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 Spasms. Muscle spasms in the back can often be caused by a twisting or strain on one of the back muscles, which in turn causes involuntary muscle contractions. Although this often occurs when tense, tight back muscles are present, it can happen in any circumstance.s a result of the contraction people often complain of having symptoms of either a locked back, or a knot in their back. Among the most common causes of muscle spasms in the back... 1  a sneeze or cough. 2  lifting heavy objects. 3  incorrect sitting posture. 4  muscle overuse, or injury. 5  dehydration.