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.
If your back spasm does not get better in 1 to 2 weeks, or it comes and goes in the same spot, you may have an underlying problem in your spine. Underlying issues that could cause your back to spasm include: 1  Facet joint osteoarthritis. 2  Pain from a herniated disc.f you experience a back muscle spasm, make sure to stop and listen to your body. Either your back is telling you not to do that activity ever again, or it's warning you that there's a more serious underlying issue. 1  See Pulled Back Muscle and Lower Back Strain.