Right shoulder blade back pain after shingles refers to the occurrence of postherpetic neuralgia (PHN) in the area, which can be relieved by using analgesic drugs, ultrasound-guided nerve block, and improving autoimmunity. 1. Medication: Analgesic drugs such as pregabalin and gabapentin can be used to relieve pain, and for severe pain, oral opioids such as morphine can also be taken. At the same time, it can be combined with topical lidocaine patches. In addition, can also be used in conjunction with the use of drugs to enhance immunity, such as thymidine and so on. 2. Nerve block: If the pain is delayed or the effect of drug treatment is not good, ultrasound-guided selective nerve root block can be used to relieve local pain. If you have right shoulder blade back pain after herpes zoster, you need to go to the hospital as soon as possible, by the doctor according to the specific conditions, to formulate individualized diagnosis and treatment plan, so as not to delay the condition. The above medications need to be used as prescribed by the doctor.