My boyfriend is having sharp pain under his shoulder blade.

Patient : My boyfriend is having sharp pain under his shoulder blade. He can barely move without it hurting and taking deep breaths hurts him as well. No medicine or anything can help him and he'd rather not see a doctor (no insurance). I've never seen him in so much pain and I'm more worried than he is. It doesn't look swollen but it hurts him when I touch it. What could it be and how can I make it feel better? He works full time and can't take off work.
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