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.
Back spasms are experienced when there is an unusual and involuntary contraction of muscle due to strain, muscle pain or weakness associated to injury or disorder. It usually occurs close to the spinal cord or adjacent to the nerve roots, leading in and out the spinal cord. This brings pressure on the nerves, which causes severe pain.