The first thing you need to do is to go to the hospital and have a full spine x-ray in the standing position to see if there is scoliosis. Some of the most common causes of high and low shoulders are simply abnormal posture, which can be improved naturally if the child maintains a good posture and good shape. The other part is due to scoliosis, an S-shaped scoliosis, so that the patient’s shoulders are not equally high on both sides, with one shoulder high and one shoulder low. In clinical practice, patients with scoliosis are born with a genetic predisposition or have a secondary condition that occurs later in life. The appearance of high and low shoulders after a patient has scoliosis is a typical clinical manifestation of scoliosis and can also be called the appearance of razorback. If it is clear that scoliosis is the cause of high and low shoulders, it can be corrected by using a hanging bar. If the angle is large, surgery can be performed after adulthood or at an older age to correct the scoliosis, and the patient’s high and low shoulders are naturally corrected.