Painful symptoms in the scapula when it is cold can be caused by physiological reasons such as cold irritation, or by pathologic reasons such as frozen shoulder and cervical spondylosis. General treatment and medication are commonly used to relieve pain. 1. Physiological reasons: If the shoulder blade is stimulated by cold for a long time, it may affect the blood circulation of the shoulder and cause pain symptoms. You can use hot compresses, massage and other methods to relax the muscles to relieve pain. 2. Frozen shoulder: when the scapula is cold, it may lead to adhesion of soft tissues in the shoulder, thus causing pulling pain in shoulder activities. Non-steroidal anti-inflammatory drugs, such as ibuprofen, can be used appropriately to relieve pain. 3. Cervical spondylosis: Cold in the cervical spine area may lead to local vasoconstriction, which affects blood circulation in the neck and shoulder, resulting in pain in the back of the shoulder and scapula. Non-steroidal anti-inflammatory drugs, such as diclofenac sodium and celecoxib, can be used appropriately, which have better pain relief and anti-inflammatory effects. In addition to the above reasons, muscle strain, trauma, rheumatism and bone disease can also appear symptoms of cold pain. When the scapula gets cold pain, you should go to the hospital and ask the professional joint surgeon or orthopedic surgeon to carry out physical examination, and if necessary, carry out the MRI examination of the shoulder joint, and standardize the treatment under the guidance of the doctor. The above medicines should be used according to the doctor’s prescription.