Referred Pain: Common Areas and What It Means (2024)

Referred pain is when the pain you feel in one part of your body is actually caused by pain or injury in another part of your body.

For example, an injured pancreas could be causing pain in your back, or a heart attack could be triggering pain in your jaw.

Referred pain can be a symptom of serious things happening in your body. It’s important to understand how and why it happens.

Simply stated, referred pain happens because the nerves in your body are all connected.

When your body experiences a pain stimulus, your nervous system carries the signal to your brain. The brain then sends a signal to your body that you’re experiencing pain.

Sometimes, because of how nerves are wired in your body, your brain will send a pain signal to a different part of your body than the area where the pain stems from.

Also, synapses and reflexes that you may not even be aware of can also be the reason pain signals are sent to one area of the body as a sign of a medical issue in another area.

Researchers are still working to understand the exact mechanism and reason why your body has this type of reaction.

Below are some frequent causes of referred pain.

Heart attack

A heart attack is a common reason why people experience referred pain. Referred pain can be felt in your jaw, teeth, and shoulders.

The pain occurs when your body starts to react to a blockage in your coronary arteries that can trigger a heart attack.

Phantom limb pain

If you’ve had an arm, leg, or extremity amputated, it’s common to feel pain that your body thinks is coming from the body part that was removed.

For example, you might feel pain in your upper thigh from a foot that has been amputated.

Kehr’s sign

Kehr’s sign is pain felt in your shoulder blade. This pain specifically indicates a ruptured or injured spleen.

Brain freeze

Brain freeze that you get after drinking a milkshake or eating ice cream could be considered a type of referred pain.

The pain stimulus is happening in your mouth and throat. However, your vagus nerve is stimulated, and the pain is felt in your brain and the back of your head.

Referred pain can be felt anywhere, which is part of why it’s hard to diagnose correctly. Common areas that are affected by referred pain include:

Shoulders and neck

Pain in your shoulders and neck can be a sign of:

  • an injured spleen
  • a heart attack
  • a liver cyst

Upper back

Pain in the upper back area right below and between your shoulder blades can give you an indication that you have a stomach condition.

Lower back and sides of your body

An aching on the sides of your back or even close to your oblique muscles can be a sign that there’s something going on with your kidneys or your colon.

Teeth and jaws

Pain in your teeth and jaws can be an early symptom of a heart attack.

In most cases, a healthcare provider needs to evaluate and treat referred pain. If you treat the part of your body that’s in pain instead of treating the part that’s injured, you won’t be able to get rid of the pain.

People who have referred pain sometimes aren’t sure what’s going on. They just know that they feel pain and can’t figure out why.

If you have mysterious pain from a place on your body that doesn’t appear to be injured, you can temporarily try to get relief by taking ibuprofen (Advil).

Pain management for referred pain may not be successful without a diagnosis.

But you can try to treat acute pain at home with simple home remedies that will reduce any inflammation and soothe your body’s nervous system.

Home remedies for acute muscle pain include:

  • using a warm compress to ease muscle tension and cramping
  • taking a bath with Epsom salt to release muscle tension
  • resting your body and being careful not to irritate the area that’s in pain

However, if you’re having any symptoms of organ damage or a heart attack, don’t try to treat yourself with a home remedy.

If you’re having shoulder pain that you believe could be related to a heart attack, seek emergency treatment right away.

Similarly, referred pain coming from your shoulders or your back can be your body’s way of telling you that you need help.

If you have no reason to suspect your back or shoulder has been injured, but you still feel pain from those places, speak to a healthcare provider immediately.

Don’t wait for the pain to make sense or for the painful sensation to go away.

Referred pain usually requires talking to a healthcare provider.

Whether you’re seeing the early symptoms of a heart attack or the first indication that your vital organs have been injured, referred pain could actually save your life.

If you frequently experience phantom or referred pain in areas of your body that haven’t been strained or hurt, speak to a healthcare provider immediately.

Referred Pain: Common Areas and What It Means (2024)

FAQs

Referred Pain: Common Areas and What It Means? ›

Referred pain is when you have an injury in one area of your body but feel pain somewhere else. This happens because all the nerves in your body are part of a huge, connected network. Referred pain can occur anywhere, but it's most common in your neck, shoulders, back, teeth and jaws.

What is the best example of referred pain? ›

A prime example of this phenomenon is the pain experienced in cardiac ischemia; the pain is felt in the neck, left shoulder and down the left arm. The referred pain occurs because of multiple primary sensory neurons converging on a single ascending tract.

What is pain that shows up in different areas? ›

Referred pain is when the pain you feel in one part of your body is actually caused by pain or injury in another part of your body. For example, an injured pancreas could be causing pain in your back, or a heart attack could be triggering pain in your jaw.

