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.
Sitting or standing for long periods of time can also cause serious middle back pain. The effects of poor posture on the back may not cause middle back pain immediately. Instead, this causes pain gradually over time.Often as a result of muscle strains and sprains or other minor back injuries, muscle spasms and cramps can be another cause of middle back pain.This condition occurs when muscles in the back tense up.nstead, this causes pain gradually over time. Often as a result of muscle strains and sprains or other minor back injuries, muscle spasms and cramps can be another cause of middle back pain. This condition occurs when muscles in the back tense up.