Bilateral shoulder pain can be caused by two reasons: 1, bilateral shoulder muscle strain, usually sitting for a long time to work life with a low head, or long-term use of both shoulders to do heavy physical work, for example, specializing in the shoulders to lift things of the crowd easy to appear. 2, may be caused by cervical spondylosis, cervical vertebrae degenerative changes, such as herniated discs, joints, or osteophytes, etc., compression of the bilateral nerve roots, which can lead to bilateral nerve numbness, pain, weakness and other symptoms. The nerve roots of both sides are compressed, which will lead to numbness, pain, weakness and other symptoms of both sides of the nerves. Generally speaking, if you want to make a clear diagnosis, you can go to the hospital to check the X-ray film of the cervical spine or cervical spine CT, or even MRI, which can basically diagnose cervical spondylosis. If it is muscle pain, usually through local massage, massage, physical therapy or acupuncture and massage therapy, the symptoms can be quickly improved.