There are many causes of back pain, and there are several common causes as follows: 1. Respiratory system diseases cause shoulder and back pain, in the back, side back, and scapula, more common are pleural adhesions, lung cancer, and tuberculosis. 2. Cardiovascular diseases can also cause back pain, common are angina pectoris and myocardial infarction. 3. Patients with biliary colic, pancreatic disease, stomach, and duodenal tumors, can also cause back pain in the shoulder.4, Bone, kidney, bladder, uterus, and lung, if malignant tumors metastasize to the scapula, vertebral bones, and ribs, can cause back pain.5, Cervical spondylosis is more staged and is also the most common cause of back pain. In addition to back pain, there can be stiffness and discomfort in the neck, numbness, weakness of the limbs, dizziness, headache, etc. There will be corresponding, fixed pressure points. Neck sprain and drop pillow are caused by improper neck activities or poor position during sleep resulting in muscle being sprained, which can cause back pain, with pressure points fixed and located at the site of muscle damage. Periostitis of the shoulder joint, when pain can also bring up back pain, myofibrillar tissue inflammation when there are obvious triggers such as wind and cold, moisture, etc., can also cause back pain, you can massage or hot compress, is effective.