In some patients, back thickening is related to neck and shoulder fatigue and muscle fatigue, which creates muscle swelling, similar to a shrug behind the back. As back hypertrophy is caused by muscle strain and fatigue, it can generally be made smaller and thinner through massage and acupressure. Part of the patient’s back thickness is hyperplasia type, hypertrophy type, not caused by acquired strain, it is more difficult to manipulate, not easy to make the back thicker and thinner. The bladder meridian on both sides of the back is an important meridian for the body’s metabolism, and after massage, the bladder meridian can be unblocked and the circulation of qi and blood can be strengthened. Yang energy in the body rises, and the metabolic products accumulated in the meridians will be transported in time. Back fat utilization rate increases, fat accumulation phenomenon will slowly disappear. Usually after two months of massage, the back can be significantly thinner. Patients who frequently massage their backs should also cooperate with active back exercises to prevent atrophy of the back muscles.