Pain below the cervical spine and upper spine can be caused by the following: 1. supraspinal ligamentitis and interspinous ligamentitis in the thoracic spine, which are often caused by exertion, when early physical examination and examination are required to rule out other diseases for diagnosis and treatment; 2. tumors in the thoracic spine, when there are tumors or metastases in the upper thoracic spine, there can be pain below the cervical spine and above the spine, often accompanied by systemic symptoms, such as hypothermia, wasting, and loss of appetite. For example, hypothermia, wasting and loss of appetite. At this time, MRI and CT of the lumbar spine should be examined for early diagnosis and treatment; 3, severe osteoporosis, osteoporosis can also lead to pain in the thoracic spine, at this time, X-ray and CT of the thoracic spine should be examined for diagnosis; 4, when there is tuberculosis and bacterial infection in the thoracic spine, there can be pain in the thoracic spine, at this time, MRI, CT and X-ray of the thoracic spine should be examined for diagnosis.