Pain in the area of ​​the scapula and the chest is usually accompanied by significant discomfortable sensations, and this may limit the motor activity of a person. Actually, similar pain syndrome  may indicate many different diseases. How to determine what signals the human body pain in the chest or in the area of ​​the shoulder blades?

In this article, everything in order.

Pain in the left shoulder blade

The pain under the scapula or in the scapula on the left side may indicate osteochondrosis, angina pectoris, hypertensive crisis, diseases of the spine or lungs, myocardial infarction, gastric ulcer, intercostal neuralgia and even some psychological problems.

Osteochondrosis

This is a cervical osteochondrosis. People who, for various reasons, maintain their body position with a bowed head for a long time, often suffer from this disease: nerve endings are compressed, pain occurs in the scapula, shoulder, neck, and can give to the arm. In the area of ​​the neck appears blunt painwhich increases when you try to turn the neck and interferes with the movements of the spine. In the mornings dizziness is often observed, sharp pain  in the neck lasts a long time, can interfere with sleep. Slightly helps to relieve the symptoms of a warm shower.

Pulmonary diseases

Soreness under the left shoulder blade can be observed in various pulmonary diseases: pleurisy, bronchitis, pneumonia, and others. The nature of the pain can be any: both dull and sharp, as a constant pulling, and sudden, depends on the specific disease. The pain that is aggravated by inhaling or coughing most likely indicates pleurisy. During inflammation in the lungs appears it's a dull pain, the temperature rises, the general condition of the patient is far from the normal state of health.

Myocardial infarction

First of all, a person experiences severe pain behind the sternum, which spreads to the lower jaw, neck, left hand  and a scapula, a back, an attack of stenocardia develops. The pain, as a rule, is accompanied by the fear of death, the face turns pale, loss of consciousness is possible. Acute pain syndrome, nitroglycerin and validol do not remove it, the duration is more than 15 minutes. In such cases, you must immediately call the "ambulance." If angina occurs due to psychological or physical exertion, it is called "exertional angina." If the seizure occurs in the opposite state, it is “resting angina”.

Stomach ulcer

Pain in this disease is concentrated in the epigastric region, may spread to the left shoulder blade, chest area, left nipple. The pain of a stomach ulcer as if increases, it is directly related to nutrition, most often occurs during the off-season. The use of heat helps to relieve symptoms; from medications, it softens the state of cholinoleptic. At the peak of pain, vomiting is possible, there is usually relief after it, no nausea. A gastric ulcer provokes heartburn, regurgitation, belching, salivation.

Intercostal neuralgia

This disease is very common, it can occur intermittently or be constantly present. The pain surrounding, shooting, amplifies during a deep breath or movement. Exercise is also given with difficulty. Palpation of the affected area is painful. The painful sensations are deployed in the intercostal spaces, most often only one side of the thoracic region is affected, the recoil takes place mainly in the left shoulder blade. Causes of intercostal neuralgia: hypothermia, uncomfortable position and prolonged stay in it, sudden movement. Pain can be accompanied by tingling, burning sensation, discomfort in the lumbar region and heart.

Psychological problems

A patient who complains of pain under a scapula or collarbone, an unpleasant feeling in his arm, abdomen or neck may well be completely healthy physiologically. However, people with hypochondria often experience unexplained anxiety, nervous tremors, and internal tension. They are frightened by imaginary shortcomings in the work of the heart. The pains of a psychosomatic nature are weak or growing, they are accompanied by a feeling of heaviness, tingling, heat, burning, squeezing, it seems as if the blood rushes to the heart.

Pain in the right shoulder blade

The pain in the right scapula or under it can speak of nephritis and pyelonephritis, subphrenic abscess, biliary or hepatic colic, gallstone disease.

Nephritis, pyelonephritis

In inflammatory processes that develop in the kidneys, there are painful sensations  in the lumbar region (on the right - more often than on the left), pain can be given to the area around the right shoulder blade, in the hypochondrium. Another major symptom of kidney disease is more frequent urination than usual, and they can be quite painful, sometimes there is a burning sensation. Often, with such diagnoses, there is chills, thirst, vomiting or nausea, an increase in body temperature to 40 ° C.

