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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.
This type of pain can occur in the right shoulder and is a result of gallstones, peptic ulcers, and liver disease. Osteoporosis: Osteoporosis is a bone disease that causes the bones to become thin and fragile. The scapula can be affected by osteoporosis, resulting in pain. Lung conditions and tumor: Lung conditions â like pulmonary emboli, a collapsed lung, or lung tumors â can contribute to shoulder blade pain.