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.
There could be a number of reasons for lower back spasms ranging from musculature to skeletal. The most common is a prolapsed or herniated disc. The disc is a doughnut shaped cartiledge that sits between the vertebrae. They are filled with fluid and act as a shock absorber.