The more common causes of pain at the shoulder blade of the back include local trauma, strain injury, aseptic inflammation, heart disease, gallbladder disease, etc. It is necessary to clarify the cause of the disease and then treat the cause to relieve it, such as general treatment, drug treatment (ibuprofen, etc.), physical therapy (hot compresses, etc.) and surgical treatment. 1. Trauma: give local cold compresses and reduce activities in the acute stage, and give local hot compresses and appropriate exercise in the relieving stage. Pain medication such as ibuprofen can also be given for obvious pain. 2. Strain: seen in patients who have been engaged in strenuous exercise and weight bearing for a long period of time, the mild ones will get better after resting, while the serious ones can be treated with non-steroidal drugs such as diclofenac sodium. 3. Aseptic inflammation: such as fasciitis, etc., can be localized massage, hot compresses, oral or topical non-steroidal drugs, such as ibuprofen, indomethacin babu cream. 4. Heart disease: mostly due to ischemic heart disease, seen in the left side of the shoulder and back pain, need to increase coronary blood supply, reduce the burden on the heart of drug therapy, such as isosorbide mononitrate, metoprolol, and so on. 5. Gallbladder disease: such as cholecystitis, gallbladder stones, etc., give amoxicillin and other antibacterial drugs anti-infective treatment, scopoletin and other antispasmodic pain medication, if necessary, give cholecystectomy. It is recommended that patients go to the hospital, improve the auxiliary examination, in order to clarify the cause of the disease, by a professional physician to give the relevant treatment, drugs need to be used under the guidance of a professional physician.