There are various causes of upper back pain, among them, there are two orthopedic diseases that cause “upper back pain”, they are “supraspinous ligamentitis” and “dorsal myofasciitis”. Here I will briefly discuss my understanding of these two diseases. The name “supraspinous ligamentitis” is also known as “sphenoiditis”, and doctors in China are extremely familiar with these two names for this disease, but are not familiar with the third name for this disease. From the point of view of patients seen in clinical clinics, supraspinous ligamentitis is mostly caused by long-term improper sitting posture, hunchback with chest, some girls in adolescence due to the sudden development of the chest, artificially adjust the walking and sitting posture due to shyness, long-term improper sitting posture for a long time and the formation of supraspinous ligamentitis. The doctor just touches the painful point and the patient immediately feels severe pain, and some patients even have severe pain on the spine when they touch their clothes. However, except for the projection of the supraspinous ligament, there are no obvious pain points in the paraspinal area or other parts of the body. Dorsal myofasciitis is often caused by exertion or infectious diseases such as the flu. During the outpatient examination, the patient has bilateral dorsal muscle tension, or even leather-like tenderness, and the pressure pain is obvious but the pain point is not clearly defined; in other words, the pressure pain is widespread and no specific location of pressure pain can be found, but the spinous process is often not clearly positive. The latter of the two diseases is easier to treat and has a better prognosis. However, the outcome of supraspinous ligamentitis varies widely. Common treatments for supraspinous ligamentitis include physical therapy, topical medications, internal medications, acupuncture and acupuncture release and local closure therapy. Some patients reap better results after only one treatment. However, in some patients, the effect is still not obvious after several treatments, and even in some patients, the pain can be aggravated for several days after receiving local closure therapy. It is unclear why supraspinous ligamentitis would present with “sphenoid allergy”. The exact interpretation of the diagnosis of “eminence allergy” is still unclear, as such sensitive signs of supraspinous ligamentitis are often seen in the cervicothoracic segment, and such sensitive pain rarely occurs in the lumbar segment.