Back swelling pain may be seen in the following categories: First, the most common cause is pain caused by muscle strain and inflammation of the fascia in the chest and back. It is mainly manifested as widespread soreness and swelling pain, and sometimes there may be stabbing pain or radiating pain, which can be induced by pressing with the hand, but will feel more comfortable when pounding or patting with the hand. For such, first of all, we should pay attention to rest, strengthen the functional exercise of the thoracic back, do more physical exercise, and if necessary, we can cooperate with massage or hot compress treatment, and also take oral non-steroidal anti-inflammatory and analgesic drugs to relieve pain. Second, it may be due to vertebral tumor, tuberculosis or infectious lesions in the thoracic back, which usually manifests as localized stabbing pain, swelling pain and sometimes soreness, and the pain is aggravated after activity and can be reduced when resting. However, for tumor patients, nocturnal resting pain may occur, which means that the pain will be intense at night when sleeping. For the above mentioned patients, it is recommended to go to the hospital for specialist examination as soon as possible and take corresponding treatment plan as soon as possible after clear diagnosis.