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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.
When an individual has a pinched nerve in the lower back, for example, symptoms of pain will usually radiate down the leg. A pinched nerve in the neck can cause pain to travel from the neck, through the shoulders, down the arms and into the hands. Muscle spasms in the back commonly coincide with pinched nerves and can cause weakness in the arms or legs. The two most common pinched nerves in the lower back are L5 (lumbar 5) and S1 (sacral 1).