Pain in the middle of the back, if it is in the position of the spinous processes, accompanied by significant pressure pain, this may be a manifestation of a spondylitis. Patients with spondylitis often present with pain in the middle of the spinous process, plus significant pain when the spinous process is pressed. Sphenoiditis occurs in the middle of the back or lumbar region, and is directly related to the patient’s frequent bending, tired work, or often sitting in one position for too long. Because of the attachment of the supraspinous ligament above the spinous process, regular stress will lead to friction between the supraspinous ligament and the spinous process, resulting in aseptic inflammation, which mostly manifests itself in the form of pain in the spinous process, often accompanied by obvious pain when the spinous process is pressed. To deal with this situation, you can consider taking some oral non-steroidal anti-inflammatory drugs, but also can consider the localized pain in the area of closed treatment.