What Causes Intense Pain Between the Shoulder Blades?

Intense pain between the shoulder blades may result from poor posture, knotted muscles, as well as problems in the joints of the ribs, spine or sternum, according to Pain Chiropractor. Posture improvements, massage and regular stretching can help relieve this type of pain, as can chiropractic adjustments. In some cases, pain between the shoulder blades may also indicate a more serious condition, such as a heart attack or aortic dissection, which require immediate treatment by a qualified medical professional, as noted by WebMD.

Individuals with high blood pressure, diabetes, circulation problems or who smoke are at a greater risk for developing heart conditions, according WebMD. Other symptoms that indicate that a person is having a heart attack include chest pain, nausea, sweating and shortness of breath. Women are more likely than men to experience a heart attack as back pain. Heart attacks can be fatal, but survival chances increase if the patient receives medical treatment within 90 minutes.

An aortic dissection is a tear in the aorta. Other symptoms that a person might experience include a feeling of doom, chest pain, pale skin, sweating, dizziness and shortness of breath, according to MedlinePlus. Aortic dissections can result in a complete rupture of the aorta and may be fatal without immediate medical attention.