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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.
These expansive muscles can become inflamed, which can cause pain and discomfort in the upper back. The main causes of muscular inflammation are sport injuries, muscle strains, and accidents. Muscular upper back pain responds most favourably to physical treatments.