Back shoulder muscle strain is mainly considered to be related to overwork or prolonged poor posture, and can be treated with medication, physical therapy or exercise therapy. 1. Medication: If the condition of back shoulder muscle strain is more serious and there is obvious muscle stiffness or pain, you can consider taking non-steroidal anti-inflammatory drugs (NSAIDs), such as Panax ginseng tablets and meloxicam, to alleviate the pain. 2. Physical factor therapy: back and shoulder muscle strain will produce pain and other symptoms, if the duration is relatively long, you can choose massage, hot compresses, intermediate frequency electrical stimulation with magnetic heat therapy methods to relieve, help relax the local muscles, relieve the symptoms of pain. 3. Exercise therapy: If the back shoulder muscle strain is not particularly serious, you can choose to exercise stretching, with local muscle exercise method for relief, adjust the usual posture, help to prevent the symptoms from worsening. Usually pay attention not to maintain abnormal posture for a long time, appropriate more cervical spine exercise, help to prevent muscle strain, specific treatment needs to be carried out under the guidance of a professional physician, do not blindly use drugs.