Chest tightness and back pain and tightness may be cervical spondylosis, cardiovascular disease, acute pneumothorax, malignant tumors, etc., and you should consult a doctor in time to find out the cause of the disease. 1. Cervical spondylosis: patients with cervical spondylosis will experience pain and tightness due to nerve compression. 2. Cardiovascular disease: Commonly, coronary heart disease leads to myocardial ischemia, causing chest tightness and back pain. 3. Acute pneumothorax: if accompanied by chest pain after breathing, wheezing and other symptoms, we need to consider whether there is an acute pneumothorax, which can also lead to chest tightness and back pain and tightness. 4. Malignant tumor: if the patient has chest tightness and back pain and tightness, accompanied by vomiting blood, choking on food or long-term lethargy, fatigue and so on. Of course, there may be other diseases, it is recommended that if there is chest tightness and back pain and tightness of the situation in a timely manner to consult the doctor to clarify the cause of the disease, to give targeted treatment.