The bones behind the patient’s back are the scapula on both sides and the middle spine, the specific causes of pain are as follows: 1, fracture, muscle strain: If it is the scapula, it is prone to scapula fracture after trauma, the muscles around the scapula will also be prone to strain and produce pain symptoms, the patient will usually feel local tension and stiffness around the scapula, and there will be painful symptoms when pressed. 2, inflammation, fracture, dislocation. If the pain arises for the posterior median spine, it is usually inflammation on the spinous process or inflammation between the spinous process, sometimes fracture and dislocation can also occur, the patient will have severe pain and limited spinal movement, after timely treatment, the back pain symptoms will be relieved. The pain of the bones behind the back should be clarified to the specific anatomical location, otherwise it will affect the diagnosis and the treatment. After the usual strengthening of back muscle exercise to avoid strain, it can prevent the scapula and spine from producing related diseases.