![]() Department of Health & Human Services, National Heart, Lung, and Blood Institute website. Pleurisy is inflammation of the linings (pleura) of the lungs and chest wall.Ħ Pleurisy and other pleural disorders.Some lung conditions may cause upper back and chest pain: Heart-related pain may also be felt in other areas, such as the shoulder or upper back. While heart conditions are most commonly associated with chest pain, it is important to note that chest pain is not always present or severe. Pericarditis is inflammation of 2 thin layers (pericardium) that surround the heart.ĥ Symptoms and diagnosis of pericarditis.Department of Health & Human Services, National Heart, Lung, and Blood Institute Website. Heart attack involves heart muscle damage, typically due to reduced or complete loss of blood supply from the blockage of an artery.Ĥ Heart attack.Angina occurs when the heart muscle does not get enough blood.ģ Angina (chest pain).Various heart conditions may cause pain in the chest and upper back or shoulder(s): This condition involves wear-and-tear breakdown of the cartilage within the costovertebral joint(s)-where the rib connects with the thoracic spine. This pain may also be referred to the back. This condition involves inflammation in the cartilage that connects the sternum (breastbone) to the ribs, which can cause pain in the chest. Many other locations in the body may also become painful, including the chest. The upper back is a common location for myofascial pain in people with fibromyalgia. This syndrome usually involves widespread pain, fatigue, trigger points, and associated mental health issues. Trigger points can feel tender or tight, and when pressed they can refer sharp or intense pain to other nearby areas. This condition of unknown cause includes painful trigger points that can appear in muscles and fascia (connective tissues) in different parts of the body, including the upper back and chest. Watch Thoracic Herniated Disc Video Myofascial pain syndrome Acute chest pain in a top soccer player due to thoracic disc herniation. , 2 Baranto A, Borjesson M, Danielsson B, Hellstrom M, Sward L. Unusual chest wall pain caused by thoracic disc herniation in a professional baseball player. While relatively rare, a thoracic herniated disc may radiate pain along the path of the nerve from the upper back to the chest.ġ Kato K, Yabuki S, Otani K, et al. ![]() When a thoracic disc’s tough outer layer (annulus fibrosus) tears or partially tears and the gel-like inner layer (nucleus pulposus) begins leaking outward, the nearby nerve root can become inflamed and painful. Some other causes of upper back and chest pain may include: Thoracic herniated disc Other Causes of Upper Back and Chest Pain For instance, a bike collision may cause a herniated disc, fracture, and muscle strain that all contribute to the upper back and chest pain. Sometimes upper back and chest pain may have more than one cause. While rare, sometimes slipping rib syndrome occurs with no known injury or trauma. Slipping rib syndrome most commonly occurs at the 8th, 9th, or 10th rib. Also called slipping rib syndrome, a displaced rib can irritate or compress a nearby intercostal nerve, which may cause sharp or electric-like pain to travel along the path of the rib from the spine to the upper abdomen or chest. Watch Spondylosis Video Slipping rib syndromeĪ traumatic injury, such as from a major collision or fall, can potentially displace a rib where it connects to the spine at the costovertebral joints in the upper back. With less space, a spinal nerve may become compressed or inflamed, causing pain to radiate from the spine in the upper back along a rib to the chest. ![]() As the spine eventually starts to degenerate with age, one or more intervertebral foramina (bony openings where the spinal nerves exit the spinal canal) may become smaller, called foraminal stenosis. See Upper Back Pain from Intercostal Muscle Strain Thoracic spondylosisĭegeneration in the thoracic spine, also called thoracic spondylosis, can involve thoracic osteoarthritis, thoracic degenerative disc disease, and other wear-and-tear conditions of the thoracic spine. For example, a strain in an intercostal muscle (muscle between adjacent ribs) can cause a band of pain felt along the rib in both the chest and upper back area. It is also possible for a muscle strain in the chest to refer pain to the upper back and vice versa. It is possible for muscles in both the chest and upper back to be strained at the same time, such as from overuse or lifting something that is too heavy. Several muscles in the chest and upper back are used together while performing activities related to the upper body, such as rowing, throwing a ball, lifting weights, painting walls, or washing windows. ![]() Some of the more common causes of upper back and chest pain include: Muscle strain
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