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If a nerve root is compressed in the spinal column it can send pain signals throughout the nerve, causing symptoms to radiate to other parts of the body. Common sources of upper back problems and shoulder pain include: 1  Degenerative disc disease (DDD) or other intervertebral disc problems. 2  Facet disease. 3  Osteoarthritis. 4  Stenosis. 5  Bone spurs.
Sometimes upper back pain results as tissues, ligaments and bones deal with damage and fluctuating weight distribution. Certain complications, such as scoliosis, disrupt the structural integrity of the spine and cause pain. Some health challenges can aggravate the vegas nerve, which extends into the upper back. Additionally, patients may sleep in specific positions to get relief from heartburn and other maladies, thus causing back pain.