Upper back pain, physical therapy, treatment: Focus Physical✓

Upper back pain is a common problem that can affect people of all ages. Although it is most often associated with stress, poor posture, or injury, upper back pain can be caused by a variety of factors. The upper back (thoracic spine) encompasses the spine between the neck and lower back, and includes the intercostal muscles, ligaments, and nerve structures that enable the body to move and function. Pain in this area of ​​the back can manifest itself in a variety of ways, from mild discomfort to intense pain that interferes with daily activities.

Symptoms of upper back pain can vary, depending on the cause. They can be intermittent and mild, but in some cases they can become chronic and seriously affect your quality of life.

Here are the most common symptoms of upper back pain:

Acute pain: This pain usually comes on suddenly and can be very intense, often after a physical injury, improper lifting, or poor posture. The pain is localized and may worsen with movements such as twisting or bending.

Stiffness in the back: Stiffness in the upper back can be the result of muscle tension, injury, or strain. This symptom makes it difficult to turn the body and perform daily activities.

Pain that radiates to the shoulders and neck: Upper back pain can often radiate to the shoulders, neck, and arms. This happens when the muscles in this area are tight or when there is pressure on the nerves.

Pain when moving, coughing, or sneezing: Movements such as bending or coughing can cause increased upper back pain, due to pressure on nerve roots or tight muscles.

Discomfort when sitting or standing: Long periods of sitting or standing in awkward positions can cause increased upper back pain. This pain is usually worse after sitting in a bad position or standing for a long time.

Increased pain with physical exertion: Lifting heavy objects or making sudden movements can cause increased pain due to stress on the muscles, ligaments, and joints in the upper back.

Numbness and weakness in the arms: If upper back pain is pressing on nerve roots, it can cause numbness or weakness in the arms or fingers, which is a sign that nerve function is impaired.

It is important to understand these symptoms in order to recognize the cause of your back pain. If symptoms persist or persist, it is recommended that you see a doctor or physical medicine specialist for a proper diagnosis and appropriate treatment.

• Stress
• Improper posture
• Physical inactivity
• Nerve problems

Pain in the upper back can be caused by various factors, and is often the result of a combination of several causes. The most common causes include:

Improper posture

Sitting for long periods of time in an incorrect position or standing with poor posture can cause tension in the muscles of the upper back, leading to pain. This problem is common among people who work in offices and spend a long time at the computer.

Physical inactivity

Insufficient physical activity can lead to weakening of the back and trunk muscles, which increases the risk of upper back pain. Without regular exercise, the muscles are not strong enough to support the spine, which can cause discomfort.

Injuries and overexertion

Injuries such as strains, sprains or fractures in the upper back can cause intense pain. Also, overexertion, such as lifting heavy objects without proper technique, can damage muscles and ligaments.

Stress

Stress can cause muscle tension, including the muscles of the upper back. This tension can cause pain and stiffness, especially in the neck and shoulder area.

Degenerative changes

Degeneration of the discs in the thoracic spine can cause upper back pain. These changes usually occur with age and can lead to a decrease in flexibility and mobility of the spine.

Nerve problems

Nerve compression from a herniated disc, spinal canal stenosis, or other causes can cause pain that radiates into the upper back, shoulders, and arms. This type of pain can be accompanied by tingling and weakness in the extremities.

Poor footwear and improper body biomechanics

Wearing shoes that are not suitable for your foot structure (high heels, uncomfortable soles, shoes that are too flat) can change your biomechanics of movement and cause pain in the back, including the upper part.

Treating upper back pain involves understanding the cause and applying appropriate therapy. Every patient who comes to our office can be sure that the exact cause of the pain will be determined after a professional examination.

Physical therapy

Physical therapy is key in treating upper back pain. Therapy includes various techniques that help reduce pain, relax muscles and restore mobility.

The methods used include:

Electrotherapy

This therapy uses electrical impulses to relieve pain, reduce inflammation and improve circulation in the muscles.

Heat and cold therapies

Heat helps relax muscles, while cold therapy can reduce inflammation and pain.

Manipulations and mobilizations of the spine

A physical therapist can apply these techniques to improve spinal mobility and reduce pressure on nerve roots.

Kinesitherapy

When the pain subsides, kinesitherapy begins, which includes specialized exercises to strengthen the muscles of the upper back, neck, and shoulders. These exercises are key to preventing re-injury and improving postural balance.

Drug therapy

In some cases, pain and inflammation medications, such as analgesics or nonsteroidal anti-inflammatory drugs (NSAIDs), may be used to reduce pain and facilitate recovery.

Recommendations for prevention

• Maintain proper posture, especially when sitting and standing.
• Exercise regularly to strengthen your back and core muscles.
• Use appropriate footwear that supports the natural position of the foot.
• Reduce stress and practice relaxation techniques such as meditation or yoga.

If your upper back pain persists or worsens, it is advisable to consult a specialist to get an accurate diagnosis and an appropriate treatment plan.

Therapy is key to preventing re-injury and achieving long-term recovery. For specific problems such as intercostal muscle injuries or nerve inflammation, treatment is directed at addressing those conditions. Dr. Radoje Čobeljić, a physical medicine specialist with three decades of experience, leads the treatment of patients with upper back problems.