The most common clinical causes of burning sensation in the back are the following two: In the first case, sometimes the patient feels a burning sensation or a burning pain because of the intense stabbing pain in the back. Herpes zoster, also known as viral neuritis or snake sores, is the most common cause of this disease. It is mainly due to a viral attack on the nerves that results in an inflammatory reaction, leading to radiating pain or pins and needles pain in the area of innervation, which is more severe and radiates along the rib cage. In advanced stages of the disease, clusters of blisters may appear on the skin surface, which are colorless and transparent and may secrete a yellowish fluid after rupture. The main treatment for this type of disease is medication, but if blisters have formed, Chinese medicine fire acupuncture can also be used. In the second case, the thoracic small joint misalignment, resulting in joint capsule compression and nerve irritation resulting in pain. For this condition, TCM tui na and massage can be performed, together with manual reset treatment.