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Why Does My Upper Back Hurt?

Published in Back Pain Causes 2 mins read

Upper back pain can arise from various causes, primarily stemming from issues affecting the muscles, tendons, ligaments, and spinal structures in that area.

Here's a breakdown of common reasons for upper back pain:

  • Muscle Strain and Sprains: These are the most frequent causes.

    • Inflammation and Micro-tears: Overuse, poor posture, or sudden movements can lead to inflammation and tiny tears in the muscles, tendons, and ligaments of the upper back.
    • Example: Lifting heavy objects improperly or hunching over a desk for extended periods.
  • Spinal Issues: Problems within the spine itself can contribute to pain.

    • Arthritis: Degeneration of the joints in the spine (osteoarthritis) can cause pain and stiffness.
    • Herniated Disks: While more common in the lower back, a herniated disk in the thoracic (upper back) region can compress nerves and cause pain.
    • Vertebral Stenosis: Narrowing of the spinal canal can put pressure on the spinal cord and nerves, leading to pain, numbness, and weakness.
    • Misalignments: Subluxations or misalignments in the thoracic or cervical (neck) spine can irritate nerves and cause muscle imbalances and pain.
  • Other Potential Causes:

    • Poor Posture: Slouching or hunching can strain the muscles and ligaments of the upper back.
    • Trauma: Injuries from falls, accidents, or sports can cause upper back pain.
    • Underlying Medical Conditions: Rarely, upper back pain can be a symptom of conditions like fibromyalgia or certain types of cancer.

If your upper back pain is severe, persistent, or accompanied by other symptoms like numbness, weakness, or bowel/bladder problems, consult a healthcare professional for a proper diagnosis and treatment plan. They can help determine the specific cause of your pain and recommend appropriate interventions, such as physical therapy, medication, or other treatments.