What is the dermatomal rule of referred pain? ›

As with referrals from organ tissue to musculoskeletal tissue, you can also have referred pain from muscle tissue to muscle tissue. This relationship is called the dermatomal rule. All nerves from the periphery must make their way to the central nervous system by converging within the spinal cord.

What does left shoulder pain mean in a woman? ›

Heart Related Issues. Angina: Reduced blood flow to the heart can cause referred pain to the left shoulder, often described as a dull or heavy ache. Heart Attack: Left shoulder pain, along with other symptoms like chest pain, shortness of breath, and nausea, can indicate a heart attack, especially in women.

What is an example of referred pain and offer a possible explanation? ›

Referred pain is a type of pain that is perceived to be in one location other than where the pain stimulus is. For example, if you were to put your elbow in a bucket of ice water, you will feel pain in your hand and not in your elbow.

What is the classic example of referred pain in humans? ›

Examples of Referred Pain

Cardiac arrest—if you are having a heart attack, then you may experience referred pain or numbness in your left arm, upper middle part of your back or jaw. Lung and diaphragm—if you are suffering from lung or diaphragm issues, then you may find that your neck or upper shoulder area may hurt.

What is the most common area of pain? ›

Lower back pain is the most common area that Americans seek help because of injury, disc pressure, long periods of inactivity, or from aging which can begin as early as your thirties but is more likely after fifty.

What are the 4 major types of pain? ›

Some forms of pain are temporary while others are lifelong conditions.
  • Acute Pain. Acute pain can be cured in minutes or months. ...
  • Chronic Pain. Chronic pain lasts more than six months and ranges from mild to severe on a daily basis. ...
  • Neuropathic Pain. Neuropathic pain is due to nerve damage. ...
  • Nociceptive Pain.
Oct 18, 2023

What is the most common pain location in the body? ›

Common aches and pains
  • Back pain. Back pain is very common and usually doesn't have a serious cause. ...
  • Elbow pain. Elbow pain is very common and usually doesn't have a serious cause. ...
  • Foot and ankle pain. ...
  • Hip pain. ...
  • Neck pain. ...
  • Shoulder pain. ...
  • Hand and wrist pain. ...
  • Knee pain.

What is a somatic referred pain area? ›

Pain the your lower back, buttocks, groin or upper legs can be referred from a structure in your back or abdomen. This is different to pain down the leg from a 'trapped nerve' (radicular pain) where the pain usually follows the track of the irritated nerve and may cause tingling or numbness.

What are the common patterns of referred pain? ›

Some of the most common examples of referred pain include: Referred back pain. Upper back pain, especially between your shoulder blades (Kehr's sign), might mean that you have a ruptured spleen. Lower back pain or flank pain may indicate colon or kidney issues.

What is somatic referred pain? ›

Somatic referred pain is explicitly somatic pain that becomes referred. The term is used to distinguish referred pain that arises from the musculoskeletal tissues of the body from visceral referred pain.

What organ has referred pain to left shoulder? ›

Causes of referred shoulder pain may include: Abdominal problems, such as gallstones or pancreatitis. Pelvic problems, such as a ruptured ovarian cyst. Heart or blood vessel problems in which pain is more often felt in the left arm and shoulder, such as heart attack or inflammation around the heart (pericarditis).

What is the pain behind the left breast and shoulder? ›

Pain in your chest and shoulder can have many causes. Some of the most common include angina or other heart conditions, gallstones, pericarditis, pleurisy, or pancreatitis. Unexplained pain that occurs in both your chest and shoulder should always be checked out by your doctor.

What is the pain between the left shoulder and breast? ›

Pericarditis occurs when this becomes inflamed due to infection or a disorder where the body's immune system attacks itself. Symptoms of acute pericarditis include : sharp, stabbing pain under the left breast or in the chest. pain in one or both shoulders.

What is the best example of referred pain quizlet? ›

Pain felt in a part of the body other than it's actual pain. Example of referred pain: Pain produced from a heart attack may feel as if it's coming from the arm because sensory information from the arm & heart converges on the same nerve pathway in the spinal cord. Why is pain referred?

What is referred pain best described as? ›

Referred pain is any pain that is felt in a different part of the body than where the primary cause of the pain is located. For example, even though the cold treat is in your mouth, you feel pain in your head.

What is referred pain quizlet? ›

Define referred pain. "Referred Pain is visceral pain felt at some distance from a diseased or affected organ. Referred pain occurs when the brain misinterprets the pain as originating from a cutaneous nerve that innervates an area that is, in fact, at a site other than the affected organ."

Which of the following is a characteristic of referred pain? ›

Typically, referred pain is described as dull, aching, gnawing, annoying, drilling, or pressing (1, 55). Sometimes, referred pain is associated with secondary hyperalgesia and trophic changes (3).

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