Herniated Disc Between Shoulder Blades Symptoms

Dr Deuk

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Thursday, June 05, 2025

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Herniated Disc Between Shoulder Blades Symptoms

Wondering about herniated disc between shoulder blades symptoms? Not to worry. We’ve got you covered.

This article will explore the symptoms of a herniated disc between the shoulder blades. We will also discuss their causes, from disc degeneration to trauma and poor posture. 

Then we will delve into diagnostic methods, treatment options, and long-term management strategies to prevent progression or recurrence of the disease.

Symptoms Of A Herniated Disc Between Shoulder Blades

A herniated disc in the upper spine can cause lots of pain. Understanding the signs is crucial for identifying when it's time to seek medical attention. They may even present as c7-t1 bulging disc symptoms. An accurate diagnosis can help differentiate the two.

Common Symptoms

  • Localized Pain: The primary symptom of a herniated disc between the shoulder blades is localized pain. This pain can range from a sharp, stabbing sensation to a dull, persistent ache that feels concentrated in the upper back or shoulder blades. The pain may worsen with certain movements, such as twisting, bending, or lifting, and may also intensify with poor posture. It’s common for patients to feel a sense of tightness or stiffness, as the surrounding muscles tighten in response to the disc injury. The localized pain is the result of inflammation.

 

  • Radiating Pain and Nerve Issues: Radiating pain is a secondary symptom of a herniated disc in the upper spine. This occurs when nerve structures near the herniated disc are compressed or irritated, causing pain to radiate into the arms, chest, or upper back. It’s important to note that this is not the primary cause of discogenic back pain. Radiating pain may be accompanied by other nerve-related symptoms, such as numbness, tingling, or a burning sensation. This condition, known as radiculopathy, can be concerning because it might be mistaken for other health issues, such as heart problems or shoulder injuries. 

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  • Muscle Weakness And Numbness: Another common symptom of a herniated disc is muscle weakness. When nerve roots become compressed by the herniation, the communication between the brain and muscles can be disrupted, leading to weakness in the arms, shoulders, or upper back. This weakness can make it difficult to perform routine activities such as lifting objects, holding items, or even writing. 

 

  • When to Seek Medical Attention: It's essential to seek medical attention if you experience persistent or severe pain, weakness, or numbness that doesn’t improve with rest or over-the-counter pain medications. It’s important to consult a physician if symptoms are accompanied by difficulty moving, sudden muscle weakness, or loss of bladder or bowel control, as these may indicate more serious nerve damage. 

What Is A Herniated Disc?

A herniated disc occurs when the soft, gel-like center of an intervertebral disc, known as the nucleus pulposus, pushes through a tear in the tougher outer layer of the disc, called the annulus fibrosus. 

While herniated discs can occur in any part of the spine, they are most common in the cervical and lumbar regions, which bear the most weight and experience the most movement. 

When a herniated disc occurs in the upper spine, it affects the thoracic or cervical regions, between the shoulder blades or the neck.

Causes Of A Herniated Disc In The Upper Back

Several factors contribute to the development of a herniated disc in the upper back. Understanding these causes is important for identifying risk factors and taking proactive steps to prevent disc injuries.

Disc Degeneration

As we age, the intervertebral discs in the spine naturally lose moisture and elasticity, making them more vulnerable to wear and tear. This degeneration can cause the disc’s outer layer, the annulus fibrosus, to weaken and develop tears. 

Man with hands on neck, highlighting a red spine illustration on his back.

Over time, these tears may allow the nucleus pulposus to bulge out or herniate. This degeneration process is gradual, but it can be accelerated in the following ways.

Injury Or Trauma

Traumatic events, such as car accidents, sports injuries, or falls, can lead to sudden pressure on the spine, causing a disc to herniate. 

Poor Posture And Repetitive Strain

Poor posture, particularly in individuals who spend long hours sitting or standing with improper spinal alignment, is a leading cause of herniated discs in the upper back. 

Repetitive motions, such as slouching, hunching, or lifting improperly, can place excessive stress on the discs in the thoracic and cervical regions. 

Over time, these habits can weaken the annulus fibrosus, making the disc more vulnerable to injury. 

The good news is that adopting correct posture and making lifestyle adjustments can help prevent further damage.

Diagnosis Of A Herniated Disc

Diagnosing a herniated disc involves a physical examination and imaging tests. Similar to a cervical disc herniation MRI, a herniated disc in the upper back can be identified using this imaging technique.

It is important to note that, while traditional diagnostic methods, such as MRI and CT scans, provide valuable insights into the condition of the discs and surrounding tissues, they may not pinpoint the exact source of pain by themselves. 

At Deuk Spine, a specialized physical examination is conducted to identify the pain generators in the spine. This highly accurate diagnostic method, pioneered by Dr. Ara Deukmedjian, provides a 99% accuracy in determining the underlying cause of chronic back and neck pain. 

