If the patient has neck pain and back pain at the same time, it may be related to the following causes: 1) cervical spondylosis, in many patients with cervical spondylosis, these two symptoms at the same time, such as cervical cervical spondylosis, radicular cervical spondylosis. 2) pillow fall, this kind of patients do not have any symptom before sleep, and in the process of sleeping, due to cold, poor sleeping posture, resulting in the muscles of the back of the neck and shoulders 3, shoulder and back fasciitis, often seen in patients with previous trauma to the back of the shoulder and neck, resulting in aseptic inflammation of the deep fascia in this area. If the patient has localized cold, excessive activities, will lead to deep fascia inflammation aggravate, and then cause the above symptoms. If the patient has the above two symptoms, it is important to go to the orthopedic department as soon as possible to clarify the cause of the disease.