I'm sorry to hear about the burning ache you're experiencing between your shoulder blades and ribs. This type of upper back discomfort can often be due to muscle strain, poor posture, or inflammation of soft tissues.

Here are some steps that might help relieve your discomfort:

• Rest and Posture: Avoid activities that worsen the pain. Maintain good posture, especially when sitting or working at a desk.
• Heat or Cold Therapy: Applying a warm compress or heating pad can relax tight muscles. Alternatively, cold packs can reduce inflammation if the pain is recent.
• Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like aceclofenac combined with paracetamol and serratiopeptidase (as found in some medications) can help reduce pain and inflammation. However, these should be taken only under a doctor's guidance.
• Gentle Stretching: Light stretching exercises targeting the upper back and shoulders may ease muscle tightness.
• Avoid Heavy Lifting: Minimize lifting heavy objects or sudden twisting movements.

Since persistent or severe upper back pain can sometimes indicate other underlying issues, it is important to consult an orthopedic specialist or a pain management doctor. They can evaluate your symptoms thoroughly and recommend appropriate treatment.

If the pain worsens, is accompanied by numbness, weakness, or breathing difficulties, seek immediate medical attention.To narrow down potential causes, we will need some more information.I'm sorry to hear about your upper back discomfort. Could you please tell me your age and gender so I can better understand your situation?