Many patients with shoulder and back pain are treated as cervical spondylosis, and they do physiotherapy, traction, massage, acupuncture and so on, but they do not get better for a long time, why? These patients have pain mainly in the interscapular region and around the scapula, mainly soreness and swelling pain, and the symptoms will be aggravated when sitting for a long time or when the weather changes. In fact, most of the pain in these areas is caused by problems in the upper thoracic spine, which can be caused by factors such as disorders in the small thoracic joints, causing autonomic nerve compression symptoms, patients will have panic, chest tightness, elevated blood pressure, some patients will also have a cough, but the amount of sputum is very small, serious patients will also fainting, electrocardiogram and cardiac ultrasound examination are normal, I have encountered many of these patients, most of them are tossed around in a number of I have met many of these patients, and most of them have been repeatedly consulted in many hospitals, spending a lot of time and RMB, but their symptoms are still not relieved, and over time they will develop mental irritability, insomnia and other symptoms. In fact, as long as the cause is found, symptomatic treatment can achieve immediate results, the symptoms are much easier.