Medical specialists such as an orthopedist, neurologist, or rheumatologist may be needed to rule out the most serious causes of your upper back pain, such as infection (osteomyelitis), cancer, osteoporosis, spinal fracture, herniated disc, or rheumatoid arthritis. These conditions are not common causes of upper back pain, but if home care and conservative therapies are not effective, then more serious problems need to be considered.  X-rays, bone scans, MRI, CT scan and ultrasound are modalities that specialists may use to help diagnose your upper back pain. Your doctor may also send you for a blood test to rule out rheumatoid arthritis or a spinal infection. Your upper back pain may be caused by chronic joint inflammation. A facet joint injection involves real-time fluoroscopic (X-ray) guidance of a needle through the back muscles and into the inflamed or irritated spinal joint, followed by a release of an anesthetic and corticosteroid mixture, which quickly relieves both pain and inflammation at the site. Facet joint injections take 20 – 30 minutes to do and the results can last from a few weeks to a few months.  Facet joint injections are limited to three within a six-month time frame. The pain relief benefits from facet joint injections typically begin on the second or third day post-treatment. Until that time, your back pain may get a little worse. Potential complications of facet joint injections include infection, bleeding, local muscle atrophy, and nerve irritation/damage. Scoliosis is a sideways curvature of the spine that usually occurs in young people before puberty. It can cause pain in the upper and middle back. You may not notice mild forms of scoliosis, but even mild scoliosis can cause pain or worsen over time, leading to more serious complications such as lung and heart damage or changes to the body's appearance, such as uneven shoulders and hips and a prominent rib cage.  The doctor will check for scoliosis by asking the person to bend forward at the waist so he can see if one side of the...

TL;DR in Indonesian:
Temui seorang tenaga ahli medis. Minta tindakan facet joint injection. Diskusikan kemungkinan skoliosis dengan dokter. Pertimbangkan opsi operasi.