If the symptom of pain in the middle of the back occurs at night while sleeping, you need to consider a variety of possible causes. If the symptom is soreness, generally consider the fasciitis of the back, this condition is related to the usual bad posture habits or cold, fatigue and other factors, is a kind of sterile inflammation, need to do local hot compress massage, usually pay attention to the health care of the back, you can often do cobra action, conducive to the relief of symptoms. This situation also needs to be considered some organ lesions involved in the cause, if it is burning pain, mostly considered gastric reflux esophagitis caused, especially in the night gastric acid secretion, will easily cause symptoms more obvious, this situation can be a gastroscopy examination clear, if caused by H. pylori infection, you can also choose clarithromycin and amoxicillin for anti-infection treatment.