If the above symptoms sound familiar, there’s a good chance you are being afflicted by upper back pain. Many patients are surprised to learn the broad spectrum of factors that can spur upper back complications. The following determinants can contribute to upper back pain:

• Strained Muscles

The shoulder girdle is attached by large muscles to the scapula, or shoulder blade, and the back of the thoracic rib cage. These large upper back muscles are susceptible to irritation. When you over-stretch muscle tissue, damage often occurs. Tearing of the muscle and the disruption of small blood vessels can lead to tenderness, inflammation and swelling. Poor posture, a lack of exercise, a traumatic incident or improperly lifting heavy objects may induce harm.

• Injured Discs

Injured discs in the spinal column press against surrounding tissues and nerves, causing pain and other complications.

• Fractured Vertebrae

A damaged vertebrae in the cervical (neck) or thoracic (upper) regions of the spine may hinder motion and incite intense discomfort.

• Infection

Some serious bacterial infections, such as meningitis, can cause upper back pain.

• Osteoporosis

Hormonal changes and vitamin deficiencies can cause osteoporosis, a condition in which the bones become brittle and fragile from tissue loss. Weak bones are more likely to fracture or become injured, straining corresponding tissues and ligaments.

• Aging

Over time, the spine becomes vulnerable to deterioration and the body becomes less able to adapt quickly. Sometimes upper back pain results as tissues, ligaments and bones deal with damage and fluctuating weight distribution.

• Spinal Conditions, such as scoliosis

Certain complications, such as scoliosis, disrupt the structural integrity of the spine and cause pain.

• Health issues, like acid reflux or ulcers

Some health challenges can aggravate the vagus nerve, which extends into the upper back. Additionally, patients may sleep in specific positions to get relief from heartburn and other maladies, thus causing back pain.

• Joint Dysfunction

Ribs are connected to vertebrae in the thoracic spine by two joints, which fasten upon each side of the spine. When these joints do not function properly or become injured, discomfort results.