The treatment of twisting head and shoulder pain to the left depends on the specific cause, which may be nerve root cervical spondylosis, falling pillow, neck and shoulder myofasciitis, usually local treatment, systemic treatment or surgical treatment. 1. Neurogenic cervical spondylosis: degenerative cervical disc lesions can compress the nerve roots, you can wear a cervical brace to brake, you can also take muscle relaxing drugs, such as chlorzoxazone, tizanidine, and at the same time take non-steroidal anti-inflammatory analgesic drugs, such as meloxicam, celecoxib, and surgical treatment for severe symptoms, such as anterior approach surgery, posterior approach surgery. 2. Falling pillow: If the pillow is not suitable or sleeping posture is not correct, it will lead to the neck and shoulder muscles in a state of tension for a long time, which will also cause pain, this is a kind of self-limiting disease, which can be cured by itself, and if the pain is more serious, you can also take steroidal anti-inflammatory drugs, such as meloxicam and ibuprofen. 3. Neck and shoulder myofasciitis: strain, humidity, immune factors can cause aseptic inflammation of the fascia and pain, which can be improved by stretching exercises, and can also be treated by physical methods, including heat therapy, infrared therapy, and extracorporeal ultrasound therapy. Medications can also be chosen to relieve pain, such as celecoxib and diclofenac sodium, and surgery is needed for more severe symptoms. Twisting your head to the left with shoulder pain should be treated symptomatically for the cause, and if medication is needed, it should be used in strict compliance with the doctor’s prescription.