The common causes of pain in the large spine are as follows: 1, neck trauma, such as vertebral body, spinous process fracture; 2, cervical spondylosis, the most common, with the degeneration of the intervertebral disc, under the action of external forces caused by protrusion, protrusion compression of the dural sac and nerve roots appear neck and shoulder, upper limb pain; 3, collar and dorsal muscle fasciitis, prolonged maintenance of a posture caused by chronic injury to the neck muscles, manifested as neck, back of the shoulder soreness, pain, when the activity can 4, collar ligamentitis, prolonged head down, collar ligament pull and repeated friction with the spinous process caused by inflammation, generally on the spinous process there are obvious pressure pain points; 5, cold, the neck does not pay attention to warmth, long-term cold caused by impaired blood circulation in the neck, over time, metabolic waste, such as acid accumulation, acid stimulation muscle pain; 6, prolonged bad posture.