Thoracic spine misalignment back pain should be treated according to the cause. Common causes include thoracic vertebral small joint disorder, thoracic vertebral fracture, etc. Treatment includes physical therapy, drug therapy, surgery, etc. 1. Thoracic vertebral small joint disorder: mainly manifested as loosening and misalignment of thoracic vertebral small joints, conservative treatment can be used to alleviate the pain, such as local traction physiotherapy, and oral diclofenac sodium extended-release tablets, celecoxib tablets and other non-steroidal anti-inflammatory drugs. Pay attention to the posture of work and study in daily life, and do physical exercise appropriately. For those who have obvious misalignment of thoracic vertebrae, corrective surgery of thoracic vertebrae is needed. 2. Thoracic vertebral fracture: patients with thoracic vertebral fracture, there is no symptom of compression of the nerve, generally can be taken to hot compresses, physiotherapy and other conservative treatment. Non-steroidal anti-inflammatory drugs such as ibuprofen and indomethacin can also be applied, as well as physical therapy and hot compresses. For patients with thoracic spine subluxation pulling on the nerves, surgical treatment is usually needed so as to correct the thoracic spine subluxation. If the back pain of thoracic spine misalignment occurs, there may also be other reasons such as muscle strain and inflammation of the fascia of the thoracic back, so it is necessary to consult a doctor in time to clarify the cause of the disease, and then treat it accordingly. All of the above medications should be used under the guidance of a doctor, avoid self-medication.