The most common cause of tendon pulling pain in the back is myofascial adhesions or myofascial pain. There is a layer of fascia on the surface of the muscle, when there is long-term exertion and strain, the fascia may become inflamed, resulting in the disappearance of lubrication between the fascia and the muscle, and adhesion occurs, especially after a night, the moment you start to exercise, adhesion and friction will lead to a very serious pulling pain, and when the friction gradually reduces after the activity, on the contrary, you will feel relieved, and this kind of pain is a kind of myofascial pain. Another type of pulling pain is neuralgia, which is often associated with nerve entrapment due to spinal deformity, and is usually more severe, with restrictions in movement and position. Then there are some internal diseases, such as cholecystitis, heart disease, etc., the patient needs to go to the hospital for further consultation, and only after a clear diagnosis can the diagnosis and treatment be confirmed.