A hump on the upper back between the shoulder blades is an area of fat accumulation on the back of the neck. The medical name of this condition is dorsocervical fat pad.
A hump between the shoulder blades by itself is not a sign of a specific condition. The health care provider must consider this along with other symptoms and test results.
Causes of dorsocervical fat pad include any of the following:
Osteoporosis may cause a curvature of the spine in the neck called kyphoscoliosis. This causes an abnormal shape, but does not by itself cause excessive fat in the back of the neck.
If the hump is caused by a certain medicine, your provider may tell you to stop taking the medicine or change the dosage. DO NOT stop taking the medicine without first talking to your provider.
Diet and exercise can help you lose weight and may relieve some fat accumulation due to obesity.
Make an appointment with your provider if you have an unexplained hump behind the shoulders.
Your provider will perform a physical examination and ask about your medical history and symptoms. Tests may be ordered to determine the cause.
Treatment will be aimed at the problem that caused the fat to develop in the first place.
Reviewed By: Brent Wisse, MD, Associate Professor of Medicine, Division of Metabolism, Endocrinology & Nutrition, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.