Pain in the scapular suture may be caused by physiological factors such as prolonged head bowing or excessive exercise intensity, and no special treatment is usually required for mild symptoms. If the symptoms persist or are more serious, it may be caused by pathological factors such as frozen shoulder, cervical spondylosis, or lumbar back fasciitis. A. Physiological factors: long-term low head, excessive exercise intensity or long-term muscle overload around the scapula may cause muscle strain, resulting in old pain and limited activity of the scapular suture. In this case, massage and hot compresses can be applied to relieve the discomfort of the muscles in this area. If the pain is more serious, you can also use Celecoxib and other drugs to relieve pain. Pathological factors: 1. Frozen shoulder: periarthritis is a disease in which chronic degenerative pathological changes occur in the soft tissues and joint capsule around the shoulder joint. Most patients with periarthritis start with paroxysmal pain in the shoulder, most of them have chronic episodes of gradually increasing pain or dull pain or knife-like pain, and the pain can be aggravated by climate change, after exertion or by occasional impact. In these patients, the pain can be relieved by taking non-steroidal anti-inflammatory drugs such as ibuprofen orally. In daily life, you need to pay attention to proper exercise, such as wall climbing exercise and physical therapy, so as to improve the symptoms of pain and restricted activity. 2. Cervical spondylosis: It refers to degenerative changes in the joints, ligaments or intervertebral discs of the cervical spine, which compress or stimulate the adjacent nerve roots, spinal cord, blood vessels and soft tissues, resulting in a series of clinical symptoms of the neck, shoulder and upper limbs, such as old pain in the scapular suture. When the pain is more serious, you can use non-steroidal anti-inflammatory drugs for treatment, such as diclofenac sodium, etc. You can also use baclofen and other drugs to make the skeletal muscle relaxation. In daily life, we need to pay attention to change the bad posture in work and life, long time low head and neck workers should pay attention to adjust the posture and neck activities to avoid aggravating cervical spine disease; 3, lumbar back muscle fasciitis: can be due to excessive muscle activity after sweating and cold or due to upper respiratory tract infection, common pain sites in the trapezius, supraspinatus, sacrospinous and gluteal muscles, etc., can also cause scapular suture pain all the time . In addition to pain, patients may also have muscle spasms and even skin numbness and dyskinesia. Patients can be treated with procaine for closure, in addition to acupuncture and tui-na. In addition, acute cholecystitis may cause right upper abdominal colic, and pain radiating to the right shoulder can cause old pain in the scapular suture, which needs timely antispasmodic and anti-inflammatory treatment, such as treatment with pivetonium bromide, metronidazole, etc. Therefore, when the patient has pain in the scapular suture, he should go to the hospital in time. Avoid overexertion in daily life, in addition, you can do proper shoulder and neck training to improve flexibility.