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Your upper back houses your spine, a bundle of nerves transmits signals between the brain and the rest of the body, passing through the central canal of the complex structure of bones (vertebrae), discs, nerves, muscles, and supporting tissues, making it susceptible to different types of pain. Upper back pain, also called thoracic pain, refers to discomfort between the base of the neck and the lower ribs. This common issue can stem from various causes, including muscle strain, poor posture, injuries, or underlying medical conditions like arthritis.
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Upper back pain can arise from various anatomical structures within the complex thoracic region. These include:
These categories provide a framework but remember that specific upper back pain causes can overlap or present with a combination of factors. While mild upper back pain may resolve on its own, severe cases or those stemming from injury require a proper diagnosis and appropriate treatment from a medical professional.
Pain
Muscle symptoms
Additional symptoms
Headaches: Upper back pain can sometimes trigger headaches, particularly tension headaches that manifest as a dull ache or pressure sensation in the head.
Numbness or Tingling: In some cases, nerve compression due to factors like herniated discs can cause numbness or tingling sensations in the arms, hands, legs, or even the chest area. These are generally considered more concerning symptoms and warrant medical evaluation.
The severity of these symptoms can vary significantly, ranging from mild and occasional discomfort to constant and debilitating pain. The presence of associated symptoms like numbness or tingling, along with fever, weight loss, or bladder/bowel issues indicate a potential need for immediate medical attention.
The first step of diagnosing the cause of upper back pain typically involves a thorough evaluation of your medical and lifestyle history following a physical examination by the specialist. In the physical examination, if your doctor prescribes, you might have to take some tests;
It is advisable to not self-diagnose, if you experience chronic and persistent pain, consult your healthcare provider without delay.
Complications
Thoracic Spondylosis, also known as Degenerative Disc Disease (DDD) of the thoracic spine (middle/upper back), is a common age-related condition characterised by the degeneration of the intervertebral discs between the vertebrae in the chest area. These discs act as shock absorbers, and their degeneration can lead to pain, stiffness, and reduced mobility in the upper back.
Considering the long-term consequences of untreated pain, including muscle weakness, and decreased flexibility lead to potential;
Upper back pain can be addressed through a variety of approaches depending on the severity, cause, and individual needs. Here are some common treatment options:
In some cases, additional interventions may be necessary:
NOTE: Always consult a healthcare professional for proper diagnosis and treatment of your upper back pain. Early intervention can significantly improve the effectiveness of treatment and prevent potential complications. The best approach is often a combination of different upper back pain treatments customised to your specific needs.
Visit Manipal Hospitals to get personalised consultations with the best orthopaedic doctors and spine care specialists.
Red flags
If the pain is severe and does not improve in a few days and if you experience additional symptoms like numbness or weakness in your muscles, difficulty breathing chronic chest pain, or fever, consult your physician right away.
Several causes contribute to upper back pain. Ageing, poor posture, muscle strain or overuse of the muscle, accidental or sports injuries, herniated or bulging discs, or arthritis. Consult with a specialist to know the exact cause.
