Pain in both arms and shoulders needs to be treated depending on the cause, usually with rest, physical therapy such as heat packs, anti-inflammatory pain medications such as ibuprofen gel. As well as surgery and other methods. 1. Overwork: If the patient has a history of overwork before the pain in both arms and shoulders, it is considered to be the accumulation of lactic acid in the muscles caused by exertion, and the patient may have pain in both arms and shoulders. The main treatment is to take rest, hot compresses and other methods of physical therapy. 2. Trauma: due to shoulder joint fracture, joint capsule and rotator cuff injury caused by automobile accident and pulling, etc., patients may have pain in both arms and shoulders. 3. Frozen shoulder: aseptic inflammation of the soft tissues around the shoulder joint due to long-term strain injury, etc., which involves bilateral shoulder joints, and patients may have pain in both arms and shoulders. For treatment, adequate rest, local hot compresses, infrared grilling and other physiotherapy, and if necessary, use anti-inflammatory and pain relieving drugs such as ibuprofen capsules or diclofenac sodium. 4. Cervical spondylosis: due to cervical spine degeneration caused by bilateral shoulder nerve compression caused by patients with bilateral arm and shoulder pain. When the symptoms and the degree of nerve compression are mild, neck massage, hot compresses and anti-inflammatory painkillers such as celecoxib will be the treatment of choice. Surgery can be considered when symptoms and nerve compression are severe or when conservative treatment is ineffective. Patients with pain in both arms and shoulders are advised to consult a doctor in time to clarify the cause of the disease and carry out targeted treatment or therapy with the help of a doctor. The above medications should be used under the guidance of a doctor, avoid self-medication.