There is no best treatment for scapular back pain, which may be related to myofasciitis, radiculopathy and so on. It is necessary to choose the appropriate treatment for the cause of the disease, mainly drugs, physiotherapy, acupuncture and so on. 1. Myofasciitis: mostly seen in long-term work or back cold caused by scapula back pain, the pain range is slightly larger, there are pressure points. The pain can be improved by acupuncture, physiotherapy and herbal hot compresses. Oral non-steroidal anti-inflammatory drugs such as acetaminophen tablets can also be used to relieve pain. 2. Neurogenic cervical spondylosis: due to cervical vertebral hyperplasia or cervical disc herniation and degeneration, the nerves around the scapula are compressed, and there is pain around the scapula and the back or even activity limitation. Conservative treatment is the mainstay, pain medication such as ibuprofen can be taken, cervical traction, massage and other methods can also be taken; if the effect of drug treatment is not good, surgical treatment can be considered. Unexplained scapular back pain, it is recommended to go to the hospital in time for examination, regular treatment, do not blindly use drugs to treat.