When the upper back and chest hurt, it can mean several things ranging from muscle strain to more serious medical conditions. Common causes include muscle strain from overuse or injury, spinal problems like thoracic spondylosis or disc herniation that compress nerves, and inflammation of tissues such as in costochondritis or pleurisy. More serious causes include heart-related issues like angina, heart attack, or pericarditis, as well as lung conditions such as pulmonary embolism or lung cancer. The pain could be due to musculoskeletal issues like muscle tightness or spasms, referred pain along nerves near the ribs and spine, or problems in internal organs including the heart and lungs. Immediate medical attention is urged if pain is accompanied by symptoms such as numbness, weakness, dizziness, shortness of breath, nausea, cold sweats, or chest tightness, as these may signal a heart attack or other life-threatening conditions. Overall, upper back and chest pain requires careful evaluation to identify the underlying cause and appropriate treatment, especially if the pain is severe, persistent, or associated with other concerning symptoms.
