The pain in the upper part of the back may be caused by physiological factors such as overwork, or it may be caused by cervical degenerative disease, back muscle strain and other pathological reasons. 1. Physiological factors: due to strenuous exercise or heavy physical labor and other factors, can lead to overwork of the shoulder and back muscles, the body produces excessive metabolic products, lactic acid accumulation, the phenomenon of the upper part of the back around the phenomenon of pain, can be gradually relieved after rest. 2. Cervical degenerative diseases: such as cervical disc herniation, the protruding intervertebral disc compresses the spinal cord and nerve roots, which can cause pain and swelling in the back of the neck. It is also accompanied by pain and numbness in one side of the upper limb. 3. Back muscle strain: It may be caused by insufficient preparation before strenuous exercise, too much force during exercise or too cold weather, which may cause soft tissue injury or acute fasciitis of muscles, resulting in pain in the upper part of the back. Patients who have pain in the upper part of the back, if the pain persists without relief, it is recommended to go to the hospital in a timely manner, after clarifying the cause of the targeted treatment, to avoid delaying the condition.