The most common causes of back pain in patients are the following two: i. Small joint disorders in the thoracic spine: due to a tiny misalignment of the small joints of the thoracic spine, the synovial membrane of the joint capsule is embedded in the middle of the joint, which leads to back pain, the most common site is the 7th-8th thoracic spine. After the occurrence, pain may occur in the middle of the back, with pressure pain at the spinous process of the 7th-8th thoracic vertebrae and localized hypertelorism. It can be treated by rest, oral anti-inflammatory and analgesic drugs and massage. Second, oblique muscle syndrome: mostly manifested as pain in the back between the two scapulae, with positive pressure pain, can do acupuncture, massage, physical therapy and other treatments.