Back shoulder and shoulder blade middle pain should first clarify the cause of the disease, and then choose the appropriate medication, physical therapy, surgery and other treatment modalities, persistent pain, it is recommended that timely medical attention. Causes of back shoulder and shoulder blade middle pain are back fasciitis, chronic strain, trauma, small joint disorders, cervical spondylosis, etc. It is recommended to identify the cause of the disease before treatment, targeted treatment. 1. Dorsal fasciitis: you can take non-steroidal anti-inflammatory drugs, such as ibuprofen for anti-inflammatory pain, but also in the local position to carry out the appropriate hot compresses to relieve pain. 2. Chronic strain: long-term weight-bearing is likely to cause chronic strain of the shoulder and back muscles, need to rest adequately, should also pay attention to cold and warmth. 3. Trauma: if the patient’s back shoulder and scapula are hit in the middle, it will also produce pain, if there is a wound, you need to go to the hospital in time for debridement, and if there is a ligament, muscle rupture or fracture, you need to undergo timely surgical treatment. 4. Small joint disorder: need to fully bed rest, you can go to the regular hospital for manipulation treatment, you can also do hot compresses. 5. Cervical spondylosis: If the symptoms of cervical spondylosis are mild, cervical traction and red light therapy can be carried out to alleviate the pain, while severe symptoms also require surgical treatment. Caused by back shoulder and shoulder blade pain in the middle of more reasons, but also may be associated with osteophytes, osteoarthritis, local infection, heart disease, tumors and other diseases, pain does not relieve, it is recommended to promptly go to the hospital to find out the cause of the targeted treatment by the doctor, the use of medication, please follow the doctor’s instructions.