Right shoulder blade pain with right anterior chest pain is often caused by cervical spondylosis, right frozen shoulder, right scapular muscle strain, right rotator cuff injury and right pleurisy, etc. Generally, it is necessary to give causative treatment and symptomatic treatment. 1. Cervical spondylosis: Neurogenic cervical spondylosis can lead to soreness and pain in the neck and shoulder, and sometimes the right scapula can also cause pain in the right anterior thorax. Conservative treatments such as pain relieving, nerve nourishment, and cervical spine traction can be given, and surgery is feasible if the symptoms don’t subside and aggravate. 2. Right-sided frozen shoulder: self-limiting aseptic inflammation caused by soft tissue strain around shoulder joint, degenerative lesion or improper treatment after injury, right-sided scapular pain with right-sided anterior thoracic pain can occur, the treatment mainly involves analgesia and functional exercise of the shoulder joint, and arthroscopic adhesion release and removal is feasible when necessary. 3. Right scapular muscle strain: chronic strain of right scapular muscle leads to aseptic inflammation, causing right scapular pain with right anterior thoracic pain, which is a functional lesion and can be treated with analgesia and physical therapy, avoiding exertion. 4. Rotator cuff injury: most of the right shoulder blade pain with right anterior chest pain caused by rotator cuff injury is partial tear of rotator cuff, which requires shoulder joint immobilization, and those with complete tear of rotator cuff should undergo arthroscopic rotator cuff repair as soon as possible. 5. Pleurisy: right-sided pleurisy can also cause right-sided scapular pain with right-sided anterior chest pain, but the pain site is often changed. Right shoulder blade pain with right anterior chest pain, it is recommended to go to the hospital for further consultation and treatment.