Indigestion pain between the shoulder blades: what to know

Pain in this area may come from muscles, joints or the upper spine, especially after lifting, prolonged sitting or repeated reaching. A digestive problem may cause discomfort in the upper abdomen or chest and can be felt toward the back. These symptoms can overlap, so location alone cannot identify the cause.

Note when the pain began, whether meals affect it, and whether movement, deep breathing or changing position alters it. Upper back pain that follows a strain may behave differently from discomfort linked to eating. A clinician can examine the back and consider other causes when the story is unclear.

Stop activities that clearly increase the pain and use a comfortable upright position. Keep gentle movement within an easy range rather than staying rigid for long periods. Record meals, movement, medicines and associated symptoms so the pattern is clear at an appointment.

Do not self-treat severe or unexplained pain as indigestion for a prolonged period. If symptoms are mild and settling, arrange medical advice if they recur or do not improve. For activity-related upper-back symptoms, an assessment of posture and movement may be useful; a clinician may discuss Myofascial Release or a Workplace Ergonomic Assessment when appropriate.

Seek emergency help for pressure or pain in the chest, trouble breathing, fainting, cold sweating, marked weakness, confusion, or pain spreading to the arm, jaw or back. Get prompt assessment for repeated vomiting, black stools, vomiting blood, fever, a rigid abdomen, or pain that is severe and not easing.

Arrange a timely review if the pain keeps returning, follows an injury, causes arm weakness or numbness, or wakes you repeatedly. A clinician may consider conditions such as Muscle Strain, Myofascial Pain Syndrome, Text Neck or Vertebral Compression Fracture based on the examination and history.

Ask: Could the pain be coming from my upper back, digestive system or another source? Which features make urgent assessment necessary? Should I change an activity or posture while it settles? What symptoms should make me seek emergency help?