A Very Very Very Common Pain…
Posterior Bulging Cervical Disc: A Common Cause of Referred Pain Between the Shoulder Blades
If you experience persistent pain between your shoulder blades, accompanied by muscular knots in the cervicothoracic myofascial area, you might be dealing with a posterior bulging cervical disc. This condition often mimics fibromyalgia, leading to misdiagnosis and inappropriate treatment. Understanding the underlying cause of your pain is essential for effective management and long-term relief.
Understanding Posterior Bulging Cervical Disc and Referred Pain
A posterior bulging cervical disc occurs when the soft inner material of the spinal disc pushes backward, pressing on nearby nerves. When this happens in the cervical spine, it can lead to referred pain that radiates into the upper back, particularly between the shoulder blades. This type of pain is often associated with muscle knots, tension, and discomfort in the cervicothoracic myofascial region.
Common Misdiagnosis: Fibromyalgia vs. Cervical Disc Pain
Many individuals suffering from cervical disc-related pain are mistakenly diagnosed with fibromyalgia. While fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and tenderness, cervical disc issues typically present with localized pain, stiffness, and referred discomfort along nerve pathways. If your symptoms worsen with neck movements or prolonged postures, cervical spine pathology is a likely culprit.
In addition to disc-related pain, the cervical facet joints can also refer pain to the upper back and shoulders. Facet joint dysfunction may contribute to similar symptoms, further complicating the diagnosis.
Symptoms and Diagnosis
Symptoms of a posterior bulging cervical disc may include:
Deep, aching pain between the shoulder blades
Muscle knots and stiffness in the upper back and neck
Radiating pain into the shoulders or arms
Worsening pain with neck movement or prolonged postures
Occasional numbness or tingling in the upper extremities
Accurate diagnosis often requires imaging such as MRI or CT scans to assess disc integrity and nerve involvement. Consulting a specialist, such as those at Oklahoma Pain Treatment Centers or Remedy Rheumatology, can help identify the root cause of your pain and develop a targeted treatment plan.
Treatment Options
Managing cervical disc-related pain involves a combination of conservative and interventional approaches:
Physical Therapy: Strengthening exercises and posture correction can alleviate muscle imbalances.
Medication: Anti-inflammatory medications and muscle relaxants may help manage pain.
Trigger Point Injections: Can provide relief from cervicothoracic muscle knots.
Epidural Steroid Injections: May be considered if nerve compression is severe.
Chiropractic Care & Manual Therapy: Spinal manipulation and soft tissue therapy can aid in symptom relief.
Lifestyle Modifications: Ergonomic adjustments, stretching, and stress management play a crucial role in long-term relief.
Seeking Professional Help
If you’re struggling with persistent upper back pain, it’s essential to explore all possible causes. Visit the Mayo Clinic, CDC, or NIH for more information on spinal health and pain management.
Proper diagnosis and treatment can help you regain mobility, reduce pain, and improve your quality of life. If you suspect a cervical disc issue is causing your discomfort, seek a consultation with a spine specialist today.
