When pain occurs in the spine between the two scapulae, the first step is to determine if there has been any trauma. Trauma can lead to fractures of the spine and local soft tissue damage, and active examination is needed to clarify the exact extent of the injury. If surgery is indicated, active surgical treatment should be performed. Conservative treatment involves strict bed rest for 6-8 weeks, application of the anti-inflammatory and analgesic drug diclofenac sodium, and the drug Xianling Bone Capsules to promote fracture healing, and no pushing or massage. If there is no trauma but pain in the spine, we should actively correct the body posture, especially pay attention to avoid lowering the head, bending the waist, avoiding long hours on the computer, cell phones, sleeping on a hard bed, appropriate sports exercise, such as swimming, playing badminton, etc.; oral anti-inflammatory and analgesic drug loxoprofen sodium, local use of flurbiprofen babu cream. If there are obvious local pain points, closure treatment can also be carried out. If the pain is very obvious at night, you should also actively improve the examination to clarify whether there is any tumor disease, in this case it is necessary to actively carry out surgery.