Pain in the middle of the back and stiff neck are considered to be caused by physiological factors such as being cold and prolonged head down, or may be caused by pathologic factors such as cervical spondylosis and cervical-shoulder myofasciitis. 1. Physiological factors: due to cold, long time head down and other factors, can lead to spasm and fatigue of the muscles around the cervical spine, can appear around the neck soft tissue pain and neck stiffness symptoms. It is a normal physiological phenomenon, which can be gradually relieved by applying hot compresses, resting and changing bad postures. 2. Cervical spondylosis: Cervical spondylosis and cervical degenerative disease are related, due to long-term strain and osteophytes of the cervical spine, the nerve roots and spinal cord will be compressed, resulting in stiffness and pain in the neck, accompanied by radiating pain in the upper limbs and symptoms of numbness. 3. Neck and shoulder myofasciitis: neck and shoulder myofasciitis is aseptic inflammation of the fascia, considering and long-term posture is not correct and pulling strain, etc., due to the inflammation stimulation will lead to neck, shoulder, back and other pain and discomfort, in the morning the symptoms of the heavier, light activity after the pain is reduced. Back pain in the middle of the neck stiffness may also have other causes, it is recommended that patients seek medical attention in a timely manner to clarify the cause of the targeted treatment.