Upper Back Pain

Pain in upper back muscles that is often accompanied by neck , shoulder, and arm pain

Upper Back Pain

Pain in the upper back is felt in the thoracic spine, which is from the base of the neck to the lower part of the rib cage. Although it occurs less than lower back pain, it is just as likely to make life difficult. Generally, these conditions are described as tightness, burning, or sharp pain, which worsens when you move or maintain one position for too long. Early recognition and upper back pain treatment are essential to prevent chronicity and restore mobility.

How It Occurs

Thoracic pain can have several different sources:

  • Muscle Strain: If a person overuses these muscles or suddenly lifts something, they can stretch past their limits.
  • Poor Posture: Slouching or rounded shoulders increase stress on the thoracic vertebrae and supporting ligaments, necessitating upper back pain relief therapy focused on posture correction exercises
  • Spinal Degeneration: Facet joint arthritis caused by aging may produce pain in the area.
  • Previous Injury: An injury to joints can happen from a fall or a hard blow, leading to sprains, fractures, or issues with the discs between vertebrae.
  • Referred Pain: When someone has gallbladder disease or a heart attack, they may feel pain in the upper back.

Which Part Does It Affect Exactly

The term ‘upper back pain’ applies to the thoracic spine, which consists of 12 vertebrae, from T1 to T12. It shields the ribs and helps safeguard the main organs. Some pain stays in one region of the body.

  • Mid‑Thoracic Region (T3–T6): The area between T3 and T6 is prone to soreness caused by poor work layout or long sitting at a desk.
  • Upper Thoracic (T1–T4): The section T1–T4 can result from neck pain and using the shoulders excessively.
  • Lower Thoracic (T7–T12): It may develop from problems with ribs or an injury that stretches the spine too far.

Targeted upper back pain therapy, including thoracic spine mobilization and upper back stretching, can relieve muscle tension and improve spinal alignment, offering effective upper back pain relief and supporting long‑term spinal health.

Upper Back Pain Symptoms

Upper back pain that occurs along with numbness or weakness in the arms can indicate a more serious problem and requires immediate medical attention. The symptoms of upper back pain may vary depending on the underlying condition. Upper back pain is usually described as aching, sharp, burning, and stiffness. The common upper back pain symptoms include:

  • Pain around the ribcage
  • Difficulty turning in bed or sitting
  • Occasionally, breathing gets affected
  • Fatigue
  • Redness, warmth, or swelling of the back
  • Morning back stiffness
  • Neck pain
  • Shoulder pain
  • Disturbed sleep
  • Stress & anxiety

Other conditions that can cause severe upper back pain that is worse at night and does not respond to 4 to 6 weeks of treatment will require investigation to diagnose if any infection or tumor is present.

  • Professional diagnosis required
  • Chronic, can last for years
  • Treatable with 4 weeks of QI Spine Therapy

Upper Back Pain Causes

It is important to identify the underlying cause of your upper back pain so that the spine specialist can create a plan that will provide relief and strengthen your upper back muscles to facilitate long-term recovery.

Physicians call upper back pain as ‘thoracic spine pain’. The common causes of upper back pain are as follows:

  • Poor posture, which results in muscle strain and/or ligament injury
  • Myofascial pain is a chronic condition that causes inflammation of the fascia (the connective tissue that covers the muscles)
  • Sports-related injuries
  • Conditions such as osteoarthritis and degenerative disc disease
  • Curvature of the spine caused by conditions such as scoliosis or kyphosis

Other disease conditions that may also contribute to upper back pain. Ex- fibromyalgia, scoliosis, kyphosis, and spinal deformity. If upper back pain worsens, it can affect everyday activities such as the ability to sit, throw a ball, the ability to carry heavy items, or even rest.

Upper Back Pain Risk Factors

1. Poor Posture

Slouching over time while seated or standing can stretch or damage the area around your upper back. This is one of the leading causes requiring upper back pain relief treatment to address chronic discomfort.