Subphrenic abscess

The result of the introduction into the human body of some bacterial infections (for example, during abdominal surgery) may be purulent accumulations. Located between the diaphragm and the organs that are below it, the accumulations of pus are called subphrenic abscess. Abscesses are characterized by acute pain on the right side: scapula, hypochondrium, shoulder. Inhaling discomfort  intensified, the temperature increased. A blood test reveals neutrophilia and leukocytosis.

Biliary or hepatic colic

The spasm muscles of the gallbladder or its ducts are capable of delivering a lot of pain. If the bile ducts are blocked with stones, colic appears: cutting strong cramping pains that become rending. It concentrates on the right side of the body: the hypochondrium, subclavicular region, the recoil goes to the right shoulder blade, jaw, eye. The occurrence of an attack is associated with the intake of fatty foods or the rejection of products such as chocolate, milk, eggs, etc. The pain syndrome usually manifests itself at night or in the morning, increases over 3-5 hours, the patient's face turns pale, sweat drops come out. Vomiting is possible.

Cholelithiasis

If there are problems with the functioning of the gallbladder, sudden stabbing or cutting intense pain in the area of ​​the right hypochondrium may appear. After a while, the discomfort is concentrated around the gallbladder. As with colic, this kind of pain can radiate to right side  neck jaws affect right shoulder, scapula, sometimes covers the area of ​​the heart and can provoke angina.

Pain in the interscapular region

A pain or numbness in the middle of the back between the shoulder blades may indicate vertebral hernia, scoliosis, kyphosis, neuralgia, heart disease (angina pectoris, ischemia, pericardis), liver (hepatitis, etc.), gall bladder (cholecystitis, etc.), lungs (pleurisy, pneumonia, etc.)

Chest pain

If chest pain has suddenly occurred, it is intense and is combined with a feeling of lack of air, shortness of breath, most likely, it indicates a serious illness that requires urgent medical attention. Various kinds of infections can cause chest pain of a chronic nature.

Pericarditis

This term is called inflammation of the heart membrane. The patient feels pain as if deep in the chest, in the region of the heart. If you tilt the torso forward, the pain subsides; if you lie on your back, it intensifies. Over time, fluid accumulates in the heart envelope, which eventually leads to heart failure. Swelling appears, falls arterial pressure, an asthma develops, the general weakness is characteristic.

Pleurisy

Inflammation of the pulmonary membrane has distinctive unilateral pain  at rib cage  (from the side where inflammation develops). Any movement or a deep sigh increases pain; symptoms are dull if the patient lies on the affected side. If the pain subsides for a while, it does not mean recovery, but accumulation of fluid in the pleural cavity. Indirectly, the same indicates and shortness of breath.

Tracheitis

When the tracheal mucosa is inflamed, there is a sharp pain in the central part of the chest. When tracheitis is accompanied by a dry cough, voice hoarseness, fever, a feeling of drying in the throat.

Vegetative dystonia

In this disease, pain most often occurs in the region of the heart. However, they can largely coincide with the symptoms of very serious diseases: heart attack, angina, etc. With VSD, the nature of chest pain does not depend on physical exertion, and medications (nitroglycerin, validol, etc.) do not give the expected effect.

Rupture of the esophagus

Sharp, sharp, very strong pain  in the chest, extending to the back, increases when the patient breathes, coughs, or tries to change the position of the body. The integrity of one of the walls of the esophagus is broken, and its contents fall directly into the cavity located in the chest. Such an injury is possible with severe vomiting and is very dangerous. If you suspect a rupture of the esophagus, do not hesitate and immediately consult a doctor.

Hernia in esophageal opening  aperture

The severity and pain in the neck, in the chest, mostly on the left, is accompanied by heartburn, aggravated by eating, and also in the prone position. With this disease top part  stomach or other organs from abdominal cavity  can get into the chest cavity.

Tuberculosis

The main symptom of tuberculosis is a long, more than a month, cough. The phlegm comes off with bloody inclusions, the temperature is high, there is no appetite, there is a noticeable weight loss, weakness. During this illness, the patient feels aching constant pain in the chest, they increase their intensity during coughing. If at least part of the symptoms coincides with the above, you should immediately consult a doctor.

Oncological diseases

Chest pain can manifest various cancers: cancer of the lung, esophagus, liver, lactic gland, pancreas. The nature of the pain may be different: tolerable aching or acute to unbearable, permanent or transient. In diseases of this kind, body weight is usually reduced, appetite is absent, and general weakness is observed.

