The causes of pain in the middle of the two scapulae are as follows: first, consider whether there is intercostal neuralgia, fasciitis or cervical spondylosis, the pain of such diseases is characterized by a relatively fixed pain site, pressure on the painful area will aggravate the symptoms, accompanied by other symptoms, such as back stiffness, head and neck straightness, dizziness, etc., given local medication or through massage and other physical therapy symptoms can be reduced. Finally, coronary heart disease is considered, mostly in elderly patients, prone to episodes of precordial pain, chest tightness, shortness of breath accompanied by pain in the middle of the two scapulae in the back, caused by increased heart load before each attack, such as exertion, mood swings, satiety, cold and other causative stimuli. The symptoms are relieved by rest or medication and last for a few minutes to ten minutes each time.