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Back pain or kidney pain can be quite hard to tell apart, but neither typically features square marks on the shoulder. I have no idea what could be causing that. I'd be worried sick, though!!!
Leaving the square marks, which are obviously key, out for a minute, things that come to my mind as possibilities are gastro issues like irritable bowel syndrome or peptic ulcer disease, gallbladder disease, or pancreatitis.
It's frustrating you haven't been diagnosed so far but definitely go again now you have those marks. In case they disappear quickly, also take pictures. It could be the thing that finally leads you to a correct diagnosis.
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