The examination is conducted remotely via videoconferencing, offering convenience and accessibility for patients seeking a precise diagnosis.

Treatment Options

Our research indicates that not all treatments are effective. Some come with high-risk profiles while others simply don’t work. Below, we will explore both conservative treatments and more advanced interventions to help you find a permanent solution. 

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Conservative Treatments

Physical therapy is commonly prescribed to help strengthen the muscles surrounding the spine, providing better support and reducing pressure on the herniated disc. 

A physical therapist will guide the patient through exercises that aim to improve strength, flexibility, and range of motion. 

The therapist may also use techniques such as heat or cold therapy, massage, or manual manipulation to alleviate pain and reduce inflammation.

Pain management is another key aspect of conservative treatment. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) are often used to reduce inflammation and alleviate mild to moderate pain. 

For more severe pain, a doctor may prescribe stronger medications, such as muscle relaxants or prescription pain relievers. 

In some cases, spinal injections, such as corticosteroids, may be administered. While these injections can offer temporary relief, they do not address the root cause of the herniation itself.

Surgical Treatments

Traditional spine surgeries include a discectomy, laminectomy, or spinal fusion.

Based on our observations, a discectomy involves the removal of the herniated portion of the disc. This procedure is invasive and leads to longer recovery times. 

Laminectomy involves removing a portion of the vertebra called the lamina to create more space for the spinal cord and nerves. 

Like discectomy, laminectomy is an invasive procedure that requires a longer recovery period and carries a higher risk of complications.

Spinal fusion involves fusing two or more vertebrae to stabilize the spine. These traditional surgeries come with risks, like infection, bleeding, spinal fluid leaks, and the need for additional surgeries.

Minimally-Invasive Treatment

In recent years, minimally invasive treatments have gained popularity as an alternative to traditional spine surgeries. These treatments permanently address the source of pain.

  • Deuk Laser Disc Repair is a cutting-edge, minimally invasive procedure designed to treat herniated discs without the need for fusion or extensive disc removal. 

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A laser is used to precisely target and remove the herniated portion of the disc, eliminating inflammation. The procedure is performed through a small 4mm incision, minimizing tissue damage and reducing the risk of complications. 

Our findings show that one of the major advantages of Deuk Laser Disc Repair is its ability to preserve the natural movement of the spine. Unlike traditional surgeries, which may require the removal of bone or tissue, this minimally invasive approach leaves the surrounding tissues intact.

Deuk Laser Disc Repair has a remarkably low complication rate, with no reported cases. The procedure is FDA-approved and has been peer-reviewed and published multiple times in medical literature, cementing its reputation as a safe and effective treatment.

Managing And Preventing Further Issues

Once a herniated disc has been treated, it is important to manage the condition and take steps to prevent further issues.

Exercises To Strengthen The Upper Back

Strengthening exercises are essential for supporting the spine and preventing future disc injuries. Exercises that target the muscles surrounding the upper back, such as rows, shoulder blade squeezes, and scapular retractions, can help build the strength and stability needed to support the spine. 

A physical therapist can guide patients through these exercises to ensure they are performed correctly and safely, without putting additional strain on the injured disc. 

Incorporating regular strength training into the daily routine can reduce tension and improve the overall health of the upper back.

Postural Corrections

Maintaining good posture is crucial for preventing further issues with the upper back and spine. Correct posture helps reduce pressure on the discs and minimizes the risk of additional herniation. 

Simple adjustments, such as sitting up straight, keeping the shoulders back, and avoiding slouching, can make a difference. 

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For those of you who spend long hours sitting, it is important to periodically check your posture and make conscious adjustments. 

Ergonomic Adjustments

In addition to postural corrections, making ergonomic adjustments in the workplace and home environment can help prevent additional strain on the spine. 

Ensuring that chairs, desks, and workstations are set up to support proper spinal alignment is essential for reducing the risk of re-injury. 

Using ergonomic tools, such as lumbar support cushions, adjustable chairs, and standing desks, can provide additional support and reduce the likelihood of aggravating the herniated disc. 

Long-Term Recovery And Prevention

Activities such as swimming, walking, or yoga can help keep the spine flexible and strong, while focusing on body mechanics, such as bending with the knees instead of the back, can help prevent further injuries. 

Conclusion

A herniated disc between the shoulder blades can disrupt a person's daily life. That said, relief is possible. 

In this article, we’ve discussed the various symptoms of a herniated disc, such as localized pain, radiating pain, and muscle weakness, and explored how these symptoms can impact movement and quality of life. 

We also examined the causes of a herniated disc as well as diagnostic methods to identify the root cause of the pain. Deuk Spine, we offer a comprehensive approach to spine care, from accurate diagnostic testing to cutting-edge, minimally invasive treatments. Get started with your free MRI review today.

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