What Causes Upper Back Pain? Understanding the Common Triggers

Upper back pain, medically known as thoracic spine pain, is a significant health concern for many adults. While often overshadowed by lower back or neck issues, it can be equally debilitating. According to 2019 data from the Centers for Disease Control and Prevention (CDC), approximately 39% of U.S. adults reported experiencing back pain within a three-month period. Specifically, the Advanced Spine Center indicates that upper back pain affects roughly 10% of men and 25% of women.

At Chiropractic of Bellevue, Dr. Edward Owens provides expert care for patients in Bellevue, WA, dealing with these exact issues. With nearly 30 years of experience, Dr. Owens focuses on identifying the root cause of your discomfort to provide quick relief and long-term wellness.

Common Musculoskeletal Causes of Upper Back Pain

The majority of thoracic spine issues stem from daily habits and muscular strain. The Mayo Clinic Health System notes that nearly 90% of all back pain cases are temporary, with most patients making a full recovery within 12 weeks. However, the path to recovery is much smoother with professional intervention.

Poor Posture and "Tech Neck"

One of the primary triggers identified by the Advanced Spine Center is "tech neck" or prolonged slouching during computer and smartphone use. This posture overstretches the ligaments and muscles in the thoracic spine, leading to chronic muscle fatigue. At Chiropractic of Bellevue, Dr. Owens utilizes chiropractic adjustments to restore proper movement and improve bone alignment, counteracting the effects of modern postural habits.

Overuse and Strain

Repetitive motions, heavy lifting, or sudden twisting can cause micro-tears in the ligaments and muscles. These injuries are common in both sports and routine household chores. To address these soft tissue issues, we often incorporate Myofascial Release. Using techniques like VibraCussor-assisted massage and manual trigger point release, Dr. Owens works to break down painful scar tissue and relieve tension without invasive procedures.

Structural Triggers and Degenerative Changes

Sometimes the cause of upper back pain is deeper than the muscles, involving the vertebrae and discs themselves.

Herniated and Bulging Discs

While more common in the lower back, disc herniation can occur in the thoracic spine. Goodman Campbell Brain and Spine explains that a herniated disc occurs when the soft inner gel of a spinal disc leaks through its outer layer. Because the thoracic spinal canal is narrow, even minor herniations can exert pressure on nerves. The Cleveland Clinic states this compression can cause sharp pain radiating around the rib cage.

Osteoarthritis and Spondylosis

Spinal osteoarthritis involves the breakdown of cartilage between the facet joints. The Arthritis Foundation describes this as bone-on-bone friction leading to inflammation and bone spurs. Harvard Health notes that this general age-related degeneration, or spondylosis, is common in adults over 50.

Osteoporosis and Compression Fractures

For older adults or those with weakened bone density, osteoporosis is a major concern. The Cleveland Clinic explains that osteoporosis makes bones susceptible to collapse under minor stress, such as sneezing or bending forward.

• Wedge Fractures: These occur when the front of the vertebra collapses, leading to a forward-hunched posture known as kyphosis.
• Treatment Options: For significant spinal issues or fractures, Dr. Owens may recommend a back brace to restrict painful movements and reduce spinal pressure, preventing further injury.

Chronic Conditions and Referred Pain

Chronic pain disorders, such as Myofascial Pain Syndrome (MPS), involve sensitive "trigger points" in the muscles. The Mayo Clinic notes that pressure on these points can cause "referred pain" in seemingly unrelated areas. Research from the University of Guelph also shows a strong correlation between spinal osteoarthritis and secondary myofascial pain.

To accelerate the healing of these chronic conditions, Chiropractic of Bellevue offers Red Light (Laser) Therapy. This non-invasive treatment penetrates tissues to stimulate blood flow and cell metabolism, reducing inflammation and easing pain faster than traditional methods alone. We also utilize Kinesio Taping to stabilize injured areas and strengthen the nerve connection between the brain and the site of injury.

Serious Health Triggers: When to See a Doctor

While most upper back pain is musculoskeletal, it can occasionally be a sign of a more serious internal issue. The Cleveland Clinic and Phoenix Heart warn that heart attacks or angina can present as pain between the shoulder blades, particularly in women. Additionally, pulmonary conditions like pleurisy or lung-related ailments can trigger referred back pain (Roswell Park).

Red Flags to Watch For:

• Sharp pain radiating around the rib cage or chest.
• Numbness, tingling, or weakness in the legs.
• Sudden, severe pain following a minor movement in those over 50.
• Pain accompanied by shortness of breath, dizziness, or chest tightness (requires emergency care).
• Pain that persists beyond 12 weeks or does not improve with rest.

Expert Chiropractic Care in Bellevue, WA

If you are struggling with upper back pain, Dr. Edward Owens at Chiropractic of Bellevue is here to help. We understand that every patient’s situation is unique, which is why we offer same-day treatments for most first visits. X-rays are typically not required unless Dr. Owens determines they are medically necessary for your safety.

We believe that how long you benefit from chiropractic care is always up to you. Whether you want a quick fix for immediate pain or a monthly maintenance schedule to prevent relapse, we respect your health goals.

Chiropractic of Bellevue is in-network with many major providers, including:

• Medicare and L
• Premera and Regence
• United Healthcare and Blue Cross
• Kaiser First Choice Options and Aetna

Located at 365 118th Ave SE Ste 110, Bellevue, WA 98005, our clinic is ready to help you find relief from work injuries, sports injuries, and chronic pain.

Contact us today to schedule your appointment. Calling or texting (425) 802-5432 is the fastest way to reach us, or you can email us at ca4owens@gmail.com. Let us help you return to a pain-free life.

Sources

https://theadvancedspinecenter.com/common-culprits-of-upper-back-pain/
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/back-pain-self-care-tips
https://www.goodmancampbell.com/2025/10/how-serious-is-a-thoracic-herniated-disc/
https://my.clevelandclinic.org/health/diseases/12768-herniated-disk
https://www.arthritis.org/health-wellness/about-arthritis/where-it-hurts/osteoarthritis-in-back
https://www.health.harvard.edu/a_to_z/back-pain-a-to-z
https://www.mayoclinic.org/diseases-conditions/myofascial-pain-syndrome/symptoms-causes/syc-20375444
https://www.uoguelph.ca/cbs/news/2021/07/study-turns-conventional-thinking-myofascial-back-pain-upside-down
https://my.clevelandclinic.org/health/symptoms/chest-and-back-pain
https://phoenixheart.com/back-pain-could-it-be-your-heart/
https://www.roswellpark.org/cancertalk/202007/what-causes-lung-pain-back
https://www.cdc.gov/nchs/products/databriefs/db415.htm
https://my.clevelandclinic.org/health/diseases/21950-compression-fractures