The most common clinical causes of shoulder and back pain are as follows: First, prolonged head down or ambulatory work, resulting in muscle strain and inflammation of the fascia in the neck and neck, which can lead to pain. The pain is mainly localized as soreness, swelling and tingling, and the cervical spine movement is slightly restricted, especially when the head is lowered, which can induce radiating pain or soreness in the back of the shoulder. The main treatment method is local hot compress or tui na, massage, cupping, moxibustion, and if necessary, topical application of Furtalin ointment or White Vein ointment. If the pain is still not relieved, you can take oral non-steroidal anti-inflammatory and analgesic drugs, such as Xilabao capsules or Nimesulide dispersible tablets. The second type is pain or radiating pain in the back of the shoulder caused by cervical spondylosis or cervical disc herniation that compresses the nerve, which is usually more severe and usually requires medication and, if necessary, surgery.