The causes of back shoulder pain in women are the same as in men and are generally not specific. Common causes of back and shoulder pain include fatigue, shoulder and back fasciitis, cervical spine disease, heart disease and so on. 1. Exertion: A lot of labor or strenuous exercise may cause back and shoulder pain due to exertion, which can be relieved after resting. 2. Fasciitis of the back of the shoulder: Long-term work at the desk may cause strain on the muscles of the back of the shoulder, leading to fasciitis of the back of the shoulder, causing back and shoulder pain. 3. Cervical spine disease: Cervical disc herniation, cervical spinal stenosis and other diseases may cause back and shoulder pain due to compression of nerve roots. 4. Heart disease: Heart disease such as acute myocardial infarction can radiate to the back and shoulders, causing pain. Back and shoulder pain may also be caused by other reasons, you should go to the hospital in time, improve the examination to clarify the cause of the disease, and then give targeted treatment or treatment.