Back pain after hiccups is most commonly caused by sprains, overexertion, and improper body position leading to misalignment of the small joints of the thoracic vertebrae and disorders of the small joints of the thoracic vertebrae. Dislocation or disorder of the joints will stimulate the joint capsule, leading to compression of the nerves around the joint capsule, and then severe pain will occur. The pain is usually centered on the thoracic back, and can be induced by forward flexion or rotation of the thoracic spine. Sometimes the pain can radiate along the ribs to the anterior thoracic region, and can also be induced by hiccups and violent coughing. For this kind of pain, the best treatment is bed rest, with oral non-steroidal anti-inflammatory and analgesic drugs, such as Cilostro capsules. If there is a history of chronic gastric disease or stomach pain, it is also necessary to treat it along with medications that protect the stomach. Physical therapy such as chest and back massage, acupressure, moxibustion, and cupping can also be performed.