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Pain in the middle back: causes and treatment

by Alivia Nyhan
Published: Last Updated on

The back is an area of ​​the body that we do not usually pay too much attention to until some discomfort appears.

Pain in the dorsal area is often associated with a muscle disorder, but this is not always the cause. Lung, cardiovascular, kidney, or digestive problems can cause back pain, among other symptoms.

Continue reading this article by FastlyHealand to find out all the causes of pain in the middle back and its treatment.

Musculoskeletal pain in the middle back

The back is lined with muscles that help maintain posture, and some ligaments and joints provide elasticity or stiffness, depending on their state.

For their part, the bones of the spinal column and providing support contain important structures inside them, such as the spinal cord from which all the nerves and blood vessels come out and arrive.

If the pain in the middle back is due to a musculoskeletal problem, the symptoms that may appear include:

  • Rigidity.
  • Pain when trying to move the area.
  • Pain that worsens with bending or trying to exert yourself.
  • Muscle contracture.

If the discomfort started after making an effort that you do not usually do, it appeared after a blow, or you typically have these pains frequently. You relate it to a task you do, and the problem may be caused by a problem at the bone or muscle level. Possible causes include:

  • Contracture or muscle spasms.
  • Osteoarthritis: is the inflammation of the joints. It can occur in various areas of the body, including the spine.
  • Scoliosis: is the deviation of the spine from the midline. It can cause joint pain or chronic muscle contractures.
  • Osteoporosis is the decrease in bone mineralization. Fractures can occur.
  • Herniated disc: the exit of soft material between two vertebrae of the spine.


It is essential to establish the cause. If you only take pain medication but are not sure what causes it, the same will likely appear again and again.

For this, you should go to a professional. In addition to talking to you about your problem, he will review you and request studies to help confirm the diagnosis, such as X-rays, CT, or MRI.

For pain, you can take a pain reliever, and you can even apply it intramuscularly. You should know that it is not convenient for you to do it frequently because it can generate different disorders, especially at the gastrointestinal level.

You can consider the following measures that will help you relieve back pain :

  • Apply local heat.
  • Massage the sore area with sesame oil. It is excellent for treating muscle, bone, and joint conditions, as it provides moisture and heat to the site.
  • Eat creamy foods. Incorporating ghee into your diet is an excellent option, as it helps directly nourish bone, muscle, and ligament tissue.
  • Stretch frequently. Each day, it is convenient that you stretch your back little by little as far as you can and that it does not cause you too much discomfort; if you can have a professional guide you, so much the better.

Kinesio and physical therapy can help improve and achieve a good recovery.

Pain in the middle back from a lung problem

Pain in the middle back can be caused by some conditions in the lungs, such as:


Pneumonia or pneumonitis may present with stabbing pain (often in the region corresponding to the lung), cough, secretions, malaise, and fever.

It can be a bacterial or viral infection, and even a fungal infection can cause significant lung inflammation.

Depending on the cause, antibiotics, anti-inflammatories, and substances that help to expel the phlegm may be indicated.

Among the natural options, you can help yourself with eucalyptus steam, cooking ginger, and consuming honey (remember not to use it in hot preparations because it becomes toxic).

Pleural inflammation

The pleura is a thin tissue that lines the lung. It is made up of two layers glued together. When inflamed and there is an accumulation of fluid, a stabbing pain can appear that makes it difficult to breathe deeply, which worsens when coughing or sneezing. Sometimes, there may be fever and general malaise.

It can be caused by various causes, such as lung infection, autoimmune disease, a lung tumor, pulmonary embolism, some drugs, or previous trauma.

It is necessary to eliminate the liquid that has accumulated in that place, for which it is not enough to extract it, but the reason why the problem began must also be corrected.

The initial cause must be sought, and to properly correct it, it is necessary to correct those habits that generate imbalance. In addition to specific treatment (for infection, autoimmune disease, or tumor), it is essential to modify diet, sleep patterns, activities, and way of living. This will help you with this and any health problems.

Pain in the left middle back due to a cardiovascular problem

A problem with the heart can cause pain in the left area of ​​the middle back. Possible causes include:

  • Acute myocardial infarction: If the lack of blood supply to the heart occurs posteriorly, the symptoms may not be typical. Pain in the back, shortness of breath, discomfort, nausea, weakness, and lack of strength can manifest.
  • Angina pectoris: the cause is similar to that of a heart attack, but in this case, the obstruction of the arteries that carry blood to the heart is not complete. The pain may last a few minutes, subside, and frequently appear with exertion.
  • Problems in the aorta: The largest artery in the body can be affected, causing sudden and severe pain in the back. This is an urgency.
  • Pericarditis: is the inflammation of the heart lining called the pericardium. Pain often begins in the front of the chest but can radiate to the back. Usually calms down when lying forward.


It is essential to reach the correct diagnosis early. Knowing what is happening is necessary to correct the source of the annoyance. The medical professional will ask you questions, review you and carry out critical studies.

Depending on the cause, you may require hospitalization to administer medication and monitor yourself more closely. In the case of pericarditis, it may be necessary to remove the accumulated fluid.

As with any health problem, it is essential to review lifestyle habits to find the lost balance.

Pain in one side of the middle back from a kidney problem

If your problem originates from a kidney condition, you will notice more pain on one or both sides of your middle back. Infections, stones, or an obstruction in the normal urine drainage can cause discomfort of this type.

Among other symptoms, it may appear:

  • Decay and malaise.
  • Fever.
  • Headache.
  • Discomfort to urinate
  • Pain in the lower abdomen.
  • Nausea and vomiting


If there is an infection, you will likely need an antibiotic. It is necessary to decide on the antibiotic based on a previous urine study to be effective.

If there is an obstruction, the cause must be known and sought to be resolved in the best possible way.

Drinking water and not other liquids, eating healthy, and urinating when you want are good habits that you should take to recover faster.

Abdominal and mid-back pain from a digestive problem

A digestive upset often causes discomfort in the anterior abdomen, but the pain can be felt in the back in some cases.

Indigestion and pancreatic problems can manifest as heaviness and pain in the middle of the back.


First of all, keeping the digestive system at rest is essential to recover appropriately. Give it as little work as possible, but conserve nutrition. This can be achieved with rice water, for example.

Going to a medical consultation can guide you to know where the problem is, but you should know that an antacid or enzymes to improve digestion will not be enough. Changing your diet for another healthier and according to your constitution will be the best option.

This article is merely informative. At FastlyHeal .com, we do not have the power to prescribe medical treatments or make any diagnosis. We invite you to see a doctor if you present any type of condition or discomfort.

If you want to read more articles similar to Pain in the middle back: causes and treatment, we recommend that you enter our category of Bones, Joints, and Muscles.

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