Dull constant ache in left shoulder blade pain radiating down left arm bp is 119/78 pulse 90 pain has been there all day i suffer severe anxiety also ?

Some pain issues: the location and movement of a pain gives clues as to what is going on. There are nerves that run from the shoulder outward (brachial plexus). mostly they are injured from obvious causes like car accidents and severe arm pulling. Thoracic outlet syndrome is when bones at the top of the ribcage rub these nerves. Generally with signs of circulation problems in arm.

Therapy?: In addition to tending to physical symptoms, have you yet tried any form of psychotherapy? Typically, the optimal combination of things to treat emotional issues such as anxiety or depression is medication (which, on your best day, is supposed to take the edge off symptoms) but the real gruntwork takes place in psychotherapist's consulting room.