![]() Osteoarthritis caused by the breakdown of cartilage that cushions the small facet joints in the spine.Pressure on the spinal nerves from certain problems, such as a herniated disc.Overuse, muscle strain, or injury to the muscles, ligaments, and discs that support your spine.Upper and middle back pain may be caused by: Instead, they work with the ribs to keep the back stable and help protect vital organs, such as the heart and lungs. Upper and middle back pain is not as common as low back pain or neck pain, because the bones in this area of the back don't flex or move as much as the bones in your lower back or neck. Muscles and ligaments that hold the spine together.Discs that separate each vertebra and absorb shock as you move.They make up the longest part of your back. ![]() The upper and middle back (called the thoracic spine) has: ![]() If a nerve in this area is pinched, irritated, or injured, you may also feel pain in other places where the nerve travels, such as your arms, legs, chest, and belly. Your ribs attach to a long, flat bone in the centre of the chest called the sternum and attach to and wrap around your back. Upper and middle back pain can occur anywhere from the base of your neck to the bottom of your rib cage. If you have low back pain or neck pain, see the topic Low Back Pain or Neck Pain. This topic provides an overview of upper and middle back pain. ![]()
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