Pain below the right shoulder blade can be caused by fasciitis, trauma, lung disease, liver and gallbladder disease, intercostal neuralgia, shingles and other factors. 1. Fasciitis: Fasciitis in the area below the right scapula is mainly caused by chronic strain and cold, which can cause pain symptoms, which can be aggravated during activities and alleviated after rest. 2. Trauma: trauma to the area below the right scapula can cause bone and soft tissue damage, local pain, swelling and other symptoms. 3. Lung diseases: tuberculosis and pneumonia on the right side, or pleurisy and pleural tuberculosis on the right side can cause involving pain below the right scapula, accompanied by coughing, fatigue, fever and other symptoms. 4. Liver and gallbladder diseases: cholecystitis, gallbladder stones, hepatic bile duct stones and other liver and gallbladder diseases, mainly manifested as pain in the right lower abdomen, sometimes radiating to the lower right shoulder blade causing pain and other symptoms. 5. Intercostal neuralgia: Intercostal neuralgia that occurs in the area below the right shoulder blade can lead to localized pain. 6. Herpes zoster: Early on, pain may appear below the right shoulder blade, and herpes may appear after the incubation period. When the pain under the right shoulder blade should be timely medical consultation, under the guidance of specialists and actively carry out the appropriate treatment, which will help to alleviate the discomfort symptoms as soon as possible.