Neck and shoulder musculoskeletal fasciitis can be diagnosed through clinical manifestations, auxiliary examination and other methods. 1. Clinical manifestations: the main manifestations are shoulder and back pain, stiffness, weakness and limitation of movement. Physical examination can touch the subcutaneous degeneration of fibrous nodules and myofascia, and there can be fascial friction sound. There is usually a history of exertion, infection and cold. 2.Auxiliary examination (1) X-ray: Occasionally, thickening of the myofascia of the dorsal shoulder and calcification of the collateral ligament can be seen, but there are usually no positive signs. It is of some significance in determining the presence or absence of cervical spondylosis. (2) MRI of cervical spine: it can accurately observe the condition of intervertebral discs and spinal canal, and find some edema of tendons and muscles, which is of great significance for the diagnosis of this disease. A comprehensive analysis of the above conditions can usually confirm the diagnosis of the disease. If you suspect that you have this disease, it is recommended to go to the hospital, complete the relevant examinations, under the doctor’s comprehensive judgment, give targeted treatment.