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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.
A Torn Muscle in the Upper Back. The muscles of the upper back can be stretched, twisted and torn during a sports or accidental injury. Damage to muscles such as the rhomboid major, rhomboid minor and trapezius, which help to support the spine and shoulders, can cause extreme back pain and disability. Doctors may prescribe home care and exercise rehab for patients with moderate upper back strains.