Coughing back pain after a fall may be associated with soft tissue injury, rib fracture, lumbar compression fracture and other causes. 1. Soft tissue injury: fall can cause soft tissue injury of the back, pulling the pleura when coughing, resulting in back pain after coughing or aggravate the pain, localized bruising, compression pain and other phenomena. 2. Rib fracture: rib fracture is due to the direct action of violence on the ribs, so that the ribs cracked or broken, the broken end of the fracture can produce pain, exacerbated by deep breathing, coughing or rotating position, and in severe cases, it can be accompanied by abnormal breathing, hemothorax, pneumothorax and other manifestations. 3. Lumbar spine compression fracture: mostly seen in the elderly, due to osteoporosis, after a fall can cause lumbar spine compression fracture, there can be localized pressure and pain, after coughing, back pain can be aggravated phenomenon. Coughing back pain after a fall may also have other reasons, it is recommended to go to the hospital in a timely manner, improve the examination to clarify the cause of the disease, under the guidance of the doctor to give targeted treatment or treatment.