Menu Close
Medically Reviewed and Trusted
Therapist performing deep tissue massage for pain relief benefits

Main Takeaways

  • Right-sided upper back pain can stem from muscle strain, poor posture, herniated discs, or organ-related issues.
  • Pain may also be caused by scoliosis, osteoarthritis, or viral infections like shingles.
  • Physiotherapy, stretching, ergonomic adjustments, and stress management provide effective relief.
  • Seek medical attention if pain is severe, sudden, or accompanied by fever, numbness, or chest symptoms.
  • Early assessment prevents chronic issues and improves recovery outcomes.

Upper back pain on the right side is a common complaint that can range from mild discomfort to debilitating pain, affecting daily activities and overall quality of life. While often overshadowed by low back pain in public awareness, upper back pain deserves focused attention due to its unique causes and treatment approaches. Understanding the underlying reasons for right-sided upper back pain and exploring effective back pain relief options is essential for those affected.

Globally, back pain is a significant health burden, with approximately 619 million people suffering from low back pain alone, a figure expected to rise substantially by 2050. In the United States, about 28% of adults reported chronic low back or sciatic pain in 2022, with nearly half experiencing symptoms for five years or more, highlighting the chronic nature of many back conditions. Although these statistics focus on the lower back, they underscore the widespread impact of back pain, including upper back discomfort.

Causes of Right-Sided Upper Back Pain

Right-sided upper back pain can stem from a variety of musculoskeletal and non-musculoskeletal causes. The upper back, or thoracic region, is a complex structure composed of vertebrae, muscles, ligaments, and nerves, all of which can contribute to pain when injured or strained.

Sports physiotherapy session for a client with back pain
Sports physiotherapy session for a client with back pain

One of the most common causes is muscle strain, often resulting from overuse, poor posture, or sudden movements. This can lead to localized pain and stiffness on the right side of the upper back. Another frequent culprit is a herniated disc in the thoracic spine, where disc material presses on nearby nerves, causing pain that may radiate along the right side.

Osteoarthritis affecting the facet joints of the spine can cause inflammation and unilateral pain, particularly in older adults. Additionally, scoliosis, an abnormal spinal curvature, can create uneven stress on muscles and ligaments, leading to pain on the convex side, which could be the right side in some cases.

Less commonly, viral infections such as shingles may cause a painful rash along nerve pathways on the right upper back, accompanied by systemic symptoms like fever and chills. Recognizing these diverse causes is crucial for accurate diagnosis and effective treatment.

In addition to these conditions, referred pain from internal organs can also manifest as right-sided upper back pain. For instance, issues related to the liver or gallbladder, such as gallstones or hepatitis, may present discomfort that radiates to the upper back. This phenomenon occurs because the nerves that supply the organs and those that supply the back can overlap, leading to confusion in the brain about the source of the pain. Therefore, it is essential to consider a comprehensive medical evaluation when experiencing persistent pain in this area. Furthermore, lifestyle factors can play a significant role in exacerbating upper back pain. Prolonged periods of sitting, especially in a slouched position,can lead to muscle imbalances and tension in the upper back. Engaging in activities that require repetitive movements, such as certain sports or manual labor, can also contribute to strain and discomfort. Incorporating regular stretching and strengthening exercises into daily routines can help mitigate these risks, promoting better posture and overall spinal health. Understanding these factors can empower individuals to take proactive steps in managing and preventing right-sided upper back pain.For a broader perspective on why back pain can develop on just one side, see our blog on one sided upper back pain.

Muscle or Organ Related Pain

While many cases of right-sided upper back pain are musculoskeletal, it is important to consider that pain may also originate from internal organs or other systemic issues.

Muscle-related pain typically arises from strain, tension, or injury to the muscles supporting the upper back. Poor ergonomic habits, such as prolonged sitting with slouched posture or repetitive movements at work, can exacerbate muscle tightness and discomfort.

Deep tissue sports massage and back pain physiotherapy have proven effective in relieving such muscular pain by releasing tension and improving mobility. Additionally, regular stretching and strengthening exercises can play a crucial role in preventing muscle-related pain from recurring. Incorporating activities like yoga or Pilates into your routine can enhance flexibility and promote better posture, ultimately reducing the risk of upper back discomfort. On the other hand, organ-related pain can sometimes present as upper back pain on the right side. Conditions involving the liver, gallbladder, or lungs may refer pain to this area. For example, gallbladder inflammation (cholecystitis) or liver disease can cause referred pain felt in the right upper back. Similarly, lung conditions like pneumonia or pleuritis may also manifest as localized back pain. Understanding the nature of this referred pain is essential, as it often requires different treatment approaches than those for musculoskeletal issues.

