The symptoms of pain next to the back spine are commonly caused by the following reasons: first, caused by injury and strain, this reason is the most common in clinical practice, such as the patient’s daily work requires long hours of sitting, bending and more strenuous daily exercise, which can easily lead to injury and strain to the muscles of the low back, resulting in pain and functional impairment. This kind of pain will have clearly localized pressure pain points, and when pressing the pain, the pain will not radiate to the lower or upper limbs, and is not accompanied by generalized fever, weakness, night sweats and other symptoms. Second, it is seen in peri-spinal infections, where bacterial invasion causes localized purulent inflammation that spreads to the spine and surrounding soft tissues, and even produces paravertebral abscesses, leading to this pain. Third, see the spinal tumor, due to tumor destruction of bone resulting in pain symptoms. It is recommended that patients go to the hospital for consultation and appropriate treatment.