Back neuralgia should be treated according to the cause of the back neuralgia: 1. If herpetic or post-herpetic neuralgia is caused by herpes zoster, dexamethasone anti-inflammatory, ganciclovir antiviral, and murine nerve growth factor or vitamin B1 and vitamin B12 intramuscular injections are given for symptomatic treatment in the acute phase. If the pain is caused by cervical spondylosis, the main treatment can be physiotherapy or shoulder and back massage, and local nerve block can be performed in severe cases.