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If a nerve root is compressed in the spinal column it can send pain signals throughout the nerve, causing symptoms to radiate to other parts of the body. Common sources of upper back problems and shoulder pain include: 1  Degenerative disc disease (DDD) or other intervertebral disc problems. 2  Facet disease. 3  Osteoarthritis. 4  Stenosis. 5  Bone spurs.
Subscapularis Strain. A subscapularis muscle strain can cause left shoulder blade pain. According to the Sports Injury Clinic website, the subscapularis muscle runs from the underside of the scapula to the front of the upper arm. The subscapularis muscle is responsible for rotating the arm inward and is one of four rotator cuff muscles.