There is a big bag at the shoulder blade without pain may be lipoma, osteophyte, razor back, it is recommended to go to the hospital for examination in time, and if necessary, the doctor will perform surgery to remove it. 1. Lipoma: Lipoma is a slow-growing fat lump, usually soft and painless, and generally does not affect the body, if it affects the aesthetics, it can be removed by a doctor in a regular hospital. 2. Osteomalacia: Osteomalacia at the scapula is an abnormal growth of normal bone tissue, usually related to long-term exertion, pressure, etc. It can be touched with hard protrusion at the scapula, usually without pressure and pain, and it is necessary to go to the hospital for X-ray examination in time to observe whether it affects other soft tissues. 3. Razor back: patients with severe scoliosis may have abnormal backward curvature of the ribs on one side, forming what is commonly known as razor back, which is common in the adolescent population, and the development of severe symptoms may also affect the cardiorespiratory function, which needs to be examined in a timely manner. There is a big bag at the shoulder blade without pain, it is recommended to go to the hospital in time for examination, by the doctor to identify the cause of the targeted treatment, usually pay attention to the shoulder joint warmth, protection and so on, to avoid trauma to the shoulder joint.