Scapular Tibialis pain can be caused by different reasons. According to different reasons, different treatments are taken, which can be treated by rest, medication, surgery and so on. 1. Improper sleeping posture: if you sleep at night in a posture that overly pulls the muscles around the scapula, it may cause scapularis muscle pain after getting up, which is usually relieved after rest. 2. Chronic strain injury: long-term labor, work, long-term sitting position is not moving people may make the scapularis muscle injury, resulting in pain. Usually should pay attention to rest, moderate exercise shoulder and neck muscles, can be used locally to activate blood pain relief of topical drugs, such as Yunnan Baiyao. 3. Cervical spine diseases: cervical osteoarthritis, hyperplastic cervical spondylitis, cervical nerve root syndrome and other cervical spine diseases can cause scapularis muscle pain, can be treated with physical therapy, massage, medication, and other ways of treatment, medication can be used for non-steroidal anti-inflammatory analgesic drugs such as celecoxib, ibuprofen and so on. Physical therapy, acupressure, and medication should be administered under the supervision of a physician. Scapular muscle pain may also be caused by other reasons, once the scapular muscle pain can not be relieved should go to the regular hospital in a timely manner to identify the cause and targeted treatment.