Upper Back Pain Causes and Solutions

Upper Back Pain Causes and Solutions

Anybody suffering from pain in this area is likely to want to know about 

upper back pain causes. Why do you have this pain and what might have 

brought it on? Of course, we cannot know about your individual case, and 

you should certainly consult with a doctor, especially if the pain is severe or 

if it does not resolve by itself in a few days. 

In this article we will consider some possible upper back pain causes and 

what you might be able to do to solve the problem. First let's look at what 

exactly is meant by the upper back, because this can confuse some people.

What Is The Upper Back?

The upper back is generally referred to medically as the area between the 

bottom of the neck and the bottom of the rib cage where the lumbar spine 

begins. Some people might call the lower part of this area the 'middle back', 

but anatomically it all makes up one area called the thoracic spine. 

Thoracic refers to the chest, so you can think of it as the part of the back 

that is roughly equivalent to the full extent of the chest at the front.

This part of the spine is very strong. It supports the whole weight of the 

upper body and gives vital support to the rib cage which protects the heart 

and lungs. Each of the ribs is joined to one of the thoracic vertebrae of the 

spine.

What Causes Pain In The Upper Back?

The most common upper back pain causes are irritation or inflammation of 

the muscles or ligaments that surround the spine. This in turn may be 

caused by various factors:

•  Poor posture, especially while seated or using a computer.

•  Repetitive strain in people who are constantly moving their arms or 

upper back in a certain way, often due to their work (e.g. some 

construction workers or factory workers).

•  Strain of the muscles due to weakness, especially in old age or in 

people who have been bedridden and unable to exercise.

Other upper back pain causes include problems with the joints in the spine 

or a compression fracture of the vertebra. The latter is a break in the bone 

which may be caused by an injury such as a car accident, fall or sports 

injury, or may be due to osteoporosis, especially in-post menopausal 

women.  

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In rare cases there could be a herniated disc or problems related to disease 

of the spine or the discs. However, these problems are more common in the 

lower back.

Upper Back Pain Treatment

If a muscle is inflamed due to straining without any serious injury, it will 

often resolve within 3-7 days. In the meantime, anti-inflammatory

medications such as NSAIDs may be prescribed. Massage of the area can be 

very helpful too.

However, in the case of repetitive strain, the pain may return when you 

repeat the same movements. So if your pain is associated with your work, 

you may need to investigate other options.

A chiropractor may be able to help by manipulating affected joints. This is 

more likely to be helpful where the pain has been caused by a specific injury 

or trauma. 

You may also want to try other pain relieving measures such as 

acupuncture, ice or heat treatments.

If the problem is not solved in this way, it is important to consult with a 

doctor. You could have suffered an injury without realizing how serious it 

was, or you could have osteoporosis (brittle bones) or another disease. 

Upper back pain causes are not always obvious so it is important to have 

medical attention.

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