Pain in the superficial part of the chest

Costochondritis

This disease is characteristic of young people, pain occurs in the front surface of the chest, a little to the side of the sternum. Cough, deep breathing, palpation of the affected area provoke an increase in the intensity of the pain syndrome. Its duration ranges from 1 hour to several days. Most often passes without treatment.

Myositis

Chest pain is accompanied by muscle weakness due to inflammatory process. It occurs as a result of prolonged serious physical exertion, injury, hypothermia, exposure to drafts.

Mastitis

Most often it is a disease of lactating women, but it can also occur in other patients, and even in men. Inflamed mammary gland swells, its size increases. The pain at the same time unilateral, increases when you press on the chest.

As a summary of this article, it makes sense to emphasize that pain in the area of ​​the scapula or chest, of course, requires close attention, because in some cases it indicates serious diseases. Having ascertained the initial signs of pain in this area, it is necessary to immediately refer to the district physician, and if he considers further examination necessary, he should also undergo it. In situations where acute pain  does not allow you to get to a medical facility on your own, it is better to immediately call an “ambulance” without trying to wait until pain sensations  will pass.

What doctor to contact if it hurts under the scapula?

•   vertebrologist;
•   traumatologist;
•   urologist;
•   nephrologist;
•   gastroenterologist;
•   cardiologist;
•   psychiatrist.

What doctor to contact if chest pain?

•   therapist;
•   gastroenterologist;
•   infectious diseases specialist;
•   cardiologist.

Anastasia Kruglova

The shoulder joint is one of the most unique joints of the human body in structure and functional ability. Uncharacteristic or excessive exercise on the shoulder joint can lead to local inflammatory processes. The result of the inflammatory process, in turn, may be local edema, articular effusion, and even partial tendon ruptures that surround the shoulder joint.

In addition, the shoulder joint has one feature common with conventional mechanisms - it can withstand improper handling only up to a certain point, it has its own limit of strength, then a violation of its functions, which turn into pain, can occur.

According to the mechanism of occurrence, pain in the shoulder can be divided as follows.

Pain localized in the upper part of the shoulder may come from the neck. At the same time, it spreads over the entire arm, aggravated by the movement of the neck, sometimes accompanied by numbness or parasthesia. Studies of the spine (cervical or thoracic) most often show the presence of intervertebral hernia. Damage to the intervertebral discs leads to the loss of their elasticity, they flatten, the distance between the vertebrae decreases. As a result, the nerve roots that depart from spinal cordcausing pain. At the same time, edema appears in the clamping area, leading to even greater restraint and increased pain.

Capsule is a state of painful stiffness of the muscles located in the shoulder girdle. It is rare, it develops gradually, sometimes imperceptibly for the patient. There is a limitation in the ability to divert the arm to the side when lifting it up, as well as the inability to have a sore arm behind the back. In severe cases, the ability of the affected hand to lift the spoon to the mouth is lost.

The lesion of the rotating arm cuff may occur when making non-standard movements in the hand (for example, when painting the ceiling). On the day when the work was done, there are usually no complaints. But the next day there is a sharp pain if you try to remove something from the top shelf. During the examination, it is necessary to determine the degree of tension of the muscles of the shoulder girdle and the ability to perform movements in shoulder joint. Radiographs of the joint usually show no changes.

Tendobursitis is a reactive inflammation of the bags of the shoulder joint, which is caused by the calcifications of the muscle tendons. It is characterized by pain, acutely arising in the shoulder and a significant limitation of active and passive movements in it. Also usually accompanied by severe pain in the shoulder girdle, arm, neck.

Causes of shoulder pain

The most common causes of shoulder pain can be the following:

