Quick answer: A pinched nerve in the shoulder blade is usually caused by a compressed nerve root in the neck (cervical radiculopathy), not by the shoulder blade itself. It can also result from a local nerve, such as the dorsal scapular nerve, being irritated by tight neck muscles. Gentle stretching, posture correction, and physiotherapy exercises like scapular retraction and nerve glides may help relieve mild cases, but symptoms lasting more than a couple of weeks, or accompa