Introduction  

Approximately 15 to 19 out of every 100 people experience chronic or long-lasting upper back pain at some point in their lives. Pain in the upper back can significantly impact your quality of life, particularly when it interferes with breathing. Understanding the causes and available treatments for upper back pain is crucial for effective management and relief. In this article, you will learn more about them.  

Understanding Upper Back Pain  

The upper back, or the thoracic region, is located between the base of the neck and the lower back. When upper back pain is present, it can affect the movement of the thoracic region, leading to compromised respiratory function. Conversely, improper breathing patterns can exacerbate upper back pain. Therefore, addressing both aspects is essential for comprehensive treatment.  

Causes of Upper Back Pain  

Upper back pain when breathing or moving can be a distressing and uncomfortable experience. Various underlying conditions may trigger this pain, each requiring a different approach. Understanding the potential causes can help you identify the source of your discomfort and seek appropriate treatment for upper back pain. 

Costochondritis  

Costochondritis is a common cause of upper back pain when breathing. It refers to the inflammation of the cartilage that connects the ribs to the sternum. The pain is often sharp and localised around the affected area, worsened by deep breaths or movements. While the exact cause of costochondritis is not always clear, it can result from injury, excessive coughing, or respiratory infections. Fortunately, this condition usually resolves with time and self-care, but in severe cases, medical intervention might be necessary. 

Muscle Strain or Sprain 

Muscle strain or sprain in the upper back can occur due to overuse, poor posture, or sudden heavy lifting. Breathing can exacerbate the pain in affected muscles, leading to discomfort. Rest, gentle stretching, and avoiding strenuous activities can often help the muscles heal. Treating the area with ice and heat, along with over-the-counter pain medications, can also provide relief during the recovery process. 

Rib Fractures  

Fractured ribs can cause intense upper back pain, especially when breathing deeply. This injury is commonly associated with trauma or accidents. If you suspect a rib fracture, it is crucial to seek immediate medical attention to assess the extent of the damage and ensure proper healing. Treatment may involve pain management, chest support with rib belts, and following a guided recovery plan. 

Thoracic Disc Herniation  

A herniated disc can compress nearby nerves, leading to upper back pain. This condition may arise from ageing, injury, or repetitive stress on the spine. The pain can worsen during breathing due to the pressure on the affected nerves. Treatment options for thoracic disc herniation may include physical therapy, pain medications, and in severe cases, surgical intervention. 

Spinal Osteoarthritis 

Spinal osteoarthritis affects the spine's facet joints. As the cartilage degenerates, this joint disease results in inflammation and upper back pain. Breathing can exacerbate the discomfort, especially when the joints are under pressure. Management of spinal osteoarthritis often involves a combination of pain medications, gentle exercises, and lifestyle modifications to improve overall joint health. 

Spinal Stenosis  

Spinal stenosis is the constriction of the spinal canal, leading to pressure on the spinal cord and nerves. This condition can cause upper back pain, particularly during activities like breathing, which affect the spinal column. Treatment for spinal stenosis may involve physical therapy, pain management, and in severe cases, surgical intervention to relieve pressure on the affected nerves. 

Scoliosis 

Scoliosis is a condition characterised by an abnormal curvature of the spine, which can cause upper back pain and discomfort while breathing. While mild scoliosis may not require extensive treatment, more severe cases may benefit from orthopaedic interventions, physiotherapy, and pain management techniques to enhance mobility and reduce pain. 

Treatment for Upper Back Pain 

Effective treatment for upper back pain when breathing depends on identifying the underlying cause. Please consult with a healthcare professional for an accurate diagnosis and personalised treatment plan. Below are some common treatment approaches that may be recommended: 

Over-the-Counter Medications  

For mild cases of upper back pain, over-the-counter analgesics like ibuprofen or acetaminophen can reduce inflammation and provide temporary relief. However, it is crucial to use these medications as directed and avoid prolonged use without medical supervision. 

Orthopaedic Treatment  

In cases of musculoskeletal issues like herniated discs or spinal osteoarthritis, orthopaedic treatments may be beneficial. Orthopaedic specialists can suggest customised braces, supports, or assistive devices to improve posture and reduce strain on the upper back. 

Chiropractic Care  

Chiropractic care can be an effective non-invasive approach for addressing upper back pain caused by misalignments or muscle tension. Chiropractors use manual manipulation techniques to realign the spine and alleviate pressure on affected nerves. 

Physiotherapy 

Physiotherapy plays a vital role in treating upper back pain by strengthening the surrounding muscles, improving flexibility, and promoting proper posture. A physiotherapist can design a tailored exercise program to address the specific needs of the individual.  

Osteopathic Medicine 

Osteopathic medicine focuses on a holistic approach to healing and may involve manual techniques to improve spinal alignment and alleviate upper back pain. Osteopaths consider the body's interconnectedness to facilitate healing and restore balance.  

Massage Therapy 

Massage therapy relaxes tense muscles, reduces inflammation, and improves blood circulation in the upper back area. Regular sessions with a qualified massage therapist can provide relief and promote overall well-being.  

Conclusion 

Respiratory upper back pain can adversely affect daily life, hindering mobility and diminishing overall well-being. Seeking professional help from medical doctors or allied healthcare professionals and adopting preventive measures are essential to managing upper back pain when breathing. By taking an active role in your health and well-being, you can breathe easy, regain control, and find relief from the limitations of upper back pain.