Most spinal pathologies do not cause pain in the heart socket. Some spinal pathologies, such as severe deformities of the spine, can cause compression, which affects the health of the heart and lungs, and can cause pain in the heart socket. Most spinal pathologies, such as vertebral osteophytes, herniated discs, spinal fractures, etc., mainly cause pain in the spine itself, while some of them also cause pain in the innervated area, and generally do not cause pain in the fossa of the heart alone. Some spinal pathologies such as severe deformity of the thoracic spine will squeeze the thorax, resulting in abnormal development of the ribs, narrowing of the thoracic cavity, and abnormal cardiopulmonary function, such as cardiac compression, which will cause pain in the heart socket. If there are spinal lesions and pain in the fossa of the heart, it is recommended that patients go to the hospital as soon as possible to consult a doctor for a complete examination and then carry out targeted treatment.