There are several possible causes of spine pain next to the shoulder blade: 1. Cervical spondylosis. Long-term low head work or play cell phone computer, may get cervical spondylosis. The main symptoms are neck and shoulder pain, stiffness, difficulty in lifting the upper limbs, and even pain will radiate to the shoulder blades, anterior chest, if the compression of the nerve will also have the symptom of hand numbness. Therefore, cervical spondylosis may cause parascapular spine pain. Treatment is given to the Siwei Pu pain relief, towel hot compresses, Chinese medicine patch, cervical traction and other physiotherapy techniques to relieve symptoms. 2, myofasciitis. Prolonged strain or incorrect posture may lead to inflammation of the muscles next to the scapula, resulting in pain and stiffness around the scapula, which can be treated with Cilopodium for pain relief, Sulforaphane capsules for activating blood circulation, as well as acupuncture and acupressure, Chinese herbal fumigation and other physiotherapy to alleviate the symptoms. 3, rheumatic diseases. Rheumatic diseases can also cause spinal stiffness and pain, such as ankylosing spondylitis, it is recommended to consult the rheumatology clinic to clarify the cause of the disease and then treat the symptoms.