Bladder generally refers to the arm, and the part of the pain inside the ringing may be due to local cold, overwork and other physiological factors, may also be due to osteoarthritis, tenosynovitis and other diseases. 1. Physiological factors: arm area by the wind, resulting in local cold, or usually do not pay attention to rest, resulting in overwork, there may be a pain in the arm inside still ringing, is a normal physiological phenomenon. 2. Osteoarthritis: the pathogenesis is not clear, mostly considered with obesity, inflammation, age and other factors, and weather changes, joint trauma and other conditions, can also be induced osteoarthritis. Often appear joint pain, joint enlargement, activity limitation and other symptoms, and will also be accompanied by bone friction sound, can also be manifested as arm pain inside also sound. 3. Tenosynovitis: stenosing tenosynovitis is mostly due to trauma, chronic strain and other conditions, and also related to rheumatic fever, infection and other factors. Biceps long head tendon tenosynovitis often appear shoulder pain, joint limitation and other conditions, some patients may also appear arm pain inside the phenomenon of ringing. In addition to the above, if there are shoulder diseases such as frozen shoulder, bladder pain can also occur inside the ringing. It is recommended to go to the hospital in time, under the guidance of the doctor standardized treatment.