Spinal pain above the waist is usually due to strain or strain on the interspinous ligaments and supraspinous ligaments of the spinous process of the spine, and the formation of local foci of sterile inflammation, which stimulates the peripheral nerves around the painful sensation, and when bending forward, the spinous process, interspinous ligaments, and supraspinous ligaments are stretched, resulting in further stimulation of the inflammatory areas, which gradually aggravates the symptoms. This is the most common cause of pain in this location, especially when it is cold, resulting in slowed blood circulation and accumulation of inflammatory metabolites, causing further strengthening of local pain. There is also the local formation of vertebral tumors or tuberculosis, which can stimulate the peripheral nerves and cause painful sensations. If there is tuberculosis, there are usually symptoms such as low-grade fever, weakness, sweating, and wasting. In the case of tumors, the pain is mainly painful and can be aggravated when bending over, which may cause compression fractures in the vertebral body after a long time.