1. Tendonitis is an inflammation of the tendons that surround the shoulder joint. They are the result of excessive stress, in which friction of the tendons against the bone occurs, causing irritation and pain.
2. Tendinitis of the biceps (the muscles on the inside of the shoulder, going from the shoulder to the elbow area) - characterized by chronic painincreasing with movement and palpation. If there is a complete rupture of the biceps tendon, a bulge appears in the affected area.
3. Bursitis is a disease usually associated with tendinitis. Pain in the shoulder, as with tendinitis, is associated with overload, but edema joins them in the area of ​​the articular sac (surrounding the joint of the soft sac).
4. The "collision" syndrome is the deposition of calcium salts, which causes the ligaments of the joint to decay. Typically, such salt deposits can occur in the tendon extending under the scapula and collarbone. Most often found at the age of 30-50 years. Characterized by the sudden onset of intense and persistent pain during the abstraction of the shoulder from the body at 30-90 degrees. Can be detected by x-ray before the appearance of pain.
5. Traumatic injuries - in the event of a fall, the humerus is displaced when the upper part of the arm “flies” out of the deepening of the joint. Occasionally, an injury also causes the tendon rupture of the muscles that rotate the arm. Damage to such a plan, left untreated, lead to persistent dysfunction of the shoulder.
6. Recurrent shoulder dislocation - in addition to accidents, occurs in athletes or young people. It leads to periodic “falling out” of the shoulder from the joint without even a traumatic impact, with minor loads. In adults, there are injuries to the structures of the shoulder joint due to aging, tissue wear or developed osteoporosis (calcium metabolism disorders in the bones).
7. Tumors and hereditary anatomical abnormalities are not very common, but can also be the cause of pain in the shoulder joint.
8. Shoulder injury during bodybuilding is a common problem when practicing this sport, along with pain in the elbows, knees, lower back. Leads to the impossibility of performing a series of exercises of the training program. The main cause of this injury is instability of the shoulder joint, which occurs when stretching the shoulder ligaments, stress in the articular bag of the shoulder joint and excessive work of its muscles, tearing of the cartilage ring.
9. Diseases internal organs  - pain can spread to the shoulder in case of pathology of the liver, pneumonia, myocardial infarction, angina pectoris, tumors of the chest, cervical radiculitis.
10. Chronic periarthrosis - often the pain begins gradually, without having a clear provocative factor. But, having a progressive character, does not allow to carry out everyday affairs, it disturbs the patient at night. Movement in the shoulder joint is painful in different directions. To the pain in the shoulder, pain in the forearm and hand is added, it can be of a different nature: aching, shooting, burning, etc. The disease can end in a few weeks of complete recovery, and can last for months and lead to the development of a picture of a blocked shoulder.

Knowing what movements arise shoulder painYou can determine which tendons were affected by the disease:

• pain when moving the arm to the side and moving it forward - changes in the supraspinal tendon,
• rotational pain out of the upper arm, elbow joint pressed to the body - changes in the infraspinal tendon,
• rotational pain inside the upper arm, elbow joint pressed to the body - changes in the subscapularis tendon,
• pain in front of the shoulder while turning the forearm inward with resistance is most often an indication of the disease of the biceps.

Considering that there are many reasons for pain in the shoulder, and self-treatment or lack of treatment can lead to an exacerbation of the disease or its transition to a chronic stage, it is imperative to consult a doctor. This may be a traumatologist, orthopedist or sports doctor.

Typical descriptions of shoulder pain complaints

• Pain in the shoulder, aggravated after physical work;
• Dull pain in the left shoulder, reduced the muscles of the left side of the back and shoulder;
• Aching pain in the left shoulder joint;
• For a long time, the arm in the shoulder joint hurts. The pain is not constant, but only in certain positions of the hand;
• I felt very tired in the shoulder. The hand seemed heavy to me. Then came the pain. I can not lift weights, I can`t sleep normally. It hurts around the center of the shoulder and reaches the elbow;
• I woke up in the morning and, about an hour later, I felt a brief pain in the right shoulder in front. Did not attach importance, they say, lay down. During the day, the pain intensified up to aches. Now (evening) severe aches at any strain on the shoulder, arm. I can not lie down normally on the back, severe pain begins;
• Periodically worried about the pain in the left shoulder, gives in the left chest and arm.

Pain in the area of ​​the scapula and the chest in most cases are accompanied by great discomfort, along with this can be limited to human motor activity. In fact, this pain syndrome may indicate many very different diseases. How to find out what the human body signals about chest pain or in the area of ​​the shoulder blades?

In this article, everything in order.

Pain in the left shoulder blade

Pain under the scapula or in the scapula on the left side may indicate osteochondrosis, angina pectoris, hypertensive crisis, diseases of the spine or lungs, myocardial infarction, gastric ulcer, intercostal neuralgia as well as some psychological problems.

