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One common cause of muscle aches and pain is fibromyalgia, a condition that causes tenderness in your muscles and surrounding soft tissue, sleep difficulties, fatigue, and headaches.
Muscle strains, muscle contusion (bruise): Overuse of the muscles surrounding the shoulder can result in shoulder blade pain. Other causes of muscle strain include changing the workout routine, overusing muscles, lifting heavier weight than what you are used to, or sleeping in one position for too long.