Doctor insights on:
Unexplained Upper Back Pain
Thoracic (Upper Back) Strain (Definition)
Discomfort or pain in the back at the level of the rib cage to the neck. Although upper back pain is not as common as lower back pain, the causes are often the same and include muscle strain or irritation (most common), injury to the spine leading to slipped disc or degeneration, or the pinching of a nerve in the back. ...Read more
Many causes: Cardiac causes including valvular or coronary heart disease, angina, throracic or addominl aneuryms, thoracic masses intrathoracic or extra thoracic, bulging/herniated thoracic or cervical discs, muscle spasms, clavicle fractures, referred shoulder or neck problems, pulmonary edema, luminary embolus, vertebral fractures or masses, post surgical scar tissues, beast rumors, arthritis of spine.See 1 more doctor answer
Posture!: Most of the people that come to me with this type of pain (pain not from an injury) are doing something repeatedly or for long periods of time where they hold their arms out in front of them. (reading, computing, etc.) they have pain in the rhomboidal muscles, or trapezius. They respond to nsaias and stretching exercises usually, with physical therapy for some. Correcting the posture can help.See 1 more doctor answer
Upper back pqin: Many causes. Some are related to shoulder problems. Can also be muscles, bones, joints, discs, nerves in upper back/neck. Best to see doctor for good evaluation and discussion of possible dx and treatment optionsSee 1 more doctor answer
Varies: Commonly, upper back/shoulder blade pain can be from the neck or bursitis around the blade. Upper back pain could be from the shoulder or referred. Common referred sources include: abdomen, heart and neck. Shoulder sources include: arthritis, labral tears, instability, tendinitis, rotator cuff tears, bursitis, painful bony spurs etc. Ribcage pain can be from rib joints. See orthopedics.
Many Possibilities: Given that this has been going on for so long, I would consider an evaluation by a spine specialist. Sometimes it could be a muscle imbalance, early onset arthritis or scoliosis. Also could be a pinched nerve/herniated disc. Either way it might be good to figure it out and get appropriate treatment.See 1 more doctor answer
Upper back pain: Is a very common problem, affecting about 10-12% percent of the adult population in the US leading to nerve problem. Nerve impingement can be caused by being sandwiched between two spinal bones, pressed by a bulging disc or encroached upon by bony overgrowth. Rec.: see an interventional pain management specialist. It is a conservative non-surgical treatment.
Pain to touch?: This is usually the sign of a bruise, spasm, or tendinitis. Pain to the touch is not likely nerve related. If the pain is between the spine and your shoulder blade, I would consider levator syndrome (muscle irritation) likely due to posture especially computer work. Rest, ice, nsaid's, and salonpas hot patches (capsacian patches) are good. Change your posture, monitor at eye level.
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