Back Pain Scapula Pain Depending on the cause of the pain, non-steroidal anti-inflammatory drugs, medications that nourish joint cartilage, antibiotics, and surgery may be given. Backache and scapular pain may be related to inflammation, trauma, degenerative disease, cholecystitis or heart attack. 1. Inflammation: If back pain and shoulder blade pain is caused by local inflammation, such as fasciitis, take non-steroidal anti-inflammatory drugs for treatment, such as meloxicam or celecoxib. 2. Trauma: If the back and shoulder blades are impacted by external forces, it may cause soft tissue injuries such as back muscles and ligaments, which can easily cause pain symptoms, and pain relieving drugs can be taken to relieve the pain, such as ibuprofen, and so on. 3. Degenerative lesions: Degenerative lesions of the shoulder joint will affect the mobility of the shoulder joint, and the pain will last longer. You need to take medicines that nourish joint cartilage, such as chondroitin sulfate. 4. Cholecystitis or heart attack: cholecystitis can have radiating pain in the right shoulder blade, and heart attack or angina can have radiating pain in the left shoulder, which can be clearly diagnosed by ECG, CT and laboratory tests. Cholecystitis can be treated with antibiotics, antispasmodics, and surgery. Heart attack requires thrombolysis and surgery. There are many causes of scapular pain, treatment and drug selection need to be based on the cause of the pain, you need to follow the guidance of the doctor, not blindly self-medication.