The causes and treatment of pain in the middle of the spine and right scapula are as follows: 1, shoulder and back muscle strain, mostly seen after long-term ambulatory work or shoulder lifting heavy objects, muscle and soft tissue damage, inflammatory factors in the injury site accumulation, patients feel pain and discomfort in the damaged parts, such patients are suitable for bed rest, as well as through non-steroidal anti-inflammatory drugs, blood circulation and stasis class Chinese medicine symptomatic treatment. 2, cervical spondylosis. Due to cervical disc instability, cervical adnexal hyperplasia, small joint misalignment and other degenerative changes of the cervical spine, resulting in nerve root compression or back muscle strain and pain and discomfort in the corresponding areas, such patients should rest in bed, as well as through non-steroidal anti-inflammatory drugs, neurotrophic drugs and combined with the corresponding treatment of cervical spondylosis. 3, acute myocardial infarction, a small number of acute heart attack symptoms are not typical, the pain site may be located in the back of the shoulder area, need to Improve the relevant examination to exclude.