Neck and back pain may be due to trauma, cervical spondylosis, muscle strain and myofibrositis. 1. Trauma: when the back of the neck is hit, it will cause the muscle tissue of the back of the neck to be damaged and form inflammation, resulting in pain, redness, heat and edema in the back of the neck. 2. Cervical spondylosis: Suffering from cervical spondylosis can lead to compression of the nerves by the cervical vertebrae, resulting in pain in the neck and the nerves in the back. Some patients with cervical spondylosis are also prone to muscle spasms in the neck and back, which can cause pain. 3. Muscle strain: Muscle strain is mainly caused by patients who have been engaged in physical labor for a long period of time or who have been in the same position for a long period of time. This disease will cause local muscle soreness and pain symptoms, and in severe cases, it may lead to impaired activity, part of the joint dysfunction and so on. 4. Myofibrositis: the back and neck muscles are rich in cold, exertion and other factors, there can be aseptic inflammation of the muscles, resulting in pain. The patient’s pain is more limited, the percussion pain is obvious, and the pain will be aggravated when the activity. The pain in the back of the neck may also be caused by cardiovascular disease, and patients should go to the hospital for examination and treatment in time.