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Middle Back Pain Causes Usually, the cause of middle back pain can be related to muscle strains or sprains. A muscle strain occurs when muscle in the middle back is stretched excessively or abnormally. When the fibrous muscle tissue becomes stretched to the point that tears develop, pain and inflammation often ensue. A sprain occurs when ligaments in the middle back become stretched or torn. Ligaments are fibrous bands of tissue that connect bones to other bones. Their role is to keep bone aligned together to prevent awkward movements. However, ligaments can also become stretched abnormally resulting in severe discomfort. Generally, if it was a single traumatic event that caused the back strain or sprain, the onset of pain might not be felt until one or two days after the initial injury. Usually, pain from a sprain or strain in the middle back may cause pain for up to ten days. If pain continues to cause discomfort longer than that, a visit to a physician may be needed. Sleeping awkwardly and maintaining poor posture are also ways in which muscles in the middle back can become injured or stretched too much. Sitting or standing for long periods of time can also cause serious middle back pain. The effects of poor posture on the back may not cause middle back pain immediately. Instead, this causes pain gradually over time. Often as a result of muscle strains and sprains or other minor back injuries, muscle spasms and cramps can be another cause of middle back pain. This condition occurs when muscles in the back tense up. Spasms are uncontrollable contractions of muscle tissue. Sometimes muscles in this area can also seem tense or tight which is part of the same condition. Spontaneous muscle twitching may also develop. Spasms can often occur in response to other injuries. Dehydration can also be a factor in the development of muscle cramps in the back. Usually, tightness can be felt on the surface on the back or a knot may be present. When you use the muscle, severe pain may also result. Middle back pain may also cause referred pain in the chest as well. The thoracic spine, or middle back, connects the chest and ribs to the spine. Referred pain throughout the chest can be caused since the nerves in the chest or abdomen may share nerves that can become affected within the spine. Like with many areas of the body, middle back pain can be caused from the effects of aging. Arthritis and osteoarthritis are conditions that result in the inflammation and deterioration of joints in the body. The vertebrae and cartilage between the vertebrae can become seriously injured as a result of arthritis and wear and tear. Additionally, physically demanding occupations or those that require long periods of lethargy are both risk factors for causing middle back pain. Because of the repetitive stresses that are placed on the back as a result of these various professions, without stretching or wearing braces as well as maintaining proper posture, serious damage to the back can develop.
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