Description of the disease (time of onset, main symptoms, hospital visited, etc.): pain at the deltoid muscle of the right upper arm, radiating pain to the back of the shoulder, especially more pronounced at night, pain for a week. In the past week, X-rays were done without abnormalities CT suggested cervical spine 3-7 osteophyte bulge, MRI suggested cervical spine 3 to 7 osteophyte bulge dural sac compression. The tricuspid pain point closed, the effect is not obvious physiotherapy acupuncture massage is also not obvious, at night when the pain is intense take painkillers (fenbendazole) no effect, and finally with 50 mg of dulcolax intramuscular injection can also control the symptoms (occasionally use). What should I do if I encounter this situation? How to treat? There are several possible cases of shoulder pain and nighttime aggravation due to cervical spondylosis, herniated discs and compression of nerve roots, especially cervical 34 and cervical 45 intervertebral foraminal stenosis. It is recommended that the cervical spine front and side double oblique film. Traction, physiotherapy, etc. 2, cervical muscle inflammation, that is, soft tissue disorders, stimulation of local and distributed dermal nerve compression stimulation, local pressure pain is obvious neck and shoulder pain when the neck activity is obvious, local topical futalin and other drugs, plus physiotherapy and other treatment, the effect is good; 3, frozen shoulder (subacromial bursitis, supraspinatus tendonitis) that is, local lesions of the deltoid muscle, treatment physiotherapy, topical drugs, with orthopedic The important sign to identify cervical spine and shoulder pathology is whether the neck activity (forward flexion, back extension, right side deviation, left side deviation) has induced shoulder pain and discomfort. If the shoulder activity cannot reach the range of motion of the contralateral upper limb, it means that there is a clear lesion in that shoulder. The treatment of frozen shoulder is completely different from that of cervical spine, please treat them differently.