There are many causes of upper back pain. The pain may originate from your bones, disks, muscles, joints, nerves and spinal cord, neck, shoulders, lungs and heart. Most causes of upper back pain I see is from spine fractures, pulled muscles or arthritis. Initially you may be treated with rest, anti-inflammatory medicine, muscle relaxant and sometimes pain medicine. If the pain is severe your doctor may take you out of work. If the pain does not improve or you have neurological problems (weakness, numbness, etc) then you would need a full workup which may include X-rays, MRI and sometimes blood tests. Further treatment would depends on what is found.
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