Pain underneath the shoulder blade in the back after a large inhalation should be treated according to the cause, and common causes include muscle strain, fasciitis and scapula fracture. Treatment includes bed rest, localized external application, medication, physiotherapy and surgery. 1. Muscle strain: The pain underneath the scapula caused by muscle strain should be treated with ice packs within 72 hours and hot packs after 72 hours, and those with severe pain should take non-steroidal anti-inflammatory drugs such as ibuprofen and celecoxib. 2. Fasciitis: scapular pain caused by fasciitis can be treated with blood-activating and pain-relieving drugs such as Yunnan Baiyao, Panax ginseng tablets and non-steroidal anti-inflammatory drugs such as nimesulide, acetaminophen, etc., and acupuncture and physical therapy can be carried out as well. 3. Scapular fracture: Scapular pain caused by mild scapular fracture can be relieved by bed rest, if the fracture is more serious, it is recommended to consult a doctor in time, if necessary, surgery. There may be other reasons for the pain below the scapula after inhaling loudly, such as cholecystitis, pleural effusion, thoracic tumors, etc. It is recommended to consult a doctor in time to clarify the cause of the disease and then carry out targeted treatment. The above drugs need to be standardized and rationally used under the guidance of professional physicians and pharmacists.