“Pain difficult to go where to treat?” Hangzhou, a 30-year-old female patient, more than ten days ago to the child peeling melon seeds straight up sudden severe pain in the back, to the chest and ribs, lumbar and abdominal radiating pain, activity is difficult, can not normally straighten the chest and waist, turn over when sleeping difficult, due to the consideration of the possibility of gynecological disorders, so go to the provincial women’s health hospitals, in the inspection of the chest and abdomen and the treatment of the lack of obvious results, in the understanding that there is a pain department can be treated in the case of the Provincial Chinese Medicine Hospital Dr. Zhang Juan, Chief Physician of the Pain Clinic of the Provincial Hospital of Traditional Chinese Medicine, asked the patient in detail about her pain. Dr. Zhang Juan, the chief physician of the hospital, asked the patient about her condition in detail and found that she had paravertebral tenderness and paravertebral muscle tension on the affected side of the T8 and T9 vertebrae during her physical examination. After analyzing the patient’s condition, Dr. Zhang Juan concluded that the disease was caused by trauma or long-term poor posture, which resulted in misalignment of the small joints of the thoracic vertebrae and even synovial inlay, causing thoracic back pain, commonly known as “stenosis”, which is also clinically known as “misalignment of the small joints of the thoracic vertebrae”, It is also known as “thoracic small joint misalignment”, “thoracic small joint disorder” and “thoracic small joint arthritis”. Thoracic back pain caused by thoracic vertebral small joint lesions is often accompanied by acute and chronic intercostal neuralgia of varying degrees and visceral dysfunction of the thoracic and abdominal organs, etc. Chronic episodes of the patient are often accompanied by anxiety, insomnia and depression, etc. Because of the high incidence of this disease in females, the disease is easy to be misdiagnosed as a “neurosis” or “neurasthenia” of the cardiovascular, respiratory, and digestive systems in clinics. It is easily misdiagnosed as cardiovascular, respiratory and gastrointestinal “neurosis” or “menopausal syndrome”. After determining the etiology of the disease based on history, symptoms, and imaging, the patient was treated with ropivacaine and ozone to perform T8 and T9 thoracic paraspinal small joint block, and at the same time, small joint chiropractic manipulation was performed to reset the joints. The patient experienced immediate pain relief and recovered completely after one more treatment. If we had known about the consultation department and the early intervention of the treatment, the patient would not have to endure more than ten days of suffering. For more than ten days of suffering, the patient regrets. The pain department is specialized in finding and removing the location and cause of pain-causing nerve damage lesions, and has a more comprehensive diagnostic advantage for symptoms with pain as the main complaint, especially for difficult chronic pain. For patients with chronic pain who have been referred to various departments without knowing the cause of their pain, we recommend that they visit the pain department of each hospital.