It comes to cervical osteochondrosis. People who, due to various circumstances, for a long time maintain their body position with their head bowed, usually suffer from this disease: nerve endings are compressed, pain appears in the scapula, shoulder, neck, and can give to the arm. Dull pain appears in the back of the head, which improves when you try to open the neck and interferes with the movements of the spine. In the morning, dizziness is often noted, a sharp pain in the neck continues for a long time, it can interfere with sleep. Slightly helps to relieve the symptoms of a warm shower.

Soreness under the left shoulder blade can be observed with various pulmonary diseases: pleurisy, bronchitis, pneumonia, and others. Temperament of pain is possible by anyone: both dull and sharp, both constant and unexpected, depends on the specific disease. A pain that improves when you inhale or cough is more likely to indicate pleurisy. Throughout the inflammatory processes in the lungs, the aching pain appears, the temperature, the general condition of the patient increases over a long distance from normal health.

First of all, a person feels severe pain behind the sternum, which spreads to the lower jaw, neck, left arm and shoulder blade, back, an attack of angina begins. The pain, in most cases, is accompanied by the fear of death, the face turns pale, the loss of consciousness is likely. Acute pain syndrome, nitroglycerin and validol do not remove it, the duration is more than 15 minutes. In such cases, you need to immediately lead to an ambulance. If angina occurs due to psychological or physical exertion, it is called exertional angina. If the attack happens in the opposite state, it is a angina of calm.

Pain in this disease is concentrated in the epigastric region, can spread to the left shoulder blade, chest area, left nipple. The pain of a stomach ulcer seems to increase, it is directly related to nutrition, it appears much more often during the off-season. The use of heat helps to relieve the symptoms; from the medications, it softens the state of cholinoleptic. At the peak of pain, vomiting is likely, at the end of it, in most cases, there is relief, pre-nausea is absent. A gastric ulcer provokes heartburn, regurgitation, belching, salivation.

This disease is very common, may appear periodically or remain unchanged. Girdle pain, shooting, improves during a deep breath or movement. Exercise other than this is given with great difficulty. Palpation of the affected area is painful. The painful sensations are deployed in the intercostal spaces, much more often only one side of the thoracic region is affected, the return occurs mainly in the left shoulder blade. Circumstances of intercostal neuralgia: hypothermia, uncomfortable position and long stay in it, sudden movement. Pain can be accompanied by tingling, burning, discomfort in the lumbar region and heart.

A patient who complains of pain under a scapula or collarbone, an unpleasant feeling in his hand, stomach, or neck, is fully fully physiologically healthy. But people suffering from hypochondria often feel inexplicable anxiety, nervous tremors, internal tension. They are frightened by imaginary shortcomings in the work of the heart. The pains of a psychosomatic nature are not strong or growing, they are accompanied by a feeling of heaviness, tingling, heat, burning, squeezing, I think, as if the blood rushes to the heart.

Pain in the right shoulder blade

The pain in the right shoulder blade or below it can tell about nephritis and pyelonephritis, subphrenic abscess, biliary or hepatic colic, cholelithiasis.

In inflammatory processes developing in the kidneys, there are painful sensations in the lumbar region (on the right - more often than on the left), pain can be given to the area near the right scapula, in the hypochondrium. Another major symptom of kidney disease is more frequent urination than in most cases, along with this they can be quite sick, sometimes there is a burning sensation. Often, with similar conclusions, there is chills, thirst, vomiting or nausea, an increase in body temperature up to 40 ° C.

The result of entering into the human body some bacterial infections (for example, during abdominal surgery) can be purulent accumulations. Located between the organs and the diaphragm, which are below it, accumulations of pus are called subphrenic abscess. Abscesses are characterized by acute pain on the right side: scapula, hypochondrium, shoulder. When you inhale, unpleasant sensations increase, the temperature is elevated. A blood test reveals neutrophilia and leukocytosis.

Biliary or hepatic colic

The spastic muscles of the gallbladder or its ducts are able to deliver a lot of painful sensations. If the bile ducts are blocked with stones, colic appears: cutting strong cramping pains that get a tearing temperament. It concentrates on the right side of the body: the hypochondrium, subclavicular region, the recoil goes to the right shoulder blade, jaw, eye. The origin of the attack is associated with the intake of fatty foods or the rejection of products such as chocolate, milk, eggs, etc. The pain syndrome manifests itself in most cases at night or in the morning, increases within 3-5 hours, the patient's face turns pale, sweat drops come out. Likely vomiting.

