Back stretching and pulling pain is mostly caused by muscle strain or muscle tension, which can be relieved by massage and localized hot compresses. If you keep a posture for a long time or repeat a certain action for a long time, it will cause the soft tissues of the back to be pulled repeatedly, resulting in local congestion, edema, the formation of aseptic inflammation, leading to muscle spasm of the back and chronic strain of the muscles, and pulling pain. You can use manipulative massage to accelerate blood circulation in the back and relieve back pain. In addition, localized hot compresses or infrared rays can be used for physical therapy to accelerate blood circulation and promote the recovery of muscle spasm. If the symptoms are not relieved after physical therapy, you should go to the hospital as soon as possible for further examination and targeted treatment.