What is the cause of the back hot pain, back hot pain often manifests itself as a relatively shallow injury to the skin of the back surface leading to pain. Some people carry too many things on their backs because of the work process, squeezing or friction of the anti-stuff, back stuff, resulting in more serious pressure on the skin caused by heavy objects. Some times will see the back of the skin contusions, and even some times blisters, blood blisters, etc., when the back is prone to hot and painful, the skin surface injury is more serious. Some times hot and spicy pain in the back also depends on the possibility of small blisters in the back, the back of the intercostal nerve herpes zoster virus attacks appear herpes zoster, folk called snake pan sores, the skin is particularly severe pain, hot and spicy pain may be the cause. If there is nothing wrong with the surface skin, it could be fasciitis of the back muscles, and supramuscular ligamentitis in the middle of the back and other such soft tissue injuries.