Very sharp back pain, just below my left shoulder blade…?

This morning I was volunteering and directing traffic for this festival (was standing up for 4 hours) and I started getting a really sharp pain in my back, just below my left shoulder blade. It feels like a knife that’s digging into my back. It’s been a full day and I still feel it. The pain is tolerable sitting down but standing up it makes me cry out in pain. It hurts worse when I try lifting up my left arm.

The thing that really scares me is that 4 years ago i had scoliosis surgery (implanted 2 rods and about 20 screws onto my spine). Could I have dislodged a screw? Or could it just be a torn muscle or something?

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