The common causes of arm pain in the elderly can’t lift up include frozen shoulder, cervical spondylosis, humeral epicondylitis, shoulder joint strain, rotator cuff injury, etc. Needle treatment according to different causes, specific should follow the doctor’s instructions. 1. Frozen shoulder: pay attention to keep warm, avoid cold, strengthen the functional exercise of joints to prevent adhesion of joints, cooperate with local physiotherapy, oral ibuprofen extended-release capsules, celecoxib tablets and other non-steroidal painkillers if the pain is severe, and also can be localized closed injection. 2. Cervical spondylosis: avoid prolonged head down, maintain correct sitting posture, with physical therapy traction, reduce the compression of the intervertebral disc on the nerve root, if the pain is severe, you can take oral non-steroidal painkillers such as diclofenac sodium enteric tablets, meloxicam, etc. Conservative treatment is ineffective, you can take minimally invasive surgery to lift the nerve compression. 3. Epicondylitis of humerus: reduce the activities, give hot compresses and physical therapy, if the pain is severe, you can take local closure or minimally invasive surgery to release. 4. Shoulder joint strain: reduce joint activities, pay more attention to rest, massage, massage, such as severe pain can be given Meloxicam tablets, celecoxib capsules and other drugs for treatment. 5. Rotator cuff injury: the shoulder joint should be braked to rest, avoid activities, physical therapy, oral ibuprofen extended-release capsules, celecoxib and other drugs, serious rotator cuff injuries, arthroscopic surgery should be taken to repair. There are many reasons why the elderly arm pain can not be lifted up, through rest, hot compresses can not be improved, should consult a doctor in a timely manner, in accordance with the doctor’s instructions standardized treatment.