If there are problems with the functioning of the gallbladder, unexpected stabbing or cutting intense pain in the region of the right hypochondrium may appear. After a while, the discomfort is concentrated around the gallbladder. As with colic, this type of pain can irradiate to the right side of the neck, jaw, affect the right shoulder, shoulder blade, sometimes covers the heart area and can cause angina.

Pain in the interscapular region

Pain or numbness in the middle of the back between the shoulder blades may indicate vertebral hernia, scoliosis or kyphosis, neuralgia, heart disease (angina pectoris, ischemia, pericardium), liver (hepatitis, etc.), gall bladder (cholecystitis, etc.), lungs (pleurisy , pneumonia, etc.)

Chest pain

If the pain in the chest appeared unexpectedly, wears an intense temperament and is combined with a feeling of lack of air, shortness of breath, surely she speaks of an important disease that requires urgent medical care. Various kinds of infections can lead to a chronic nature in the chest.

This term is called inflammation of the heart membrane. The patient feels pain as if in the depth of the chest, near the heart. If you tilt the torso forward, the pain subsides, if you lie on your back, it improves. Over time, fluid accumulates in the heart envelope, which eventually leads to heart failure. Edemas appear, blood pressure drops, shortness of breath begins, and unspecialized weakness is characteristic.

Inflammation of the pulmonary membrane has distinctive unilateral pain in the chest (from the side where the inflammation begins). Any movement or a deep sigh intensifies the pain; symptoms are dull if the patient lies on the affected side. If the pain subsides for a while, it does not mean recovery, but fluid accumulation in the pleural cavity. Indirectly, the same shows and shortness of breath.

At a time when the tracheal mucosa is inflamed, burning pains appear sharply in the center of the chest. When tracheitis is accompanied by a dry cough, voice hoarseness, fever, a feeling of drying in the throat.

Along with this disease, pain appears much more frequently in the region of the heart. But they can largely coincide with the symptoms of very important diseases: heart attack, angina attack, etc. With VSD, the temperament of chest pain does not depend on physical exertion, and medications (nitroglycerin, validol, etc.) do not give the expected result.

Sharp, sharp, very severe pain in the chest, extending to the back, improves, while the patient takes a breath, coughs or tries to change the position of the body. The integrity of one of the walls of the esophagus is broken, and its contents fall directly into the cavity located in the chest. Such an injury is likely with severe vomiting and is very terrible. If you are suspected of rupture of the esophagus, do not hesitate and immediately consult a doctor.

Hernia in the esophageal opening of the diaphragm

Severity and pain in the neck, in the chest, mostly on the left, accompanied by heartburn, improves with eating, and also in the prone position. Along with this disease, the upper part of the stomach or other organs from the abdominal cavity can get into the chest cavity.

The main symptom of tuberculosis is a long, more than a month, cough. The phlegm leaves with bloody impregnations, the temperature is increased, there is no appetite, there is a noticeable drop in weight, weakness. Throughout this disease, the patient feels aching constant pain in the chest, they increase their intensity during cough. If at least some of the symptoms converge with the above, go urgently to the doctor.

Various oncological diseases can manifest themselves in chest pain: cancer of the lung, esophagus, liver, lacteal gland, pancreas. The temperament of pain may be different: tolerant aching or acute to unbearable, constant or transient. In diseases of this kind, in most cases, body weight decreases, appetite is absent, unspecialized weakness is noted.

Pain in the superficial part of the chest

This disease is characteristic of young people, pain appears in the front surface of the chest, a little to the side of the sternum. Cough, deep breathing, palpation of the affected area provoke an increase in the intensity of the pain syndrome. Its duration ranges from 1 hour to several days. Much more often passes without treatment.

Chest pain is accompanied by muscle weakness due to inflammation. Appears due to long important physical activities, injuries, hypothermia, drafts.

Much more often this disease is nursing women, but it can be seen in other patients, as well as in men. The inflamed mammary gland swells, its size increases. The pain, along with this one-sided, increases when you press on the chest.

As a summary of this article has the essence to highlight that pain in the area of ​​the scapula or chest, of course, requires attention, due to the fact that in many cases it talks about important diseases. Having ascertained the initial indices of pain in this area, one should immediately contact the district physician, and if he considers the forthcoming examination necessary, he should also undergo it. In situations, at a time when acute pain does not allow you to get to a medical facility on your own, it is better to lead to an ambulance without delay, without trying to wait, while the pain will pass.