The pain in the back of a woman’s butterfly bone may be related to the following causes.1. It may be caused by prolonged pressure here. This condition is often seen in thinner women. The pain can be caused by the long term pressure of the bra straps, squeezing, or sleeping on a hard bed. 2. This situation is often seen in patients have some bad sleeping posture, or bad lying posture, which leads to aseptic inflammation here, or muscle spasm, and then produce the pain around the scapula. 3, may be due to cold caused by. Many women have inadequate clothing or cold in this area, which will directly lead to a series of sterile inflammation around the scapula, which will cause pain. 4, this situation may also be due to frozen shoulder. There are many women in this area due to cold, trauma, overexertion and other causes of frozen shoulder, at this time may be complicated by pain around the scapula. 5, this situation may also be due to old injury. If the patient has had a soft tissue contusion, or a dislocation or fracture of the scapula, this may cause long-term pain.