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These nerves, forming what is known as the brachial plexus, run from your spinal cord along your neck and shoulder into your arm. Brachial neuritis can cause severe pain in your shoulder and, when this subsides, your shoulder may be weak, limiting your movement. Brachial neuritis is uncommon. The condition often begins suddenly, and frequently the pain will begin during the night.
Inflammation, infection and damage to the liver can produce pain under the right shoulder blade. Bacterial infections can produce pockets of pus in the liver. This results in pain, fever and often a general feeling of illness. Liver cancer can also spread to other areas of the body resulting in pain being felt in the right shoulder. Cirrhosis is a permanent scarring of the liver and often results from excess alcohol consumption.