Long-term pain below the right shoulder blade is related to local muscle strain, costochondritis, back fasciitis, etc. Specific treatments are chosen according to the condition, including general treatment, medication, physical therapy, surgical treatment, closed treatment and so on. 1. Local muscle strain: it can lead to pain in the shoulder blade, and acupuncture, massage, massage, local pain point injection therapy can be given. 2. Costochondritis: It is generally believed to be related to strain or trauma, and the pain may radiate to the back of the shoulder, armpit, etc. The main treatment is conservative treatment, such as avoiding over-exertion. Conservative treatment, such as avoiding excessive fatigue, proper rest of the upper limbs, local physical therapy, hot compresses, oral non-steroidal anti-inflammatory drugs (acetaminophen) as prescribed by the doctor, can also be given to B vitamins, methylcobalamin and other neurotrophic drugs. After conservative treatment, local block therapy can be given if the symptoms do not improve, and rib chondroplasty can be performed in a few stubborn cases. 3. Dorsal fasciitis: oral indomethacin, ibuprofen and other non-steroidal anti-inflammatory drugs as prescribed by the doctor, and Tongluo open paralysis tablets to activate blood circulation and remove blood stasis, or topical pain cream and other drugs, but also can be given to the acupressure, massage, acupuncture and other physical therapy, and can be given to the closed treatment of the severe cases. Long-term pain under the right shoulder blade may also have other causes, it is recommended to go to the hospital in a timely manner, improve the examination to clarify the cause of the disease, and then give targeted treatment or therapy. Medications should be used under the guidance of a doctor.