For instance, diagnostic imaging such as ultrasounds or CT scans may be necessary to identify underlying organ-related problems, ensuring that appropriate medical interventions are initiated promptly. Because organ-related pain often accompanies other symptoms such as fever, shortness of breath, or digestive disturbances, it is vital to seek medical evaluation if upper back pain is sudden, severe, or associated with systemic signs. Prompt attention to these symptoms can be crucial, as some conditions may escalate quickly if left untreated. Moreover, maintaining an open dialogue with healthcare providers about any changes in health or new symptoms can aid in early detection and management of potential organ-related issues, ensuring that individuals receive the comprehensive care they need.

Treatment and Relief Options

Effective management of right-sided upper back pain depends on identifying the root cause and tailoring treatment accordingly. For musculoskeletal pain, physiotherapy is a cornerstone of care. London-based clinics such as One Body LDN offer expert physiotherapy services, combining deep tissue massage, exercise rehabilitation, and lifestyle guidance to address pain and restore function.

Physical therapy interventions focus on strengthening the muscles supporting the upper back, improving posture, and enhancing joint mobility. Hands-on treatments like deep tissue sports massage can reduce muscle tightness and promote circulation, providing immediate relief. In addition, targeted exercises prescribed by physiotherapists help correct movement patterns and prevent recurrence.

Medications such as over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation. Heat and cold therapy are also beneficial; heat relaxes tight muscles while cold reduces swelling and numbs acute pain.

Lifestyle modifications play a vital role in both treatment and prevention. Maintaining a healthy weight, practicing ergonomic adjustments at workstations, and engaging in regular exercise strengthen the back and reduce strain. Stress management techniques, including yoga and meditation, can alleviate chronic muscle tension linked to stress. Incorporating mindfulness practices into daily routines not only enhances physical well-being but also fosters a greater awareness of body mechanics, which can further aid in preventing injuries. For more complex causes such as herniated discs or osteoarthritis, physiotherapy may be combined with medical interventions, and in rare cases, surgical consultation might be necessary. Early assessment and intervention are key to preventing chronic pain development. Additionally, imaging studies like MRI or X-rays may be employed to provide a clearer picture of the underlying issues, guiding more precise treatment plans.

London residents seeking expert care can access  award-winning hysiotherapy clinics like One Body LDN, renowned for their highly trained therapists who undergo over five times the required regulatory training. Their patient-centered approach ensures ethical, transparent treatment plans without pressure or upselling, backed by a 100% no-risk service guarantee. Beyond physiotherapy, these clinics often offer complementary services such as nutritional advice and wellness coaching, creating a holistic approach to health that empowers patients to take charge of their recovery and overall well-being.

FAQ

What are the most common causes of right-sided upper back pain?

The most common causes include muscle strain from poor posture or overuse, herniated thoracic discs, osteoarthritis of spinal joints, scoliosis, and viral infections like shingles. Organ-related issues such as gallbladder or lung conditions can also refer pain to the right upper back. Additionally, activities that involve repetitive motions, such as lifting heavy objects or prolonged computer use, can exacerbate strain in this area. In some cases, emotional stress can lead to muscle tension, contributing to discomfort in the upper back region.

Female professional performing a deep tissue massage for injury recovery
Female professional performing a deep tissue massage for injury recovery

When should I see a doctor for right-sided upper back pain?

If the pain is severe, sudden, or accompanied by symptoms like fever, chest pain, shortness of breath, or digestive issues, seek medical evaluation promptly. Persistent or worsening pain despite home care also warrants professional assessment. It is important to be vigilant about any changes in symptoms, as early intervention can lead to better outcomes. If you notice any numbness, tingling, or weakness in your arms or legs, these could be signs of nerve involvement and should be evaluated by a healthcare provider without delay.

How can physiotherapy help with upper back pain?

Back pain physiotherapy can reduce pain and inflammation through hands-on treatments such as deep tissue massage and joint mobilizations. It also strengthens supporting muscles, improves posture, and teaches exercises to prevent future episodes. A physiotherapist may also utilize modalities like ultrasound or electrical stimulation to aid in pain relief. Furthermore, they can provide education on body mechanics and ergonomics, which can be invaluable in helping patients understand how to modify their daily activities to avoid aggravating their condition.

Are heat or cold packs better for upper back pain?

Heat therapy helps relax tight muscles and improve blood flow, making it ideal for chronic muscle tension. Cold therapy reduces inflammation and numbs acute pain, suitable for recent injuries or flare-ups. Some individuals find a combination of both therapies effective, alternating between heat and cold to manage their symptoms. It is advisable to apply these treatments for 15-20 minutes at a time, ensuring a barrier, such as a cloth, is used to protect the skin from direct contact with heat or ice.

Can lifestyle changes prevent right-sided upper back pain?

Yes, maintaining good posture, using ergonomic workstations, engaging in regular exercise, managing stress, and maintaining a healthy weight are effective preventive measures. Incorporating activities such as yoga or Pilates can enhance flexibility and core strength, which are crucial for supporting the spine. Additionally, taking regular breaks during long periods of sitting can help alleviate tension and prevent stiffness. Staying hydrated and ensuring proper nutrition also play a role in overall musculoskeletal health, as they support muscle function and recovery.

