Upper back pain refers to discomfort, stiffness, or tension in the area between the base of the neck and the bottom of the ribcage. This region is medically known as the thoracic spine, consisting of 12 vertebrae that connect with the ribs and help stabilize the upper body. Unlike lower back or neck pain, upper back pain is less common but can still interfere significantly with daily activities and quality of life.

Most cases of upper back pain are musculoskeletal, often related to muscle strain, poor posture, or joint dysfunction. However, in some cases, it may be linked to underlying spinal conditions like thoracic disc herniation, degenerative disc disease, or scoliosis.

Upper back pain can be either acute (short-term) or chronic (long-term). It may occur suddenly after an injury or develop gradually due to repetitive activities or sedentary lifestyles. In many patients, upper back discomfort is aggravated by prolonged sitting, working at a computer, or improper lifting.

Understanding the nature and possible causes of upper back pain is essential for choosing the right treatment approach. Whether the pain is dull, sharp, or radiating toward the shoulders or chest, it's important to have a thorough assessment by a pain management specialist to determine its root cause.

Symptoms of upper back pain vary depending on the cause but often involve muscle tightness, stiffness, or a burning sensation between the shoulder blades. Some patients report sharp pain with movement, while others experience constant dull aches that worsen with poor posture or stress.

Common symptoms include:

• Localized pain in the upper or middle back
   
• Muscle stiffness or spasms, especially after rest or activity
   
• Pain that worsens with deep breathing or twisting
   
• Radiating discomfort to the shoulders, arms, or chest
   
• Limited range of motion or difficulty in turning the torso
   

In cases related to nerve compression (such as a herniated thoracic disc), you may also experience tingling, numbness, or weakness in the arms. These symptoms are less frequent than in cervical or lumbar spine issues but should not be ignored.

Upper back pain that accompanies fever, unexplained weight loss, or chest pain may indicate a more serious underlying condition such as an infection or cardiac issue. Immediate medical evaluation is advised in such situations.

Identifying the symptoms early and seeking appropriate care helps prevent chronicity and supports better recovery. Our pain care specialists offer expert diagnosis and customized treatment plans for lasting relief.

Upper back pain can stem from a variety of muscular, skeletal, or spinal causes. One of the most common triggers is poor posture, especially in individuals who spend long hours hunched over desks or digital devices. Slouching can strain the muscles and ligaments in the thoracic spine, leading to postural upper back pain.

Other common causes include:

• Muscle strain or overuse from lifting, pulling, or sports activities
   
• Myofascial pain syndrome, where trigger points in the back muscles cause referred pain
   
• Spinal joint dysfunction involving the facet or costovertebral joints
   
• Thoracic disc herniation or degeneration, although less common than in the lumbar spine
   
• Vertebral fractures, especially in individuals with osteoporosis
   
• Structural conditions such as scoliosis or kyphosis
   

Less commonly, upper back pain may be caused by infections, tumors, or referred pain from internal organs (e.g., heart, lungs, or gallbladder). Identifying these serious causes early is vital to avoid complications.

Lifestyle factors such as sedentary behavior, improper ergonomics, smoking, or obesity can further contribute to or worsen upper back pain. In some patients, psychological stress may also increase muscle tension and perception of pain.

Our goal is to pinpoint the exact cause of your discomfort using a combination of clinical assessment and advanced imaging, so that effective and safe treatments can be provided.

A precise diagnosis is essential for developing a targeted treatment plan for upper back pain. The process begins with a detailed medical history, where your pain pattern, triggers, lifestyle, and previous injuries are evaluated. This is followed by a physical examination to assess posture, muscle strength, spinal alignment, and range of motion.

Common diagnostic tools include:

• X-rays, which help detect fractures, degenerative changes, or spinal deformities
   
• MRI (Magnetic Resonance Imaging), useful in evaluating soft tissues like discs, nerves, or muscles
   
• CT scans, which offer more detailed imaging of bone structures
   
• Diagnostic nerve blocks or trigger point injections, which may help pinpoint the source of pain
   

In some cases, blood tests may be recommended to rule out infections, inflammatory conditions, or systemic diseases.

The goal is not just to relieve symptoms, but to understand why the pain is occurring and how it can be managed in the long term. Early diagnosis can help prevent the progression of the condition and reduce the risk of chronic pain.