cause chronic muscle stiffness, increasing discomfort and making pain management more difficult. Incorporating relaxation techniques such as deep breathing, meditation, or yoga can help reduce stress-related back pain and improve overall well-being.
Best Sleeping Positions to Reduce Shoulder Blade Pain
Your sleeping posture plays a crucial role in managing back pain between the shoulders. Sleeping on your back with a pillow supporting your neck and another under your knees helps maintain spinal alignment. Side sleepers should use a pillow that keeps their head in a neutral position and a body pillow for added support. Avoid sleeping on your stomach, as it can strain the upper back and worsen pain. Investing in a supportive mattress and pillow can also make a significant difference in pain relief.
Diet and Hydration for a Healthy Spine
What you eat and drink can impact your spinal health and muscle function. A diet rich in anti-inflammatory foods, such as leafy greens, fatty fish, nuts, and berries, can help reduce inflammation that contributes to back pain. Staying hydrated is equally important, as dehydration can cause muscle cramps and stiffness. Additionally, consuming enough calcium and vitamin D supports strong bones and reduces the risk of spinal issues that may lead to back pain between the shoulders.
Effective Treatment Options
The best treatment depends on the underlying cause of your pain. Here are some effective ways to relieve discomfort:
- Improve Posture – Maintaining proper posture while sitting, standing, and sleeping can prevent and reduce pain. Ergonomic chairs and lumbar support can be helpful.
- Stretching & Exercise – Gentle stretches, yoga, and strengthening exercises can ease tension and improve mobility in the upper back.
- Heat & Cold Therapy – Applying a heating pad or ice pack to the affected area can help reduce inflammation and provide pain relief.
- Massage & Physical Therapy – Professional massage therapy or guided physical therapy exercises can loosen tight muscles and enhance flexibility.
- Chiropractic Care – A chiropractor can perform spinal adjustments to relieve tension and improve alignment.
- Medical Treatment – If pain persists or worsens, consulting a doctor for imaging tests and further evaluation is recommended.
How to Prevent Back Pain Between Shoulders

Taking preventive measures can help you avoid future discomfort. Here are some tips to keep your upper back healthy:
- Maintain Good Posture – Keep your shoulders relaxed and your back straight when sitting or standing.
- Stay Active – Regular physical activity, including stretching and strengthening exercises, can prevent muscle stiffness and imbalances.
- Avoid Heavy Lifting – If lifting objects, use proper techniques and avoid excessive strain on your upper back.
- Take Breaks from Screens – Reduce prolonged sitting or screen time by taking frequent breaks and stretching.
- Manage Stress – Stress can cause muscle tension, so practicing relaxation techniques like deep breathing or meditation can help.
When to See a Doctor
If your back pain between the shoulders is persistent, severe, or accompanied by symptoms like numbness, weakness, or difficulty breathing, seek medical attention immediately. It could be a sign of an underlying health condition that requires professional evaluation.
FAQs:
1 What causes back pain between the shoulders?
Common causes include poor posture, muscle strain, spinal issues, stress, and injury.
2 How can I treat back pain between my shoulders?
Treatments include posture correction, stretching exercises, heat or cold therapy, physical therapy, and pain relief medications.
3 Can stress cause pain between the shoulders?
Yes, stress leads to muscle tension, which can result in pain in the upper back and shoulders.
4 What are the best sleeping positions for back pain between the shoulders?
Sleeping on your back with proper neck support or on your side with a body pillow can help reduce shoulder pain.
5 When should I see a doctor for back pain between my shoulders?
See a doctor if the pain is severe, persistent, or accompanied by symptoms like numbness, weakness, or difficulty breathing.
Conclusion:
Back pain between the shoulders can be caused by several factors, from posture issues to medical conditions. Fortunately, with the right treatment and preventive steps, you can manage or even eliminate discomfort. If your pain doesn’t improve with home remedies, consult a healthcare professional for proper diagnosis and treatment.