Symptom guide
Upper and Mid-Back Pain
Pain between the shoulder blades or in the mid-back (thoracic spine). Often described as a dull ache, sharp band of pain, or muscle tightness. May worsen with deep breathing or prolonged sitting.
When to seek emergency care
- Upper back pain with chest pain or shortness of breath (call 911)
- Sudden onset severe upper back pain in an older patient (possible vertebral fracture)
- Pain with fever and weight loss
- Pain that wakes you from sleep every night
Conditions commonly associated with this symptom
Patients describing upper and mid-back pain are commonly evaluated for these conditions. Only a clinician can determine which applies to you.
Which specialist typically evaluates this
The right provider depends on your specific situation. These are the specialties that commonly evaluate upper and mid-back pain.
Frequently asked questions
- What conditions are commonly associated with upper and mid-back pain?
- Thoracic spine pain, kyphosis, scoliosis, and vertebral compression fractures are among the conditions commonly associated with pain in the thoracic spine region.
- Is upper back pain less common than lower back pain?
- Yes. The thoracic spine is more stable and less mobile than the lumbar or cervical regions, making degenerative thoracic conditions less common — but upper back pain still warrants evaluation when persistent.
- Which specialists see patients with upper back pain?
- PM&R physicians, orthopedic spine surgeons, and pain management specialists commonly evaluate mid-back and thoracic pain.
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