Chest pain when bowing down is mainly considered to have two possibilities: first, physiological reasons, mainly due to the chest muscles to maintain the same posture for a long time, which can lead to muscle strain, when bowing down, due to the relaxation of the chest muscles, which can cause chest pain and discomfort, generally do not need special treatment, can be relieved after a moderate exercise; second, pathological factors, mainly considered to be suffering from cervical spondylosis, whose main clinical symptom is cervical and thoracic pain Second, pathological factors, mainly consider cervical spondylosis, the main clinical symptoms of cervicothoracic pain, which can be accompanied by dizziness and vomiting discomfort, in the low head can cause further aggravation of sympathetic nerve compression, which leads to aggravation of anterior thoracic pain, at this time, should be promptly to the orthopedic department of the regular hospital for consultation, and if necessary, surgery. In addition, if the chest pain occurs when the teenager lowers his head, it cannot be excluded that he suffers from intercostal neuralgia or costochondritis. In conclusion, if the chest pain occurs only when the head is bowed, the cause of the chest pain should be clarified in time, so as to avoid causing serious clinical consequences.