Asthma with posterior chest pain is considered to be caused by muscle nerve pulling, combined angina, combined alveolar rupture, combined pneumothorax, etc. 1. Muscle nerve pulling: violent coughing during an asthma attack can pull the chest muscle nerves, which leads to posterior chest pain, often accompanied by shortness of breath, chest tightness and other symptoms. 2. Combined angina: If you have a history of angina, it is possible that an asthma attack can trigger angina. Angina pectoris in combination with asthma can cause posterior chest pain and is often accompanied by symptoms such as chest tightness and shortness of breath. 3. Combined alveolar rupture: Asthma can cause airway remodeling due to repeated attacks, which can lead to emphysema, alveoli, chronic obstructive pulmonary disease, and so on. When asthma causes alveolar rupture, symptoms such as shortness of breath and posterior chest pain may occur. 4. Combined pneumothorax: asthma can cause a significant increase in the pressure in the lungs, when combined with pulmonary alveoli, can lead to alveolar rupture to form spontaneous pneumothorax. When spontaneous pneumothorax occurs, symptoms such as posterior chest pain and dyspnea may appear. When asthma attacks appear after the chest pain need to go to the hospital in time to check the specific cause and treatment, so as not to delay the condition.