Thoracic spondylitis generally does not cause back pain, back pain is usually associated with lumbar disc herniation, lumbar muscle strain, tendonitis, when the pain is severe, you can take physical therapy, medication, surgery to control the condition. 1. Lumbar disc herniation: Minor lumbar disc herniation can be treated with conservative treatment and medication to alleviate the symptoms. Non-steroidal anti-inflammatory drugs can be taken orally to relieve pain, and the representative medications are celecoxib and ibuprofen. Physical therapy such as infrared ray physiotherapy and heat therapy can be taken. For more serious lumbar disc herniation, if the effect of conservative treatment is unsatisfactory, nucleus pulposus removal of lumbar disc herniation should be carried out in time. 2. Lumbar muscle strain: proper rest and pain relief are the principles of treatment, such as oral ibuprofen and celecoxib for pain relief. After aggravation of the disease can be used closed treatment method, such as injection of lidocaine. 3. Myofasciitis: need to adhere to the scientific exercise, and improve the posture, the pain is serious can be closed treatment, representative of the drugs are lidocaine, trimethoprim and so on. There are many reasons for back pain, must first clarify the cause, and then choose formal treatment, to avoid delaying the condition, specific should be in accordance with the requirements of the doctor.