The symptoms of back pain at night in bed are considered to be caused by dysfunction of the small joints of the thoracic spine in the back and strain of the trapezius erector spinae muscle in the back. And the pain may be ignored during the day when you are working or busy with other things. In such a case, you can take two kinds of drugs, namely blood-activated pain relieving tablets and tizanidine tablets, and if necessary, do chest CT examination to exclude the possibility of diseases in the internal organs of the chest, and adjust the drugs according to the examination results. On the basis of medication, traditional treatments such as back acupuncture, tui na and fire cupping can be done. Pay attention to body warmth, do not blow directly on air conditioners or fans, and drink more warm water. Patients who have back pain at night while sleeping, which affects their sleep more, need to go to the hospital rehabilitation department or pain department for examination and treatment in time to avoid delaying the condition. The disease is not very serious, do not worry too much, but to deal with it in time.