IMO the shoulder blade pain is a myofascial occurrence or reaction due to the rolled, hunched or shoulder forward posture.

For me I get the pain under the shoulder blade when I am not being mindful of postures. It is the rhomboids that can get over stretched very easily.
There's another post of mine from last winter?? where I explain the cause /effect/ fix of this for me.
a forum search of "rhomboids" should bring it up for you.

[he may want to do some exploratory surgery to look for any fibrous bands]
Umm if you do have Crps - unnecessary surgeries are not advised.

There is a version called cold RSD, but you might need to search the RSD forum for more info about it or post a question asking about it there.

I'm sorry - I read so many other forums here that i can't recall what tests or PT you have had so far??
If you can make a brief list of what you have done already?


If not expert PT, posture work or bodywork - I really suggest that be tried - first maybe at a few different places or diff people.
pain reduction first priority at those places - therapeutic massage, Trigger point work, ultrasound, LLLT , E stim... etc
after pain is reduced then some gentle stretches and maybe some isometric muscle work
at any time if sx increase or new ones start up - step back to a safe point

myofascial pain info sites
http://www.google.com/search?hl=en&c...al&btnG=Search