There are many reasons for the soreness of the scapular suture of the back, the more common ones are back muscle strain, fasciitis, spinal lesions and visceral involvement pain, and it is necessary to complete all the examinations in order to clarify the cause of the disease. 1. Back muscle strain: mostly seen in the back of the long-term improper posture, weight-bearing, etc., belonging to the chronic injury of the muscles, the scapular suture can appear soreness. 2. Fasciitis: related to back trauma, labor injury and cold, etc. It is aseptic inflammation of the back fascia. 3. Spinal lesions: the cervical spondylosis stimulates and compresses the spinal nerves, leading to the pain at the scapular suture, and the thoracic spine, if there are degenerative changes, trauma, tumors and so on, can also lead to soreness at the scapular suture of the back. 4. Visceral involvement pain: more common gallbladder diseases such as cholecystitis, gallbladder stones, mostly combined with the right upper abdominal pain. Pleurisy caused by lung infections can also be associated with pain in the scapular suture of the back. It is recommended that the patient go to the hospital, improve the auxiliary examination, in order to clarify the cause of the disease, and be treated by a professional physician.