The common causes of shoulder joint creaking and pain include over-exercise, rotator cuff injury, frozen shoulder, synovitis, etc. Targeted treatment should be carried out according to the cause of the disease, such as physical therapy, medication, surgery, and so on. 1. Excessive exercise: Because excessive exercise intensity causes muscle and tendon spasm and strain, lactic acid accumulation in the body, which can lead to pain and popping sound in the shoulder joint during activities. Generally reduce the activities, local hot compresses, and appropriate rest can be relieved. 2. Rotator cuff injury: fall or external blow can lead to rotator cuff injury, shoulder joint pain, activity limitation with popping, mild conservative treatment, braking and resting, non-steroidal drugs such as ibuprofen, meloxicam, etc. to relieve the pain, serious injury may need surgery. 3. Frozen shoulder: Frozen shoulder can lead to adhesion of the surrounding tissues, resulting in pain, popping and ringing accompanied by limited movement. Non-steroidal anti-inflammatory drugs such as diclofenac sodium and ibuprofen can be taken orally, and physical therapy such as hot compresses and ultrashort wave can be chosen. Rehabilitation exercises for the shoulder joint should be carried out actively in daily life. 4. Synovitis: it is a kind of aseptic inflammation, and the inflammatory stimulation can lead to the adhesion of the tissues around the shoulder joint, which will cause pain and popping sound. Oral non-steroidal anti-inflammatory and analgesic drugs, as well as physical therapy such as hot compresses and ultrashort waves can be used to promote the absorption of inflammation and relieve pain. There are many causes of shoulder pain with popping, if the symptoms continue to be unrelieved, it is recommended to consult a doctor in a timely manner to clarify the cause of the disease and then carry out targeted treatment.