To effectively treat high and low shoulders, we must first determine what causes the high and low shoulders. If the high and low shoulders are caused by scoliosis deformity, the first step is to treat the primary disease, which is to treat the scoliosis of the spine, and when the scoliosis is corrected, the high and low shoulders will naturally correct. If parents find that their child’s shoulders are not equal, they can make an observation of the appearance. If it is obvious that in addition to the unequal shoulders, there is also a difference in the height of the back, there may be a spinal deformity, and the child should be taken to the spine surgery department for a spinal radiograph as soon as possible to determine if there is scoliosis or other spinal deformity. If only the shoulders are not equal in height and there is no obvious difference in the height of the two backs, the child should be given more training in sitting and standing, including standing against the wall, hanging bar, etc. Pay attention to try to avoid repeated, long-term stress on the shoulders of school bags. For middle-aged and elderly people, if the shoulders are not equal, they often have degenerative scoliosis or degenerative spinal deformity caused by spondylolisthesis. If a middle-aged or elderly person finds that both shoulders are not equal, they should go to the hospital in time to take pictures to check for other deformities such as degenerative spine, scoliosis or other deformities.