This paper presents an interactive system for the treatment of Chronic Neck and Shoulder Pain (CNSP) based on Cognitive Therapy Theory (CBT). The system integrates a pain detection module using EMG and IMU sensors to monitor and optimize data with Rough Set theory, and a cognitive therapy module that processes this data for CBT-based interventions, including massage and heating therapy. The goal is to create an accessible and user-friendly device for CNSP therapy, enhancing treatment immersion and personalization through a metaverse environment. The system's effectiveness and performance are evaluated through experimental plans, including quantitative interviews and qualitative surveys. The paper also explores the integration of the system within a metaverse, allowing for continuous monitoring and adjustment of treatment plans. The proposed system aims to address the limitations of traditional treatments, such as high costs and user discomfort, by providing a more precise and interactive approach to CNSP management.This paper presents an interactive system for the treatment of Chronic Neck and Shoulder Pain (CNSP) based on Cognitive Therapy Theory (CBT). The system integrates a pain detection module using EMG and IMU sensors to monitor and optimize data with Rough Set theory, and a cognitive therapy module that processes this data for CBT-based interventions, including massage and heating therapy. The goal is to create an accessible and user-friendly device for CNSP therapy, enhancing treatment immersion and personalization through a metaverse environment. The system's effectiveness and performance are evaluated through experimental plans, including quantitative interviews and qualitative surveys. The paper also explores the integration of the system within a metaverse, allowing for continuous monitoring and adjustment of treatment plans. The proposed system aims to address the limitations of traditional treatments, such as high costs and user discomfort, by providing a more precise and interactive approach to CNSP management.