2. Sedentary Lifestyle

When you don’t exercise regularly, the muscles of your back become weaker, leading to less support for your spine. Over time, this leads to stiffness and increases the need for upper back pain therapy to regain flexibility and strength.

3. Doing the same movement too much

Repetitive motions or lifting heavy objects without proper technique can result in muscle strain, making upper back muscle strain treatment essential for recovery.

4. Obesity

A significant body weight causes stress on your spine,, resulting in upper back discomfort. How you manage your weight plays a key role in finding lasting comfort from back pain.

5. Speaking of Stress and Tension

Tightness in the upper back, which comes from emotional stress, can lead to uncomfortable muscle tension. Muscle tension relief strategies, such as relaxation techniques, can help mitigate this risk.

6. Any diseases or conditions that coexist.

Conditions like scoliosis, arthritis, or herniated discs can increase susceptibility to upper back pain, necessitating specialized care and thoracic spine therapy for symptom management.

Regular upper back stretching and an ergonomic lifestyle are vital to mitigate these risks. Early intervention through effective upper back pain treatment can significantly improve quality of life.

How You Can Prevent Upper Back Pain

You can lower your risk of troublesome upper back pain by making easy and regular changes to your lifestyle. They support good spine health, correct posture and help everyone stay physically healthy.

1. Improve Posture

Keep your body upright while sitting, standing, or using smartphones or tablets. By slouching, you make your upper back work harder without realizing it. Practicing postural correction exercises helps build awareness and improve spinal alignment.

2. Regular movement keeps you healthy.

Taking part in regular exercise improves the health of your back muscles and spine. If you want an easy workout, try walking, swimming, or yoga. Daily movement is crucial for long-term upper back pain relief.

3. Make sure you have proper support for your body.

Provide support for your body by fixing your workstation for good posture. Choose chairs that adjust to your needs, position your screens correctly and don’t keep your neck bent for an extended time. It helps to ease stress on the back muscles.

4. Don’t forget to Take Time Off to Do Simple Stretches

Incorporate upper back stretching exercises into your routine, especially if you sit for long hours. Stretching makes your body more flexible and aids circulation which reduces muscle discomfort.

5. Work on your stress level.

When you’re stressed, your upper back muscles get tense and tight. Breathing exercises, meditation, and relaxation techniques promote muscle tension relief.

6. Lift Properly

Whenever you have to move a heavy thing, rely on your legs, not your back. Avoid turning your arms or back when lifting; hold the load close to yourself so you don’t hurt yourself.

  • Professional diagnosis required
  • Chronic, can last for years
  • Treatable with 4 weeks of QI Spine Therapy

Upper Back Pain Treatment

There are various approaches for upper back pain treatment. Upper back pain symptoms can be quite painful and uncomfortable. The most important thing about back pain is an accurate and timely diagnosis. Once that’s done:

  • For temporary pain relief: Pain-killers, Yoga Stretches, and Hot packs can provide temporary relief. Bed rest is contraindicated in most cases.
  • For reducing swelling or inflammation in the area: Use an Ice pack or cold pack if you see swelling. Cell Repair Technology using FSM treatment can help reduce pain and inflammation while activating repair.
  • For long-term improvement: Spine rehabilitation is recommended. Guided physiotherapy and rehabilitation programmes under a spine specialist doctor have proven effective.
  • In extreme cases: Spine Surgery may be recommended (less than 5% of such cases)

Every back pain case is different, and so is the treatment for it. If left untreated, it can get worse over time. It is best that you consult a spine specialist as soon as pain symptoms appear.

How QI Spine Treats Severe Upper Back Pain?

The first step is to identify the postures and activities that should not be done, and pain management by specific medical movements that will work on reducing the pain.

Activities based on a detailed ergonomic analysis will be done to determine what changes should be made. Based on DSA reports, specific weak musculature is worked upon by isolating specific muscles.

The spine specialist may also work with you to relieve the stiffness and help with mobilization. Muscle imbalances will be corrected. The following steps are in general followed: -

  1. Pain management
  2. Isolation
  3. Reversal of pain
  4. Preventing pain recurrence

When To See A Spine Specialist?

