Pain in the middle of the back spine may be caused by overexertion, which is common in high-intensity workers or caused by maintaining one movement for a long time. Generally, symptomatic treatment can be carried out, and then find the cause of the pain in the middle of the back spine, for the cause of treatment. First, symptomatic treatment: for patients with pain symptoms, you can take non-steroidal anti-inflammatory and analgesic drugs, such as meloxicam, celecoxib, etc., can also be treated with oral Chinese medicine lumbar pain capsules to play the role of anti-inflammatory and analgesic. If the pain is very severe, it can be treated by closed injection, which can relieve the pain, and if necessary, surgical treatment is needed. In addition, you can also use physical methods of treatment, such as local hot compresses, through microwave, far-infrared to treat, can relieve the pain of the back spine. Second, the cause of treatment: 1, ligament inflammation: aseptic inflammation caused by ligamentitis, mainly due to poor posture and habits, can include supraspinous ligamentitis, interspinous ligamentitis, etc.. The condition will gradually improve by changing bad habits and posture, applying heat and treatment with topical creams. If the ligamentitis is caused by septic bacterial infection, this situation requires the use of local anti-inflammatory drugs to treat, such as diclofenac diethylamine emulsion, flurbiprofen gel paste, etc., can also assist in physical therapy to eliminate inflammation and reduce pain symptoms; 2, lumbar spine lesions: if the patient appears lumbar spine parts of the lesion, can also be involved in the spine, or even the whole spine pain. Such as lumbar disc herniation, lumbar spondylolisthesis and other diseases. In addition, the patient’s lumbar pain symptoms may be more pronounced, and in severe cases walking and lying down are affected. It is necessary to clarify the specific cause for the corresponding treatment, generally based on drug therapy, and can be supplemented by acupuncture, massage and, if necessary, surgery; 3. Compression fractures: compression fractures are divided into osteoporotic compression fractures and compression fractures caused by simple trauma. If the degree of compression is light, bed rest, can lie flat on a hard board bed and wear a lumbar girth to move out of bed. When the fracture site has not fully recovered, the daily activity time should not be too long. If the compression is severe and accompanied by neurological symptoms, surgical treatment such as incision, repositioning and fusion should be performed to restore the stability of the spine and relieve the pain in the middle of the back spine; 4. Tuberculosis: If the patient has a tuberculosis lesion in the spine, there may be night sweats, low fever and other accompanying symptoms in addition to pain. At this time, patients need to be vigilant, and actively go to the hospital, you can apply isoniazid, rifampin and other drugs for anti-tuberculosis treatment; 5, ankylosing spondylitis: the typical symptoms of ankylosing spondylitis is spinal pain, and can appear morning stiffness, if the patient has these symptoms for no reason, should promptly seek medical attention. If ankylosing spondylitis is diagnosed, targeted treatment is required using anti-inflammatory drugs as well as drugs such as salbutamol and methotrexate. If there is already a serious spinal deformity, surgery is required; 6. Spinal tumor: If a tumor grows in the spinal area, it usually causes pain as well. At this time, the pain may be more intense and requires imaging to understand the specific situation, and if necessary, surgery may be required. If the best time for surgery has been missed, radiotherapy needs to be administered according to the situation.