With respect to our 2 cases above, migraine would usually be managed by a neurologist, and schizophrenia by a psychiatrist. The extent to which neurologists care for patients with psychiatric disorders depends on the physician's level of interest and expertise and the availability of psychiatric support.
Upper and middle back pain may be caused by: 1  Overuse, muscle strain, or injury to the muscles, ligaments, and discs that support your spine. 2  Poor posture. 3  Pressure on the spinal nervesspinal nerves from certain problems, such as a herniated disc.  A fracture of one of the vertebrae.
Causes of muscle spasm. The first step to getting to the bottom of what your back is telling you and to feeling better is to determine the cause of your back muscle spasm. Muscles spasms occur: 1  As a result of the muscles trying to protect themselves from a muscle strain or sprain or. 2  In response to an underlying condition.