You must visit a spine specialist if you have any of the following symptoms: -

  • Difficulty in walking or moving the legs
  • Loss of bowel or bladder function
  • Loss of sensation in the legs
  • Professional diagnosis required
  • Chronic, can last for years
  • Treatable with 4 weeks of QI Spine Therapy

The most important thing about back pain is an accurate and timely diagnosis. Once that’s done:

    • For temporary pain relief: Pain-killers, Yoga Stretches and Hot packs can provide temporary relief. Bed rest is contraindicated in most cases.
    • For reducing swelling or inflammation in the area : Use an Ice pack or cold pack in case you see swelling. Cell Repair Technology using FSM treatment can help reduce pain and inflammation while activating repair
    • For long-term improvement: Spine rehabilitation is recommended. Guided physiotherapy and rehabilitation programmes under spine specialists doctor have proven effective.
    • In extreme cases: Spine Surgery may be recommended (less than 5% such cases)

Every back pain case is different and so is the treatment for it. If left untreated it can get worse over time. It is best you consult a spine specialist as soon as pain symptoms appear.

  • Professional diagnosis required
  • Chronic, can last for years
  • Treatable with 4 weeks of QI Spine Therapy

Upper Back Pain Diagnosis

Accurate and timely diagnosis of upper back pain is essential for proper treatment. It is slightly difficult to find the exact cause of upper back pain as the source of your pain could be related to any of the spine components like vertebrae, discs, muscles, and ligaments.

Your spine specialist or physician shall go through your medical history and ask about your pain intensity, nature of work, physical activities, and symptoms. Nerve studies may also be conducted.

You will be checked for upper back pain during movements like sitting, bending, walking, or standing. If needed, you may be asked to undergo blood tests and imaging tests such as: -

  • X-ray
  • CT Scan
  • MRI Scan
  • DSA

How QI Spine Diagnoses Upper Back Pain?

At QI Spine, the diagnosis is made by understanding first the patient’s history, conducting a thorough physical examination, and doing a DSA (Digital Spine Analysis test), which helps analyze the root cause of the problem. It is a non-invasive functional test that helps in measuring spine function. Its controlled and guided movements help determine the spine's mobility, strength, and imbalances of muscles around the spine. 

CT scans, MRIs, and X-rays often fail to pinpoint the exact source of pain, whereas DSA directly analyzes muscle tissue to identify the root cause. Here is how DSA is conducted & its benefits: 

  • You’re asked to perform specific movements
  • Sensors and scanners map out how your spine reacts
  • The data is visualized digitally and interpreted by a doctor
  • Non-invasive and radiation-free
  • Quick and painless
  • Offers real-time insights
  • Enhances accuracy in diagnosis and treatment planning
  • Professional diagnosis required
  • Chronic, can last for years
  • Treatable with 4 weeks of QI Spine Therapy

Disc bulge due to excess weight

Does excess weight cause Back Pain?

“People, who are overweight are at greater risk to experience chronic back pain.” All of us are aware that excess...
Do I Really Need an X-ray or MRI for Lower Back Pain

Are MRIs & X-Rays Enough for Back Pain Diagnosis?

It is common for most doctors to advise imaging tests like MRI or X-ray to determine the cause of back...
Exercises for neck pain

8 exercises to relieve Neck Pain

Long hours of phone usage, wrong posture while working , sleeping and driving often puts pressure on the neck muscles....

Visit our nearest clinic for your first consultation

Request Appointment

Have a question?

Ask our spine specialists


Who is a QI Spine Specialist?

A QI Spine Specialist is a medical expert with

Nidhi

Dr. Nidhi Sanghvi Shah

Dr. Shital Gaikwad

our-team14

Dr. Richa Bhatia

9000 hours

of specialisation in treating back and neck conditions

32 hours

of spine physiotherapy specialisation methods in McKenzie concepts, Kinetic control, Neurodynamic solutions, Mulligan’s concepts

500 hours

and 6 months of QI Spine specialisation courses

Upper Back Pain - Frequently asked questions