There are many causes of back pain after coughing, such as muscle pulling, heart disease, pleurisy and so on. It needs to be clearly diagnosed according to the individual’s condition and relevant examination. 1. Muscle pulling: coughing for a long time without improvement or violent coughing will pull the local muscles of the back to cause back pain. You can take local physical therapy or ibuprofen capsules and other anti-inflammatory and analgesic drugs. 2. Heart disease: usually have myocarditis, coronary heart disease and other heart diseases, if the recent upper respiratory tract infection or other triggers caused by coughing, may trigger the aggravation of heart disease, the left side of the back can appear radioactive pain. 3. Pleurisy: In severe cases of lung infection, coughing can cause the pleura to pull on the pleura causing pleurisy leading to back pain. Coughing back pain may also be seen in other diseases, such as pneumonia, lung cancer, pulmonary embolism, etc., should be sent to the hospital as soon as possible to follow the doctor’s instructions to check the cause of treatment.