Scapular pain after neck twisting may be caused by aseptic inflammation of muscles and fascia, or it may be due to cervical spondylosis. 1. Aseptic inflammation: there are several muscle tissues such as trapezius, rhomboid, rhomboid, etc. present around the scapula in the back. Due to excessive daily exercise or prolonged fixed posture, these soft tissue areas may have aseptic inflammation, resulting in the accumulation of metabolic products. Neck twisting will produce tugging stimulation on these soft tissue areas, resulting in the emergence of scapular pain symptoms. 2. Cervical spondylosis: degenerative lesions of the cervical spine may induce cervical spondylosis, which on the one hand may cause myofascial compensation of the neck and shoulder; on the other hand, it may also be due to dehydration of the cervical intervertebral discs, resulting in the neural tissues innervating the scapular region being compressed. Pain in the scapula area may also occur when the neck is twisted due to irritation of the myofascia and nerve tissue. Scapular pain after neck twisting may also have other causes, it is recommended to go to the hospital in time, complete the examination to clarify the cause of the disease, under the guidance of the doctor to give targeted treatment or therapy.