The muscle pain below the scapula, consider the following causes: 1, cervical spondylosis, some patients because of cervical spondylosis caused by the suprascapular nerve involvement after the patient manifested as scapular pain, accompanied by limited activity. The symptoms can be relieved by physiotherapy and nerve nutrition in the neck. 2, the pain of the muscles below the scapula is considered to be related to the thoracic outlet syndrome, because the thoracic outlet includes all the nerves and blood vessels of the brachial plexus, after compression due to tumors or other reasons, the performance of the thoracic outlet syndrome will appear, and the pain of the muscles below the scapula will also appear. The symptoms can be relieved by nerve nourishment or with appropriate physical therapy.