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One common cause of muscle aches and pain is fibromyalgia, a condition that causes tenderness in your muscles and surrounding soft tissue, sleep difficulties, fatigue, and headaches.
Muscular: tightness or spasm (the rhomboids, trapezius, scalenes, and the erector spinae muscles) cause midline pain (along the center of the neck) or pain in the shoulder blades. A torn disc or a stretched ligament will cause almost the same pain. All of these problems are known as soft tissue injuries..