Excluding the effects of tumors and tuberculosis, shoulder and back pain is commonly associated with frozen shoulder and myofasciitis of the scapula. However, there is a type of shoulder and back pain that is closely related to the cervical spine. Mr. Qiu, a middle-aged man, had recurrent left shoulder and back pain for nearly seven years. According to Mr. Qiu’s own recollection, he had never had any trauma to this area before, and it was usually not red or swollen. However, the next day or 2 or 3 days after moving heavy objects, he would have painful swelling, which was quite intense. Sometimes the pain involves the neck, sometimes it radiates to the left chest, sometimes it is accompanied by stuffy discomfort in the left ear, and in severe cases the whole person “feels dizzy” and trembles. During the examination, there were no positive signs except for pressure pain in the subscapular fossa and part of the rib surface near the medial border of the scapula. After treatment, all of the above pressure points disappeared, but the pain that came on from time to time still bothered Mr. Qiu frequently. At the doctor’s insistence, Mr. Qiu had an MR examination of his cervical spine and made a new discovery: 咦，原来是颈椎间盘在作怪呢 —- In addition to the work protrusion, Mr. Qiu’s C5/6 disc was also protruding! Having found the real culprit, the treatment can be targeted. I hope Mr. Qiu will be free from pain soon ……