Needle-like pain in the back is mainly caused by the following reasons: 1) local soft tissue lesions, such as back fasciitis, frozen shoulder and needle-like pain; 2) neuritis, wind and cold stimulation and muscle strains that cause needle-like pain in the back; 3) myocardial infarction, angina pectoris and biliary angina, or due to 3. It may also be caused by myocardial infarction, angina pectoris, biliary angina, or diseases such as pleurisy or tuberculosis. The patient should not ignore the back pain, it is best to go to the hospital in time for the relevant examination, and then check the specific cause of which triggered the appearance, and then give targeted treatment.