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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.
1 Osteoporosis â Osteoporosis â a thinning of the bones â may occur in the shoulders, shoulder blades, or neck, resulting in shoulder blade pain.  Abdominal conditions â Disease of organs in the digestive system are not uncommon causes of referred pain to the right shoulder blade.