Upper Back Pain

Because the upper back/thoracic spine area of the spinal column has a great deal of stability and limited movement, upper back pain is far less common. When it does occur, it can cause significant discomfort. Muscular irritation (Myofascial Pain Syndrome Video) and joint dysfunction are often the cause of upper back pain. Upper back pain responds best to manual treatments such as exercise, chiropractic manipulation, massage therapy, or acupuncture.

Thoracic spine with the thoracic vertebra highlighted from T1-T12.

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All About Upper Back Pain

Upper back pain is not as prevalent as lower back pain, but can be very painful. Examine the common upper back pain causes and treatment options.

Medical illustration of intercostal muscle anatomy

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Causes of Intercostal Muscle Strain

Intercostal muscle strains are commonly caused by an injury to already weakened and overused muscles. Athletes in sports like golf, tennis, and weight lifting and have an increased risk for intercostal muscle strains.

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Causes of Upper Back Pain

Examine upper back pain causes, including common and uncommon causes of upper back pain, including muscular irritation, joint dysfunction and more.

Physical therapist explaining the upper spine to a patient

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Diagnosing Upper Back Pain

Diagnosing the cause of upper back pain can be complex, and will often require a physical examination, patient history, and some form of diagnostic testing.

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Early Treatments for Upper Back Pain

Self care, including rest, exercise, and a healthy diet, are all important first steps for treating upper back pain.

Doctor examining an X-ray of a patient's lungs and spine.

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Intercostal Muscle Strain Symptoms and Diagnosis

Like many upper back conditions, intercostal muscle strain symptoms include pain, stiffness, and tenderness in the upper back. A doctor will assist in obtaining an accurate diagnosis.

Electotherapy unit attached to a patient's shoulder.

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Medical Treatments for Upper Back Pain

If upper back pain does not subside after weeks of self-care, a medical profession can help to create a treatment plan. In rare cases, surgery may be considered to treat persistent upper back pain.