The pain above the right shoulder blade may be caused by physiological factors such as cold and exercise, or it may be caused by pathologic factors such as shoulder diseases, cervical spondylosis and lung diseases. 1. Physiological factors: pain above the right scapula can be caused by cold shoulder, strenuous exercise and other factors, and the symptoms can be relieved after keeping warm and resting. 2. Shoulder diseases: Long-term shoulder labor and over-exercise can easily cause muscle and fascia strain around the scapula, and long-term chronic strain can lead to frozen shoulder, which can cause pain above the scapula on one side, and in serious cases, it can also be accompanied by restricted movement of the shoulder joint. 3. Cervical spondylosis: cervical spondylosis is a degenerative disease of the cervical spine caused by long-term poor posture, chronic strain, osteophytes and herniated discs, etc. When the spinal cord and nerve roots are compressed, it can lead to pain and numbness in the scapular region, and accompanied by pain and numbness in the upper limbs on the same side. 4. Lung diseases: such as lung tumors, tuberculosis, etc., may also lead to pain in the right scapular region. The causes of pain in the right scapular region are many, involving multiple systems, and it is recommended that patients seek timely medical attention to clarify the cause of the disease and carry out targeted treatment under the guidance of the doctor.