Back pain combined with pain in the chest area should be ruled out in the clinic as whether it is heart disease, if it is heart-induced anterior chest and back pain, most of the manifestations of the anterior region of the heart, tingling, squeezing, boring pain, sometimes combined with dyspnea or cold sweating, and the pain can be radiated to the back area, most of the manifestations are tingling pain in the region of the left scapula, and the pain is relatively severe, and the patient has a sense of fear. Should be the first time to call 120, as soon as possible to seek medical treatment, and actively improve the electrocardiogram and cardiac enzymes blood test. There may also be a cause of misalignment of the small joints of the thoracic vertebrae or a disorder of the small joints of the thoracic vertebrae, which stimulates the surrounding nerves and leads to localized tingling or radiating pain, and sometimes the pain can radiate along the ribs to the anterior thoracic region, and there will be chest pain. Patients should pay attention to rest, local massage, massage, with manipulation reset, the symptoms can be relieved.