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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.
Second - it is highly unlikely your heart! When you have upper back and chest pain, most people automatically jump to the conclusion that your are either having, or about to have, a heart attack. In fact, most pain comes from a few mechanisms in your upper back and your mid back area that cause both the chest pain and your upper back pain.