Bump Between the Shoulder Blades: Causes, Symptoms, and Treatment

What is a Bump Between the Shoulder Blades?

A bump between the shoulder blades refers to a noticeable protrusion or lump that forms in the upper back region, typically between the shoulder blades (scapulae). This bump can be caused by a variety of conditions, ranging from minor issues like muscle tension to more serious concerns like tumors or cysts.

Causes of a Bump Between the Shoulder Blades

• Muscle Tension or Strain. One of the most common causes of a bump in this area is muscle tension or strain. Overuse or poor posture can lead to muscle spasms or the formation of muscle knots (trigger points), which can create a firm, tender bump between the shoulder blades.
• Fatty Tumors (Lipomas). Lipomas are non-cancerous, slow-growing fatty tumors that can develop beneath the skin. When they form between the shoulder blades, they can create a visible bump that is usually soft and movable.
• Cysts. Sebaceous cysts or other types of cysts can develop between the shoulder blades, forming a firm, raised bump under the skin. These are often benign and may require drainage if they become infected or painful.
• Spinal Deformities. Conditions such as scoliosis or kyphosis can cause uneven pressure on the spine and the muscles around it, leading to the development of bumps or protrusions along the back.
• Herniated Disc. A herniated disc in the spine can cause localized swelling or a bulge, which may result in a noticeable bump between the shoulder blades. This is often accompanied by pain, numbness, or weakness in the upper body.
• Bone or Joint Issues. Bumps may also develop due to issues with the bones or joints in the upper back. This could be related to arthritis, joint inflammation, or trauma to the spine or ribs.
• Infections. Infections in the skin or underlying tissues can lead to the formation of abscesses or swelling between the shoulder blades. This may be painful and require antibiotics or drainage to resolve.

Symptoms of a Bump Between the Shoulder Blades

• Visible Protrusion. The most obvious symptom is the presence of a bump or lump between the shoulder blades, which may become more noticeable when moving or when pressure is applied to the area.
• Pain or Tenderness. The bump may be painful or tender, especially if it is caused by muscle strain, nerve irritation, or an infection.
• Limited Mobility. In some cases, the bump may be accompanied by a decrease in mobility, particularly if the underlying cause is related to spinal issues or nerve compression.
• Swelling. If the bump is caused by an infection or inflammation, the surrounding area may also appear swollen or red.
• Discomfort or Stiffness. Individuals may feel stiffness or discomfort in the upper back or shoulders, particularly if the bump is related to muscle tension or spinal abnormalities.

Treatment for a Bump Between the Shoulder Blades

• Physical Therapy. For muscle-related bumps, physical therapy exercises can help alleviate tension, improve posture, and reduce discomfort. A therapist may use massage, stretching, and strengthening techniques to address the issue.
• Medications. Pain relief medications such as NSAIDs or muscle relaxants may be prescribed to reduce pain and inflammation, especially in cases of muscle strain or joint issues.
• Cyst Drainage. If the bump is caused by a cyst, it may need to be drained or removed by a healthcare provider if it becomes infected or causes discomfort.
• Surgical Removal. In the case of fatty tumors (lipomas) or other benign growths, surgery may be required to remove the tumor if it becomes bothersome or grows in size.
• Spinal Adjustments. If the bump is due to spinal issues such as scoliosis or kyphosis, chiropractic adjustments or other spinal treatments may help improve alignment and reduce symptoms.
• Infection Treatment. In cases where the bump is caused by an infection, antibiotics or drainage procedures may be necessary to treat the infection and reduce swelling.