Soreness and swelling in the middle of the back is considered to be caused by physiological factors such as prolonged work, disease factors such as lumbar and dorsal fasciitis, cervical spondylosis, excluding physiological factors, need to consult a doctor in a timely manner. 1. Physiological factors If you work for a long time, keep your back in the same position, it will make your muscles in a state of tension for a long time, thus producing lactic acid accumulation, you need to get up and move often to relieve the muscle tension. 2. Disease factors (1) lumbar back fasciitis: related to strain, humidity and other factors, will make the lumbar back fascia and muscle tissue edema, oozing, resulting in lumbar back pain, appearing in the middle of the back soreness and swelling and other manifestations. It is necessary to follow the doctor’s instructions for stretching training, physical therapy, and when the pain is severe, non-steroidal anti-inflammatory drugs such as celecoxib capsules can be taken. (2) Cervical spondylosis: degenerative changes in the cervical vertebrae, the trunk can appear abnormal sensation, middle back pain, numbness and weakness of the limbs, etc., need to follow the doctor’s instructions for physical therapy, and when the pain is severe, non-steroidal anti-inflammatory drugs can be taken, such as ibuprofen and so on. If the symptoms continue to be unrelieved, you should go to the hospital in time, and standardize the treatment under the guidance of the doctor.