What Causes Upper Back Pain Between Your Shoulder Blades?

Back & Neck Pain / June 15, 2026
A woman touching her back in discomfort, illustrating what causes upper back pain between your shoulder blades after exercising.

That nagging ache between your shoulder blades can range from a minor annoyance to something that makes it hard to focus on daily tasks. If you’ve been wondering what causes pain in your upper back between the shoulder blades, you’re not alone. ChiroCare of Florida offers chiropractic care to help patients in Pompano Beach get to the root of their discomfort.

Common Musculoskeletal Causes of Pain in the Upper Back

Many cases of upper back pain between the shoulder blades trace back to how you use or position your body. Understanding shoulder blade anatomy helps explain why this area is so vulnerable to strain and tension.

Poor posture is one of the most frequent culprits. Slouching over a laptop or sitting at a desk for extended periods puts continuous stress on the upper back muscles, leading to discomfort over time.

Muscle strain is another common cause. Repetitive movements or lifting something incorrectly can strain the upper back muscles, resulting in a dull ache or sharper pain that worsens with movement.

Myofascial pain syndrome can also affect this region. This condition involves sensitive trigger points in the muscles that send pain signals to nearby areas, including the space between the shoulder blades.

Spinal Conditions That May Contribute to Upper Back Pain

Spinal issues can also explain what causes pain in the upper back between the shoulder blades. A herniated disc in the cervical or thoracic spine can press on surrounding tissue and send pain into the upper back.

Nerve compression is a related concern. When a nerve gets squeezed due to a disc problem or spinal narrowing, the pain can radiate outward and settle between the shoulder blades.

Osteoarthritis is worth considering as well. Wear and tear on the spinal joints can cause stiffness and inflammation that contribute to ongoing upper back discomfort.

Some common spinal-related symptoms to watch for include:

Less Obvious Causes Worth Knowing

Not all upper back pain is musculoskeletal in origin. Gallbladder disease, for example, can cause referred pain that shows up between the shoulder blades, particularly on the right side.

Stress is another factor that often goes overlooked. Chronic tension causes the muscles of the neck and upper back to tighten, which can create persistent pain in the interscapular region.

Scoliosis, a sideways curve of the spine, can also place uneven stress on the muscles and joints of the upper back. While it doesn’t always cause symptoms, some people experience ongoing discomfort as a result of the condition. These less obvious triggers are part of why upper back pain between the shoulder blades is so difficult to pinpoint without professional evaluation.

When To Seek Care

Some episodes of upper back pain resolve with rest and minor adjustments to posture or activity. Others signal something that needs professional attention.

Seek care promptly if you notice any of the following:

Persistent pain that interferes with daily life is a good reason to consult a healthcare provider, regardless of severity.

How Daily Habits Contribute to Upper Back Pain

Daily habits play a role in how this type of pain develops and progresses. Carrying heavy bags on one shoulder or spending long hours with your neck bent forward all add up.

Building in regular movement breaks and adjusting your workstation can make a meaningful difference. Positioning your monitor at eye level and using a chair that supports the natural curve of your spine reduces the strain your upper back absorbs throughout the day.

Strengthening the muscles that support the upper back is another worthwhile step. Exercises that target the rhomboids and trapezius help stabilize the shoulder blades and reduce the likelihood of strain from everyday activities.

Get Answers at ChiroCare of Florida

Understanding what causes pain in your upper back between the shoulder blades is the first step toward addressing it. At ChiroCare of Florida, we work with patients to identify the source of their discomfort and explore appropriate chiropractic care options. Learn more about recovery for a herniated disc or call (754) 227-2218 to schedule an appointment with us in Pompano Beach, FL.

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