Cervical spondylosis can cause bilateral scapular pain. Cervical spondylosis tends to cause pain in the neck, shoulders and the entire posterior spinal muscles. This pain is generally related to the straightening of the physiological curvature of the cervical spine, as well as muscle tension and inflammatory material exudation caused by poor posture of the cervical spine, and cervical spondylosis can also cause discomfort in the back of the shoulder because it causes ischemia and nerve irritation. Because cervical spondylosis can cause intracranial ischemia and ischemia of the heart, this condition can also cause sympathetic nerve excitation due to cervical spondylosis, which causes chest tightness and panic, and reflexively causes pain in the back of the shoulder, so sympathetic nerve stimulation can cause this condition. However, in cases such as shoulder, you need to pay attention to whether there is coughing, coughing and other conditions. If there is, you need to check the lungs and heart, etc. to exclude the pain in the shoulder and back caused by internal medicine or other diseases, and then it is better to treat the cervical spine after exclusion.