There are several common causes of chest and back pain in the elderly: First, if the patient’s chest and back pain mostly attacks during exertion, can be relieved after rest, can be relieved after containing nitroglycerin, and at the same time, the patient has hypertension, hyperlipidemia, etc., more consider whether the patient is suffering from coronary heart disease, need to promptly go to the cardiovascular medicine department for consultation. Second, if the patient’s chest and back pain is related to breathing movement, we should consider whether the patient has pleurisy and other conditions. If the patient has a history of pleural effusion, pleurisy and pleural adhesions should be highly suspected. Third, chest tumor, tuberculosis and other conditions: the elderly chest and back pain accompanied by wasting, fever, should consider whether there is a tumor and other conditions. Fourth, if the patient’s chest and back pain is heavy, you should consider whether the patient has a chest emergency such as esophageal rupture or aortic coarctation formation. In conclusion, elderly people with chest and back pain should seek timely medical attention, and promptly perform chest X-ray, ECG, CT and other examinations to clarify the diagnosis and treatment in a timely manner.