Back pain below the scapula, common muscle strain, rib fracture and other causes, as follows: 1, muscle strain: the latissimus dorsi muscle travels below the scapula, if there is strain, there will be pain symptoms below the scapula, there will be soreness and swelling when pressed, the patient through hot compress treatment and rest, will make the symptoms significantly relieved, usually strengthen the back muscle strength training, can prevent the recurrence of symptoms. 2, rib fracture: Below the scapula are the ribs, which can be fractured by direct impact, and the misalignment will stimulate the local intercostal nerve, which can cause severe pain below the scapula, accompanied by local swelling and restricted breathing activity, the diagnosis can be confirmed by X-ray examination, and early repositioning and fixation can make the patient’s clinical symptoms relieved significantly. Therefore, pain below the scapula in the back should be treated accordingly according to different etiologies.