The left shoulder pain hand lift up the film and nothing may be physiological factors, or pathological factors such as shoulder muscle strain, shoulder joint aseptic inflammation, myofasciitis and other diseases. 1. Physiological factors: such as long-term excessive strenuous exercise, such as doing pulling heavy objects, lifting dumbbells and other actions, there is no operational standardization, can also lead to left shoulder pain and hand lifting and filming and the situation is fine. 2. Disease factors (1) Shoulder muscle strain: Due to local fatigue, incorrect sleeping posture and other reasons, the left shoulder is under pressure for a long time, resulting in shoulder muscle strain and shoulder pain. Thus, there is a situation that the left shoulder pain can’t lift up the hand, but the radiograph is fine. (2) Aseptic inflammation of the shoulder joint: the patient has a history of trauma to the left shoulder joint, which can lead to aseptic inflammation of the left shoulder joint, which may cause pain and limitation of activities in the left shoulder. Therefore, there is a case of left shoulder pain that the hand cannot be lifted, but the radiographs are fine. (3) Myofasciitis: in the case of strenuous exercise or heavy physical labor, it may cause inflammatory lesions of shoulder myofasciitis. It may also cause left shoulder pain and hand lifting, but the radiographs are fine. Left shoulder pain can not lift up the hand to take a film and nothing after ruling out the physiological causes, you can go to the hospital for imaging examination, and according to the doctor’s advice to take targeted therapeutic measures to improve, to avoid aggravation of the condition.