The common causes of shoulder pain in the elderly are cervical spondylosis, fallen pillow, frozen shoulder and so on. Corresponding treatment should be given according to the cause, commonly used treatments such as general treatment, physical therapy, medication and surgical treatment. 1. Cervical spondylosis: avoid prolonged head down, exercise neck muscles such as swimming. Acupuncture, massage and other physical therapy can promote local blood circulation and improve symptoms. Drugs can be used when the pain is obvious, non-steroidal anti-inflammatory drugs such as ibuprofen, etc.; muscle relaxants such as tizanidine, etc.; sedatives such as diazepam. Serious cases of surgical treatment. 2. Pillow fall: pay attention to rest, reduce the burden on the neck muscles, avoid excessive activity. Hot compresses, acupuncture, massage and other physical therapy can relieve symptoms. Those with obvious pain can use the above non-steroidal anti-inflammatory drugs to reduce tissue inflammation, swelling, relieve pain and improve neck function. For severe cases, glucocorticoids such as dexamethasone and local anesthetics such as lidocaine can be used for closed treatment. 3. Frozen shoulder: pay attention to rest, reduce the burden on the shoulder muscles, daily functional exercises for the shoulder joint such as wall climbing. Acupuncture, massage and other physical therapy can improve local blood circulation, promote the repair of diseased tissue and relieve symptoms. Non-steroidal anti-inflammatory drugs mentioned above can be used when pain is obvious. Severe cases need surgical treatment such as arthroscopic minimally invasive release surgery. Elderly people with shoulder pain on one side of the neck may 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, under the guidance of the doctor to actively standardize the treatment.