Back pain in a 65-year-old woman may be associated with factors such as back fasciitis, ankylosing spondylitis, and cervical disc herniation. It is necessary to choose medication, physical therapy and other treatment methods for different causes. 1. Dorsal fasciitis: related to cold, chronic strain and other factors, you can take acupuncture, hot compresses, massage and other ways to relieve pain, if necessary, you can use analgesic and anti-inflammatory drugs such as diclofenac sodium, ibuprofen, etc., you can also use muscle relaxants such as etoperisone and so on. 2. Ankylosing spondylitis: it is a rheumatic immune disease, which can cause persistent back pain, you can choose non-steroidal drugs such as ibuprofen, meloxicam, etc., and you can also cooperate with physical therapy, such as local massage and hot compresses, to promote blood circulation and relieve the pain. 3. Cervical disc herniation: cervical disc herniation can cause nerve root compression, neck and back pain symptoms, you can choose anti-inflammatory painkillers such as ibuprofen, you can also choose methylcobalamin, vitamin B12 and other nutritive nerve drugs. 65-year-old woman back pain may also have other reasons, it is recommended to go to the hospital in a timely manner, improve the examination to clarify the cause of the disease, give targeted treatment.