Right back pain below the shoulder blade may be associated with trauma, cervical spondylosis, myofasciitis, intercostal neuralgia, and pleurisy. 1. Trauma: When the right back near the scapula is impacted and other traumatic injuries, it can lead to local soft tissue injury or fracture, and symptoms such as pain and swelling appear. 2. Cervical spondylosis: Cervical spondylosis is often manifested as neck pain, stiffness, discomfort, and if nerve root compression occurs, some people may also have pain and numbness near the shoulder and the medial border of the scapula. 3. Myofasciitis: If the muscles and fascia below the shoulder blade in the right back are aseptically inflamed due to exertion, cold and other factors, chronic and persistent soreness, swelling or dull pain in the area may also occur. 4. Intercostal neuralgia: Intercostal neuralgia is mainly the pain caused by intercostal neuritis, which may cause pain around the ribs as well as in the upper chest area, upper back area or pain below the shoulder blade in the right back. 5. Pleurisy: Pleurisy mainly refers to inflammation of the pleural tissue, which may cause discomfort in the chest, and as the disease continues to worsen or inflammation of the pleura near the back, pain under the right back shoulder blade may occur. There are other reasons that can cause right back pain under the shoulder blade, such as cholecystitis, etc. If the persistent pain is not relieved, it is recommended to consult a doctor for examination, to clarify the cause of the disease and then follow the doctor’s instructions for targeted treatment, so as not to delay the condition.