The pain in the middle of the upper back is due to excessive fatigue of the scapular raphe and rhomboid muscles in the medial position of the scapula and the formation of strain, and combined with cold will cause the muscles to become more tense, the accumulation of inflammation and obvious pain, this situation can take the following measures to solve: 1, should change the usual sitting posture, try to choose a seat with a backrest, head slightly back, bilateral elbow joints must have support support, so as to keep the back muscles fully relaxed; night sleep pillow should not be too high, to maintain the normal physiological curvature of the cervical vertebrae, back muscles can also become relaxed to avoid aggravation; 2, no matter when to pay attention to the back part of the warmth, can not be cold, cold will lead to aggravation, available warm water bags or fried hot coarse salt and infrared treatment in hospitals to effectively treat the local inflammation lesions, increase blood circulation, relax the muscles to reduce the symptoms; 3, oral anti-inflammatory painkillers, such as celecoxib, clonoxicam to reduce local inflammation and pain; 4, to the hospital massage department for massage therapy, massage can relax the muscles, and through the plucking method can loosen the adhesion of muscle tissue and surrounding tissue, so that the pain can be significantly relieved.