Possible causes of back pain in women include: acute and chronic injuries, spinal tuberculosis, thoracic spine tumor, aortic dissection and so on. 1. Acute and chronic injury: when the back is hit by violence, it can cause back tissue injury or even thoracic vertebrae fracture and cause pain, and the patients usually have obvious injury history. Long-term physical labor or poor posture can cause chronic injury to the back muscles and back pain, mostly long-term chronic pain, aggravated by cold or dampness. 2. Spinal tuberculosis: spinal tuberculosis occurs in thoracic and lumbar vertebral body, when tuberculosis bacillus destroys thoracic vertebral body or stimulates paravertebral nerves, back pain can also occur, in addition, there will be low-grade fever, night sweating, fatigue, emaciation and other manifestations of tuberculosis toxicity. 3. Spinal tumor: primary or metastatic tumor of spine can cause bone destruction of thoracic vertebrae and back pain, especially patients with history of malignant tumors should be alert to the possibility of thoracic spine metastasis when back pain occurs. 4. Aortic coarctation: Aortic coarctation refers to the tearing of aortic intima and mid-membrane, forming a large-scale false cavity, which is an acute and critical disease in clinic, with a very high mortality rate. The patient may show sudden tearing pain in the anterior chest or back, accompanied by pale face, profuse sweating and other manifestations, and the examination may find that the blood pressure level of the right and left upper limbs is very different. If left untreated, the patient may suffer aortic rupture and die. Women with back pain are advised to go to the hospital as soon as possible to find out the cause of the pain and treat it accordingly.