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A pinched nerve, also known as nerve compression, can occur for a variety of reasons. Compression of a nerve in the neck or, less commonly, in the shoulder itself can trigger shoulder blade pain. Overuse, age-related changes and injuries are among the most common causes of this type of nerve compression. The signs and symptoms of a pinched nerve vary, and can occur intermittently or persistently.
Some of the areas where pinched nerves most frequently occur include: 1  The sciatic nerve, which can cause pain through the lower back and into the leg. 2  The cervical spine, better known as the neck region of the back. Pinched nerves in the neck can cause radiating pain through the shoulder blade and/or arm.