The causes of pain in the middle back spine are complex and varied. For example, lumbar disc herniation, strain, fracture and other causes, treatment can take oral medication, hot compresses, surgery and other ways of treatment. 1. Lumbar disc herniation: you can go to the hospital to do spinal X-ray, CT, MRI, ECG and other tests to diagnose and early treatment. Patients can be bedridden, traction, lumbar physiotherapy and other methods, the pain is obvious, you can choose ibuprofen granules, nimesulide dispersible tablets, celecoxib capsules and other non-steroidal anti-inflammatory drugs for pain relief, and in severe cases, minimally invasive surgery is feasible and other treatment methods. 2. Lumbar muscle strain: caused by cold, long-term bad posture habits. Normally, you should pay attention to rest and keep warm, avoid long time bending and lifting heavy objects. It can be treated by acupuncture, physical therapy, hot compresses, etc., to achieve the purpose and effect of pain relief, and in serious cases, oral diclofenac and other drugs can be used to improve the symptoms. 3. Compression fracture: Mostly caused by trauma, CT examination can be clear. If the degree of compression is mild, you can rest in bed, wear a brace, and take oral calcium and vitamin D to prevent osteoporosis. In severe cases, minimally invasive surgery, such as vertebroplasty, may be an option. There are many possible causes of pain in the middle of the spine, so it is important to consult a doctor in a timely manner, undergo appropriate examinations to determine the cause of the pain, and carry out the examination and targeted treatment under the guidance of the doctor. The above medications should be used under a doctor’s supervision, avoiding self-medication.