Why does my back hurt when I cough?
Recently, many netizens have reported on social platforms that coughs are accompanied by back pain, sparking widespread discussion. This article will combine the hot topics and medical data on the Internet in the past 10 days to analyze the possible causes of back pain when coughing and how to deal with it.
1. Common causes of back pain when coughing

| Cause classification | Specific instructions | Proportion (sample survey) |
|---|---|---|
| respiratory tract infection | Severe coughing caused by pneumonia, bronchitis, etc., leading to muscle strain | 42% |
| Musculoskeletal problems | Intercostal neuritis, thoracic facet joint dislocation, etc. | 35% |
| visceral disease | Radiating pain such as pleurisy and cholecystitis | 18% |
| other reasons | Tumor metastasis, psychological factors, etc. | 5% |
2. Related discussion hot spots across the entire network (data in the past 10 days)
| platform | amount of discussion | High frequency keywords |
|---|---|---|
| 128,000 items | #CoughBackache#, #Pneumonia Symptoms# | |
| Zhihu | 5600+ questions and answers | Intercostal neuralgia, cough complications |
| Douyin | 320 million views | Cough stretching exercises, pain relief acupoints |
| Baidu search | 180,000 times per day | What kind of medicine should I go to if I have a cough and backache? |
3. Danger signs to be alert to
It is recommended to seek medical attention immediately when the following symptoms occur:
1. Continuous high fever that does not go away for more than 3 days
2. Coughing up blood or rust-colored sputum
3. Pain worsens when lying down at night
4. Accompanied by numbness or weakness in the lower limbs
5. Significant weight loss in a short period of time
4. Home care suggestions
| method | Operational points | effectiveness |
|---|---|---|
| Hot compress | Apply hot towel at around 40℃ for 10 minutes/time | Relieve muscle pain |
| Cough acupoints | Press Tiantu and Lieque points | Instant relief |
| Breathing training | abdominal breathing exercises | Reduce cough impact |
| Sleeping position adjustment | Sleeping in a semi-recumbent position | Reduce nighttime symptoms |
5. Latest medical guideline recommendations (updated in 2023)
According to the latest recommendations from the Respiratory Disease Branch of the Chinese Medical Association:
1. If you have a cough for more than 2 weeks, you should undergo a chest X-ray examination promptly.
2. It is recommended to use antitussives combined with muscle relaxants
3. Intractable pain requires investigation of ankylosing spondylitis
4. Recommend consultation with a rehabilitation department to evaluate postural compensation issues
6. TOP5 effective methods tested by netizens
| Ranking | method | Number of supporters |
|---|---|---|
| 1 | Cushion cushion when coughing | 87,000+ |
| 2 | Infrared physiotherapy instrument irradiation | 62,000+ |
| 3 | Fascia gun relaxes the back | 45,000+ |
| 4 | Traditional Chinese Medicine Cupping Therapy | 38,000+ |
| 5 | Cough-relieving traditional Chinese medicine instead of tea | 29,000+ |
Note: The statistical period of the data in this article is from November 1 to November 10, 2023, based on the analysis of hot search lists on major platforms and consultation data from medical institutions. Please follow your doctor’s advice for specific diagnosis and treatment.
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