Chest pain with back pain is commonly seen in angina pectoris, pneumothorax and muscle strain and other diseases. 1. Angina: often manifested as a result of exertion, emotional excitement and other triggers, caused by chest pain, can be radiated to the back, sublingual nitroglycerin can be relieved after a few minutes. However, further coronary angiography is needed to determine whether the coronary artery is stenotic and the degree of stenosis. 2. Pneumothorax: Chest tightness and pain with back pain caused by trauma or rupture of pulmonary blisters, etc. It is necessary to take chest X-ray and other examinations to clarify the cause of the disease, and antibiotics, such as ceftriaxone and other anti-infective, analgesic drugs, such as morphine and other analgesics, and if necessary, surgical treatment. 3. Muscle strain: Chest muscle strain can also cause chest pain with back pain, can be given non-steroidal anti-inflammatory painkillers, such as celecoxib, etc., if necessary, surgical treatment. Chest pain with back pain need to consult a doctor in a timely manner, to clarify the cause of the disease, to avoid delaying the condition. Drugs need to be used under the guidance of a doctor, avoid self-medication.