Medial scapular pain, the specific causes are as follows: First, myofasciitis: the most common cause of medial scapular pain is myofasciitis, myofasciitis patients are common in long-term exertion or shoulder wind, cold, followed by pain in the medial scapula, pain often has obvious excitation point, pressure on the pain can have obvious symptoms of pain and numbness of one side of the upper limb, and can be accompanied by shoulder joint and upper limb obvious The pain can be accompanied by limitation of movement of the shoulder joint and upper limb. It is important to pay attention to physical examination and related X-ray and MRI examinations to exclude other diseases for diagnosis. Secondly, heart and gallbladder diseases: If these diseases cause pain in the medial scapula due to radiating pain, it is important to pay attention to the liver, gallbladder and heart examinations for early diagnosis. Third, lung disease: rib or lung tumor, resulting in pain on the inner side of the scapula, CT examination of the lungs should be performed for diagnosis and treatment.