What Is Upper Back Pain?
Upper back pain refers to discomfort or stiffness in the thoracic spine—the section of the spine between the neck and lower back. Unlike the lumbar and cervical regions, the thoracic spine is less mobile and more stable due to its connection with the ribs. This stability means injuries are less common, but when pain does occur, it may be related to muscle strain, ligament sprain, poor posture, or underlying spinal conditions.
Common Causes of Upper Back Pain
Upper back pain can develop from sudden accidents or gradual wear and tear. Causes include:
- Car accidents and auto accident injuries causing whiplash injuries or traumatic sprain.
- Workplace injuries from lifting, twisting, or repetitive motion.
- Sports injuries affecting muscles, ligaments, or joints in the thoracic spine.
- Poor posture or ergonomics leading to chronic strain.
- Herniated or bulging discs pressing on nearby nerves.
- Spinal stenosis or degenerative disc disease narrowing the spinal canal.
- Osteoarthritis or bone spurs creating inflammation and nerve compression.
- Serious injuries such as vertebral fractures or traumatic brain injury complications.1
Upper Back Pain Treatment Options
Our specialists use a wide range of non-surgical and minimally invasive treatments to relieve pain and restore function:
Conservative & Non-Surgical Care
- Physical therapy – Improves posture, strengthens muscles, and restores flexibility.
- Chiropractic care – Supports alignment and relieves joint restrictions.
- Medication management – Anti-inflammatories, nerve pain relievers, or muscle relaxants.
- Steroid injections – Target inflamed nerves or joints to reduce pain.
- Nerve blocks – Temporarily block pain signals for relief and diagnostic insight.
- Lifestyle and posture coaching – Ergonomic and daily habit adjustments.
Advanced Interventional Treatments
- Lumbar Radiofrequency Neurotomy – Uses radiofrequency energy to stop pain signals.
- Rhizotomy – Targets irritated nerve roots to provide long-term relief.
- Ketamine infusion therapy – Calms nerve pathways for chronic pain unresponsive to other treatments.
- Curonix Freedom® Peripheral Neuromodulation System – Wearable stimulation system to reduce pain signals.
- Stem cell and regenerative options – May support healing of injured ligaments or discs.
- Spinal cord stimulation (SCS) – Blocks pain signals before they reach the brain.
FAQs About Upper Back Pain
Can whiplash injuries cause upper back pain?
Yes. Whiplash often affects the cervical spine but can radiate into the upper back, causing stiffness and chronic pain.
Do chiropractors treat upper back pain?
Yes, chiropractic care can improve mobility and relieve pain, often combined with physical therapy and injections for optimal results.
When should I see a doctor?
If pain persists more than a few weeks, interferes with daily life, or follows a serious injury such as a car accident or fall, schedule an evaluation.
Is surgery required for upper back pain?
Rarely. Most patients improve with conservative and minimally invasive treatments available at our Dallas–Fort Worth clinics.
Get Relief from Upper Back Pain in Texas
Don’t let upper back pain limit your quality of life. At DFW Spine & Pain Institute, we provide advanced pain management and personalized care for patients across Dallas, Fort Worth, and surrounding Texas communities. Whether your pain comes from an accident injury, whiplash, or chronic condition, our specialists are here to help.
Contact us today to schedule your consultation and take the first step toward lasting pain relief.
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If you have had an MRI but you are still suffering from pain, our specialists offer free MRI reviews. We offer a variety of treatment options at conveniently located offices in Colleyville, Dallas, Frisco, and Rockwall, Texas. Contact us with any questions or to schedule a consultation.
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