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Upper (Mid-Thoracic) Back Pain



Possible creators of Upper back pain – far from complete list and in more or less a relative order of significant causes

  1. Back injury from:

    • Traumatic Accidents – Vehicles, Sports, Falls, Blows, etc
    • New exercise programs or sports and leisure activities
    • Repetitive Motion Injury
    • Excessive or improper lifting
    • Other Improper Movements
    • Poor Posture

    Leading to:
    • Soft Tissue Strain (high occurrence rate)
    • Soft Tissue Sprain (high occurrence rate)
    • Muscle Spasms (high occurrence rate)
    • Inflammation (high occurrence rate)
    • Fracture (low occurrence – unless in accident, vehicle, fall, high impact sports accident, etc)
    • Disc injury (low occurrence unless already degenerating and/or involved in accident as listed above)


The following are in no particular order of priority

  1. Chronic Inflammation
  2. Chronic Pain resulting from chronic pain causing conditions
  3. Maldynia
  4. Poor Nutrition
  5. Essential Fatty Acids
  6. Poor Sleep
  7. Depression
  8. Stress – Physical and Emotional
  9. Referred low back, neck or shoulder pain
  10. Osteoarthritis
  11. Degenerative disc disease
  12. Rheumatoid Arthritis (many forms) including
  13. Polymyalgia rheumatica
  14. Fibromyalgia
  15. Osteo or Rheumatoid Arthritis in the Shoulders
  16. Back injury – (serious impact or crush injury – vehicle, fall, high impact sports activity, etc)
  17. Whiplash (20% Women will go on to develop Fibromyalgia)
  18. Pregnancy
  19. Large breasts
  20. Scoliosis
  21. Shingles
  22. Osteoporosis
    • Fracture
  23. Ankylosing Spondylitis
  24. Cervical Spondylosis
  25. Facet Joint Syndrome
  26. Stenosis spinal cord and/or nerve roots
  27. Thoracic outlet syndrome
  28. Heart disease
  29. Gallbladder
  30. Referred Pain – low back and/or neck
  31. Body Burden: The number and types of Toxic Chemical (selection up to 80,000) residue present in your tissues: - environmental and occupational radioactive and chemical exposures, (including PCB, pesticide and herbicides, xenoestrogens- and other endocrine disruptors,) and metals
  32. Chemical drugs (pharmaceuticals) interactions and side-effects
  33. Oxidative Stress Level

Conditions of a more unlikely nature (this is also a far from complete list)

  1. Syringomyelia - cyst(s) that form within the spinal cord destroying the center of the spinal cord
  2. Pancreatitis
  3. Pancreatic cancer
  4. Rickets
  5. Osteomalacia – Adult Weak bone disease caused by a vitamin D deficiency
  6. Pneumonia
  7. Other lung conditions
  8. Peptic ulcers
  9. Kidney infection
  10. Spinal Infection
  11. Liver Disease
  12. Liver Cancer
  13. Tumors
  14. Peptic ulcers
  15. Cancer
  16. Lung Cancer
  17. Bowel Disorders
    • Crohn's disease
    • Ulcerative colitis
  18. Period pain
  19. Pelvic inflammatory disease
  20. Endometriosis
  21. Cervix cancer
  22. Ovarian cancer
  23. Uterine cancer
  24. Tuberculosis
  25. Meningitis



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