Varies: Commonly, upper back/shoulder blade pain can be from the neck or bursitis around the blade. Upper back pain could be from the shoulder or referred. Common referred sources include: abdomen, heart and neck. Shoulder sources include: arthritis, labral tears, instability, tendinitis, rotator cuff tears, bursitis, painful bony spurs etc. Ribcage pain can be from rib joints. See orthopedics.
Answered 6/5/2015
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