Women have back pain in the middle of the shoulder blade to clarify the causes of pain, according to different reasons to choose the appropriate treatment program, the specific causes and treatment measures are as follows: 1, coronary heart disease: such as patients with insufficient blood supply to the myocardium. Coronary heart disease refers to the blood supply to the heart, oxygen supply important coronary artery by atherosclerosis, resulting in severe narrowing, or even occlusive lesions, will cause insufficient blood supply to the heart muscle. In patients with coronary heart disease, when myocardial oxygen consumption increases, blood and oxygen supply cannot be timely and adequately supplied, which will lead to angina pectoris. Typical angina pectoris is characterized by pressure-like dull pain and colic in the precordial area, posterior sternum and left side of the chest, but the pain can radiate to the left shoulder and back to form radiating pain. At this time, sublingual nitroglycerin can effectively reduce myocardial oxygen consumption, increase coronary artery perfusion, so that the symptoms can be relieved; 2, digestive system diseases: such as gastric ulcers, duodenal bulbous ulcers, this time under the guidance of the doctor applying omeprazole, lansoprazole and other gastric drugs can make the symptoms can be relieved; 3, frozen shoulder: rehabilitation physiotherapy treatment will make the symptoms can be relieved.