Neck and back pain may be related to physiological factors, cervical spondylosis, frozen shoulder, thoracic spine or cervical spine tumors. 1. Physiological factors: prolonged bowing of the head, poor sitting posture, or cold neck and back may lead to muscle strain of the neck and back, resulting in microcirculation disorders, which may cause neck and back pain. 2. Cervical spondylosis: the disease can lead to changes in the normal physiological curvature of the cervical spine, if you do not pay attention to daily care, long time to maintain an inappropriate posture, resulting in stiff neck muscles, tension, easy to the local blood vessels, nerve roots caused by compression, may cause neck and back pain. 3. Frozen shoulder: there is aseptic inflammation in the shoulder joint, under the stimulation of inflammation, it may cause neck and back pain, and it may be accompanied by shoulder joint stiffness, shoulder joint activity restriction and other manifestations. 4. Tumor in thoracic spine or cervical spine: Due to the presence of tumor in cervical spine or thoracic spine, the compression and stimulation by the tumor may cause radiating pain in the back of neck. Soreness in the back of neck may also be caused by other reasons, so it is recommended to consult a doctor as soon as possible and receive regular treatment.