Is upper back pain on the right side common?

While lower back pain is more prevalent, upper back pain, including on the right side, is also common and can significantly affect daily function if untreated. Factors such as age, occupation, and lifestyle choices can influence the likelihood of developing upper back pain. For instance, individuals in sedentary jobs may experience more discomfort due to prolonged sitting, while athletes may face injuries related to overexertion. Understanding the specific triggers for upper back pain can help individuals take proactive steps to manage their health.

How long does it take to recover from upper back pain?

Recovery time varies depending on the cause and treatment. Acute muscle strains may improve within weeks, while chronic conditions like osteoarthritis or herniated discs may require longer-term management. It is essential to follow a tailored treatment plan and remain consistent with rehabilitation exercises. Some individuals may also benefit from ongoing maintenance therapies, such as periodic physiotherapy sessions or chiropractic adjustments, to keep symptoms at bay and enhance overall spinal health.

Back pain is a pervasive issue that affects millions of individuals worldwide, transcending age, gender, and lifestyle. The statistics reveal a staggering reality: approximately 80% of adults will experience back pain at some point in their lives. This condition not only impacts personal well-being but also has significant economic repercussions, with billions of dollars spent annually on treatment and lost productivity. The increasing prevalence of sedentary lifestyles and poor ergonomic practices in workplaces has contributed to the growing burden of back pain, making it a critical public health concern that warrants attention and action.

Physiotherapist applying deep tissue massage pressure on client’s back to explain post-massage soreness
Physiotherapist applying deep tissue massage pressure on client’s back to explain post-massage soreness

Moreover, the psychological aspects of living with chronic back pain cannot be overlooked. Many individuals report feelings of frustration, anxiety, and depression as they navigate their daily lives while managing their discomfort. This emotional toll can further exacerbate physical symptoms, creating a cycle that is difficult to break. Understanding the multifaceted nature of back pain, including its physical, emotional, and social dimensions, is essential for developing effective prevention strategies and treatment options. As research continues to evolve, it is imperative to stay informed about the latest findings and resources available for those affected by this common yet complex condition.

Discover Personalized Physiotherapy at One Body LDN

If you’re struggling with right-sided upper back pain, it’s time to experience the difference at One Body LDN, voted by thousands as the best London physio clinic. Our award-winning team of physiotherapy experts is dedicated to diagnosing the root cause of your pain and crafting a tailored rehab plan to address your specific needs. Specializing in musculoskeletal physiotherapy, sports injuries, and post-operative care, we’re equipped to handle everything from gym injuries to chronic backaches. With a commitment to never oversell treatments, we focus on delivering instant pain relief and long-term recovery. Book your free initial assessment at our clinic today and take the first step towards feeling amazing. Schedule your visit now and let us help you get back to your best.

📚 References

This content was medically reviewed by Rebecca Bossick, Lead Clinical Physiotherapist at One Body LDN. Rebecca has over 15 years of clinical experience, is a registered member of the Chartered Society of Physiotherapy (CSP) and Health and Care Professions Council (HCPC), and has worked with top-level athletes, post-surgical cases, and chronic pain patients across London.

At One Body LDN, we are committed to clinical accuracy, transparency, and evidence-based care in our treatments and educational content.

  • ✅ All advice is grounded in up-to-date NHS, CSP, and NICE guidelines.
  • 📚 All content is reviewed and updated regularly to reflect the latest research, practice standards, and physiotherapy developments.
  • 🧾 We have strict sourcing guidelines and only reference peer-reviewed studies, academic research institutions, and credible medical associations to ensure content accuracy and integrity.
  • 🧑‍⚕️ All of our physiotherapists and article contributors are fully qualified, UK-regulated professionals with real-world expertise.
  • 🌍 We proudly serve thousands of patients across London, consistently rated 5 stars for results, service, and trust.

Want to know more about how we ensure accuracy and transparency? See our Editorial Policy

Want to see more about our team? Learn about One Body LDN

Picture of Kurt Johnson

Kurt Johnson

Kurt is the Co-Founder of One Body LDN and a leading expert in pain relief, rehab, and human performance. He’s a former top 10 UK-ranked K1 kickboxer and holds a Master of Osteopathy (MOst) along with qualifications in acupuncture, sports massage, and human movement science. Kurt’s background spans firefighting, personal training, and clinical therapy - helping clients from office workers to elite athletes get lasting results.

Disclaimer: The information in this post is for educational and informational purposes only and does not constitute or replace medical advice or professional services specific to you or your medical condition. Always consult a qualified professional for specific guidance on diagnosis and treatment.

5-Star Physio & Sports Massage
for 1000's of Londoners

EXCELLENT ⭐️⭐️⭐️⭐️⭐️

5228 reviews

google