Sharp, shooting pains from left shoulder blade that shoot down into my forearm and into my wrist. history of panic attacks, that make this worse.

Shoulder pain: Hi, make sure you don;t have degenerative disk disease in your neck, causing inflammation of the nerve going to the upper extremities, stretch exercises and physical therapy could help.

Ok....: First, there's no actual question there. Second, assuming the question would be what is going on? without an exam, I can only give general information and not your particular situation. THird, There's no direct connection between shoulder and wrist. The closest one can come to this is a neck problem goes from the neck to the shoulder down to wrist. MRI is diagnostic.