Neck pain with scapular pain consider pillow fall, cervical spondylosis, scapular lifting muscle strain. 1. Falling pillow: if sleeping in poor posture or wind-cold caused by muscle spasm, neck pain even scapular pain, cervical spine activity is limited. 2. Cervical spondylosis: degeneration of cervical vertebrae, straightening of physiological curvature and other causes of neck muscle tension, pain around the neck and shoulder joints, and stiffness of neck muscles. 3. Scapular tilting muscle strain: If the head is lowered for a long time, it can cause passive elongation of the scapular tilting muscle, muscle strain, neck pain and scapular pain, and restriction of turning the neck. Neck pain even scapular pain may also be other reasons, if rest does not alleviate, it is recommended to go to the hospital to check out the cause of the disease after a clear further treatment.