The elderly back will appear burning hot may be caused by osteophytes, osteoporosis, autonomic dysfunction and other factors. 1. Osteomalacia: long-term engagement in weight-bearing labor or fatigue exercise will lead to joint cartilage degeneration, wear and tear, thus causing the bone and joint local weight-bearing increase, stability deterioration, and then cause osteophytes. Osteomalacia will stimulate the surrounding soft tissues, resulting in edema, hyperplasia and other aseptic inflammation of the tissue, causing the old man’s back fever. 2. Osteoporosis: as the elderly grow older, the amount of bone in the body decreases, bone brittleness increases, the muscles and fascia of the back increase in tension, and are susceptible to fracture under the action of external forces, which will cause the back to appear hot and burning hot. 3. Autonomic dysfunction: When the autonomic dysfunction of the elderly occurs, it can also lead to burning heat in the back. Elderly people can suffer from burning heat in the back due to a variety of reasons, in order to find out the cause of the disease, it is recommended to go to a regular hospital for medical treatment.