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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.
Muscle spasms in the upper back can cause a range of symptoms from mild discomfort to excruciating pain. Sitting at a desk too long, too much time at the computer or driving for long hours are just a few of the things that cause muscles to tighten, weaken or both. That makes them vulnerable to spasm.