Women with pain in the middle of the upper back may be caused by cervical spondylosis, muscle strains, angina and other factors, different causes, different treatment methods, women can make a preliminary judgment based on the nature of pain and accompanying symptoms, to take the cause and symptomatic treatment measures. The pain is severe enough to seek medical attention, imaging, and treatment after clarifying the cause. 1, cervical spondylosis: for women engaged in long-term ambulatory work, easily lead to cervical spine, lumbar spine and surrounding muscles soreness, pain, numbness and other symptoms, long-term may also suffer from cervical spondylosis, which leads to pain in the upper middle of the back, can be accompanied by a sense of tension in the neck muscles. When the above discomfort symptoms recur, you can appropriate oral ibuprofen and other drugs to relieve pain, together with traction therapy, etc., to improve the function of the cervical spine; 2, muscle strains: if women have recently suffered a certain degree of back muscle strains, then there may be involved pain caused by limb movement, manifested as pain in the middle of the upper back, local cold compresses within 48 hours, after 48 hours can be local hot compresses, follow the The pain can be localized with cold compresses within 48 hours and localized with hot compresses after 48 hours, and topical patches of blood-activating and anti-swelling patches or flurbiprofen babu cream, etc., and assisted with gentle massage; 3, angina: women with pain in the middle of the upper back during activity or emotional excitement are not excluded from coronary angina attacks, often accompanied by a feeling of tightness in the precordial area and difficulty in breathing, usually relieved after rest or after taking nitroglycerin. If the pain and discomfort continues to be unrelieved, you need to be alert to myocardial infarction, you need to call 120 and be admitted to the hospital for emergency treatment; 4, thoracic spine disease: for example, thoracic disc herniation, thoracic spine osteoporosis, osteophytes, small joint disorders, etc. It is recommended that women go to the hospital for CT, MRI and other examinations to clarify whether they have thoracic spine disease and take the appropriate drug treatment or even surgery. Women with pain in the middle of the upper back should pay attention to daily recuperation care, avoid spicy and stimulating diet during treatment, keep the body warm, minimize long working hours, and the pillow height should not be too high when sleeping. If the pain persists, it is recommended to go to the hospital for review in time.