Tightness of the back after 40 days of vertebral fracture may be caused by adhesion of soft tissues in the back, which can be treated by general treatment, physiotherapy, medication and other methods. 1. Reason: After vertebral fracture, if conservative treatment is taken, it is necessary to take bed rest for a long time; if surgical treatment is taken, the soft tissues of the back will be damaged to a certain extent. All these factors will cause aseptic inflammation of the back tissues, resulting in adhesion of the back tissues and tightness of the back. 2.Treatment (1) General treatment: usually pay attention to rest and develop good posture. In the case of adequate braking, you can carry out appropriate rehabilitation exercises, which can help improve the circulation and improve the tissue adhesion. (2) Physical therapy: such as heat therapy, massage, baking electricity, etc. Physical therapy can improve circulation and promote the absorption of inflammation. (3) Drug therapy: commonly used non-steroidal anti-inflammatory drugs, such as diclofenac sodium, etc., for reducing the inflammatory response to relieve pain, can play a role. When there is a vertebral fracture 40 days after the back tight, you can go to the hospital to further identify the cause of the disease, and then targeted treatment. The above drugs need to be applied under the guidance of a physician.