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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.
Other conditions that can cause upper right back pain include: 1  Respiratory conditions or lung infections can cause chest pain and upper right back pain. Commonly associated with cough, difficulty in breathing and sometimes fever. 2  Skin conditions like boils, abscesses, stings, bites etc. can cause pain in upper right back.