Treatment For Upper Back Pain

Jun 15, 2023 | Pain Management

Upper back pain is a common ailment that affects millions of people worldwide. It can significantly impact your daily activities, work, and overall quality of life. 

Let’s take a closer look at the most common causes, diagnosis, treatment options, and prevention strategies for chronic upper back pain. If you or someone you love needs treatment for upper back pain, read on.

Causes of Upper Back Pain

Several factors can contribute to upper back pain in chronic pain patients. The most frequent causes include:

Poor Posture

Slouching or maintaining an incorrect posture for extended periods can strain the muscles and ligaments in your upper back, leading to pain and discomfort.

Muscle Strain

Overuse or sudden movements can result in muscle strains, causing inflammation and pain in your upper back.


Accidents, falls, or sports injuries can lead to sprains, fractures, or dislocations in the upper back region.

Medical Conditions

Osteoarthritis, herniated discs, spinal stenosis, and myofascial pain syndrome are some medical conditions that can cause upper back pain.

Of course, it’s best to see a physician or medical specialist to assess your condition and identify the true source of your problem before attempting any treatment for upper back pain. Let’s take a look at diagnosing upper back pain.

Diagnosis of Upper Back Pain

A proper diagnosis is crucial in determining the right treatment plan for your upper back pain. Medical professionals typically use a combination of the following diagnostic tests and procedures:

Physical Exam

Your doctor will assess your posture, range of motion, and identify any areas of tenderness or muscle tightness.

Imaging Tests

X-rays, CT scans, or MRI scans may be ordered to identify any structural abnormalities or injuries in your upper back.

Nerve Tests

Electromyography (EMG) or nerve conduction studies can help evaluate nerve function and detect any underlying nerve-related issues.

Your healthcare provider may also inquire about your medical history and the severity, frequency, and duration of your pain to determine the most appropriate treatment plan.

Non-Invasive Treatments for Upper Back Pain

Several non-invasive treatments and therapies can help alleviate upper back pain:

Pain Relief Medications

Over-the-counter medications like NSAIDs or acetaminophen can provide temporary pain relief. Prescription medications, such as muscle relaxants or opioids, may be prescribed for severe pain. However, be cautious; some medications come with harmful side effects — including addiction — especially with prolonged use.

Physical Therapy and Exercise

A physical therapist can design a personalized exercise program to improve your flexibility, strength, and posture, ultimately reducing pain.

Posture Correction Techniques

Learning and practicing proper posture can help prevent and alleviate upper back pain caused by poor posture.

Heat and Cold Therapy

Applying heat or cold packs to the affected area can reduce inflammation, muscle spasms, and pain.

Massage Therapy and Acupuncture

These alternative therapies can help alleviate muscle tension, improve blood circulation, and promote relaxation.

Coping Strategies and Stress Reduction

Mindfulness techniques, deep breathing exercises, or meditation can help manage stress and improve overall well-being, which can positively impact your pain levels.

Invasive Treatments for Upper Back Pain

In some cases, minimally invasive treatments may be considered if non-invasive options have not provided sufficient relief. “Invasive” might sound scary, but it simply means applying treatment below the surface of the skin. Surgery may be necessary in certain cases.


Corticosteroid injections or nerve blocks can help reduce inflammation and provide temporary pain relief. They are generally safe and come with minimal side effects for most patients.

Radiofrequency Ablations

Radiofrequency ablation (RFA) is a minimally invasive procedure that uses heat to destroy nerve fibers that are causing pain. It is typically used to treat chronic pain in the back, neck, and arthritic joints.


Typically considered a last resort, surgical procedures may be recommended in cases of spinal instability or severe nerve compression. Doctors tend to avoid surgery whenever possible due to potentially serious risks and complications both during and after the procedure.

Always discuss the benefits and risks of any invasive treatments with your healthcare provider before proceeding.

Lifestyle Changes to Prevent and Manage Upper Back Pain

Maintaining a healthy lifestyle is essential for chronic pain patients. Incorporating the following habits into your daily routine can help prevent and manage upper back pain:

Exercise and Stretching Routines

Regular physical activity, including strength training, cardiovascular exercises, and stretching, can help maintain a strong and flexible back.

Ergonomic Recommendations

Ensure your workspace is ergonomically designed, with proper chair support and monitor height to promote good posture.

Sleep Hygiene

Invest in a high-quality mattress and pillow that provide adequate support for your spine. Sleep in a position that maintains the natural curve of your spine.

Diet and Nutrition

Consume a balanced diet rich in fruits, vegetables, lean proteins, and whole grains to support overall health and maintain a healthy body weight.

When to Seek Professional Help for Upper Back Pain

It is essential to consult a healthcare professional if you experience any of the following symptoms:

  • Severe or persistent pain that does not improve with self-care measures
  • Weakness, numbness, or tingling in your arms or legs
  • Difficulty breathing or chest pain, which may indicate a more severe issue

Seeking timely intervention can lead to better treatment outcomes and prevent further complications. Consult with your primary care doctor, physical therapist, or pain management specialists for guidance on managing your upper back pain.

Treat Upper Back Pain with HPM

Upper back pain can be challenging to manage for chronic pain patients, but a variety of treatments and lifestyle changes can help alleviate discomfort and improve your quality of life. Remember to consult with healthcare professionals for proper diagnosis and tailored treatment plans. 

If you live in a rural part of the country, you may find help treating upper back pain with HPM. We operate a growing number of pain management clinics in small towns throughout the U.S. in partnership with local hospitals. Click here to find a location near you.

If you’re looking for more information about chronic pain, check out our blog, which is updated regularly with deeper insights into causes, effects, and treatments.