If there is pain above the waist, the following reasons are common: First, rib fracture: if the ribs are directly hit, rib fracture and misalignment will occur, and the patient will have severe pain above the waist, accompanied by local swelling, dyspnea, and in severe cases, bleeding in the lungs can occur, and X-ray films can be taken to confirm that the ribs are fractured. Second, thoracic vertebrae compression fracture, small joint disorder: can cause pain in the middle of the back above the lumbar vertebrae, and will make the thoracic vertebrae activities are limited, shooting three-dimensional CT, X-ray, can find the thoracic vertebrae fracture, intervertebral joint disorder. If there is pain above the lumbar area, the symptoms of pain can be rapidly improved through timely diagnosis and timely treatment, and patients should pay attention to protecting the thoracic back in general to avoid the occurrence of the above diseases.