There is a tendon pulling pain in the back, a common cause is back muscle spasm, the causes of back muscle spasm are commonly the following: first, severe cervical spondylosis, a long history of cervical spine disease can lead to severe edema and inflammatory reaction of the nerves, the patient will have continuous tension and spasm of the back muscles, spastic nodules will form inside the muscles, the patient will feel a tendon pulling pain in the back. Second, severe back muscle strain, using the back to work and exercise, can cause back muscle strain. If not stretched in time, it will lead to spastic hard nodes within the back muscles, and the patient will also feel a tendon pulling pain in the back, and there will be obvious painful points when pressure is applied. The above two causes are common causes of back pain, and with early diagnosis and treatment, the pain symptoms can disappear completely. You also need to pay attention to protecting the cervical spine and avoiding overexertion in your daily life.