Shoulder blade or scapula
pain must be evaluated
to make sure that the
shoulder itself and other parts of the body are not involved. Referred pain from other areas such as the gall bladder, heart, aorta, fallopian tubes, abdominal organs, diaphragm, and lungs should be ruled out. Muscle strain/spasm, tendon and soft tissue issues including the rotator cuff and bursa should also be considered.