The pain in the middle of the back may be caused by physiological factors, fasciitis or cervical spondylosis, which can be treated with oral ibuprofen or surgery. 1. Physiological factors: prolonged standing or sitting posture, improper exercise posture, etc. can lead to shoulder and back muscle strain, thus causing the symptoms of low back pain. The symptoms can be relieved by rest and localized hot compresses. 2. Fasciitis: Fasciitis occurs in the muscles of the back when the head down leads to back muscle activity, aggravating the pain symptoms, which can be manifested as the symptoms of pulling pain in the middle of the back when the head down. You can take oral ibuprofen, celecoxib and other non-steroidal anti-inflammatory drugs as prescribed by the doctor for symptomatic treatment. 3. Cervical spondylosis: cervical spondylosis can cause changes in the position of the cervical vertebrae and intervertebral discs when the patient lowers his head, compressing the nerves innervating the back muscles in the cervical vertebrae, which can cause the symptom of pain in the middle of the back after lowering the head. Cervical spondylosis can be treated with localized hot compresses and oral ibuprofen to relieve pain symptoms, or cervical traction and surgery. Low back pain in the middle of the back should go to the hospital in a timely manner to improve the examination, clear the cause of the timely treatment, do not blindly use their own medicine.