Based on your description:
• Stabbing pain in right shoulder blade
• Sometimes radiates to right chest
• ECG normal
• BP normal
• Resting pulse 74
• Pain reduces with massage
• Comes and goes
This pattern strongly suggests musculoskeletal pain, not cardiac.
Cardiac pain typically:
• Is pressure/heaviness, not stabbing
• Not relieved by massage
• Not localized to shoulder blade only
• Associated with breathlessness, sweating, nausea
Your pain improving with massage is a key sign of muscle spasm or myofascial trigger point.
Common causes:
• Poor posture
• Long phone/laptop use
• Stress-related muscle tightness
• Sleeping posture
• Carrying heavy bag on one side
Right scapular region pain is very common in young females due to posture strain.
Next Steps
✔ Check posture (especially during mobile/laptop use)
✔ Apply warm compress 15 minutes twice daily
✔ Topical pain relief gel
✔ Gentle shoulder stretching exercises
✔ Short course NSAID if pain significant (after food)
If persists >2–3 weeks:
✔
Vitamin D level
✔
B12
✔ Physiotherapy session
Urgent evaluation only if:
• Pain associated with breathlessness
• Severe chest pressure
• Radiating to left arm/jaw
• Persistent worsening pain
From your description, this does not sound cardiac.
Health Tips
✔ Avoid slouching
✔ Adjust pillow height
✔ Strengthen upper back muscles
✔ Take screen breaks every 30–45 minutes
✔ Practice stress-relief breathing
Muscle-related chest and shoulder blade pain is common and harmless but can be very uncomfortable.
If you share:
• Your work routine
• Any recent stress
• Whether pain increases with deep breathing or movement
I can narrow the exact cause further. If this pain is recurring and worrying you, booking an online consultation will help confirm diagnosis confidently and create a proper posture-correction and pain management plan.