Burning sensation in upper and middle back are sometimes travel to arms and ribs persistant off and on for months 27 year old female?

Trigger points: If intermittent, it is likely that you are having trigger points in muscles of your upper back that then trigger pain radiation into the arms and down into the rib cage. In a young person this is often posture or activity related. Have your primary send you to a rehab medicine doctor or a neurologist interested in musculoskeletal pain.