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The Nashville Visitors Guide is a convenient publication to assist along with your Music City trip planning. But if a nearby organ gets sick, it could irritate the diaphragm, and the sensory fibers of one of the phrenic nerves are flooded with pain indicators that travel to the spinal wire (at C3-C5). So when pain neurons at C3 and C4 sound the alarm, the brain assumes (quite moderately) that the shoulder is accountable.\n\nIllustration exhibiting sites of referred pain from belly organs. Another example that seems bizarre until you realize the anatomy is disease in the stomach causing pain between the shoulder blades. A classmate advised me that considered one of her faculty professors complained to his doctor about pain in his upper back that wouldn’t go away.\n\nThis variety of referred pain is rare, nevertheless it happens usually enough to be mentioned in anatomy textbooks. Not all circumstances of referred pain are simple to search out in textbooks. Usually folks with appendicitis feel diffuse pain or discomfort around the belly button, or sharp pain in the proper lower quadrant if the appendix is on the point of burst.\n\nBut often the pain refers to the right shoulder. The commonest causes of shoulder pain are, by far, musculoskeletal problems like osteoarthritis, adhesive capsulitis, and rotator cuff tendinitis. Usually, with the help of taking it simple and a few rounds of ibuprofen, the pain goes away on its own.\n\nPink flags embody more ominous symptoms like fever, unexplained weight loss, and pain in the left shoulder or scapular area that gets worse with exertion. Your doctor will wish to know all in regards to the pain. The answers to these questions, along with a physical exam and acceptable imaging studies, will provide the data your doctor needs to grasp the problem and create a therapy plan.