The middle back bone pain is likely to be a problem in the spine, usually caused by the following aspects: first, sleep without a good quilt led to back cold, wind and cold invasion, long lead to rheumatoid arthritis such as spinal pain, will be more obvious in the seasonal transition, more like the warm environment, you can try to use Chinese medicine to regulate, usually use moxibustion and other health equipment to improve the pain symptoms. Second, it may be scoliosis caused by trauma, or long-term poor walking posture leading to spinal deformation, the most common may be high and low shoulder, that is, slippery shoulder, to find professional orthopedic rehabilitation to assess, so that rehabilitation trainers to help restore, and then change the bad posture in daily life. Third, the pain may be caused by lumbar spine osteophytes, which is mostly treated conservatively. Fourth, it may be lumbar back fasciitis, which can be treated by activating blood circulation and removing blood stasis.