Physiological causes that may lead to back tingling include back muscle or fascia tissue strain. Pathological causes include cervical spondylosis, thoracic spondylosis involving the nerves, pleurisy, back acne and other diseases: I. Physiological causes: long-term strain or stimulation by a harsh environment may cause the back muscles, fascia and other tissues to be damaged, thus causing back tingling. Pathological causes: 1, cervical spondylosis: when cervical spondylosis leads to nerve compression, it may trigger the sensation of back pain; 2, thoracic spondylosis involving the nerve: thoracic spondylosis involving the nerve will lead to back tingling; 3, pleurisy: pleurisy shows local pain with restricted breathing, especially the wall pleura is the area of innervation of the limbs, sensitive to painful stimulation, coughing, coughing will lead to back Coughing and coughing can lead to back pain. The acute attack of pleurisy is characterized by pinprick-like or knife-like pain, sometimes accompanied by fever; 4, back acne: patients with acne on the back will also show localized stabbing pain, physical examination can find localized obvious congestion, redness and swelling; 5, other: sometimes coronary heart disease, pancreatitis, gallbladder disease, in addition to the primary site of pain, will also be radiating pain to the back.