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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.
Probably the most common cause the pain in your upper back and chest is your diaphragm. Your diaphragm has the same pain pattern as your heart. Hence it causes your chest pain and also tightens your upper back. The second most common cause is a mixture of the common causes of all back pain - tight muscles, weak muscles, joint movement and pelvic balance. In the case of chest pain, your ribs are also likely involved. Pain radiates to your chest as the rib attachment to your spine creates this, along with the upper back failing to move correctly. The smaller muscles that support the joints and the small muscles between your ribs will also radiate pain around the chest.