What can cause the upper back pain between the shoulder blade, one side of your rib and chest to swell and with needle like pain?

Nerve impingement. Nerve impingement can be caused by being sandwiched between two spinal bones, pressed by a bulging. It can cause muscle spasm and back pain, dizziness and nausea. Prevention treatment is always recommended. This condition must be professionally managed. See interventional pain management specialist for definitive diagnosis and management. It is the same as a pinched nerve.