Causes of Upper Back Pain
The Silent Strain Behind Your Discomfort
Upper back problem often feels like stiffness, tightness, or a burning sensation between the shoulder blades. It is commonly caused by poor posture, muscle imbalances, or prolonged sitting—and is often ignored until it starts affecting breathing, neck, or shoulder movement.
Upper back problem often presents as a dull ache, stiffness, tightness, or even a burning sensation between the shoulder blades. While it may not always be as intense as lower back or neck pain, it can still interfere with posture, breathing, and arm movement if left unaddressed. One of the most common causes is poor posture, especially the hunched or slouched position seen during long hours of desk work, phone use, or driving. This forward-leaning posture places excess pressure on the thoracic spine and weakens the muscles that support proper alignment. Over time, this leads to muscle imbalances — where certain muscles (like the chest) become tight, while others (like the mid-back) become overstretched and weak. Prolonged sitting, especially without breaks or proper support, further compresses the spine and restricts mobility in the upper back and ribs. If ignored, this pain can start affecting breathing, shoulder range of motion, and even lead to neck stiffness or headaches due to the interconnected nature of these regions.
Forward Head & Rounded Shoulder Posture
Muscle Strain or Tension
Spinal Misalignment
Poor Breathing Mechanics
Sedentary Lifestyle
Referred Pain
Symptoms to Look For
- Dull or sharp pain between the shoulder blades
- Stiffness or difficulty turning the upper body
- Pain while deep breathing or stretching
- Muscle tightness or spasms
- Tingling or pressure radiating to arms or chest