Table of Contents
Main Takeaways
- Upper back pain during breathing can result from muscle strain, pleurisy, herniated discs, or more serious conditions like pulmonary embolism or heart disease.
- Musculoskeletal causes are often localized and improve with physiotherapy, rest, and lifestyle changes.
- Medical causes (lung, heart, or pleural issues) can be emergencies and require urgent evaluation.
- Physiotherapy helps with muscle-related pain through massage, mobilization, and tailored exercise rehab.
- Emergency care is needed if pain is sudden, severe, or linked to chest pain, shortness of breath, dizziness, or coughing blood.
Experiencing upper back pain during breathing can be unsettling and may signal a range of health issues, from simple muscle strains to serious medical emergencies. Understanding the causes, distinguishing between musculoskeletal and medical origins, and knowing the available effective back pain treatment options are crucial steps toward relief and recovery. This comprehensive guide explores the complexities of upper back pain linked to breathing, providing valuable insights and expert advice to help you manage this condition confidently.
Causes of Pain Linked to Breathing
Upper back pain that worsens or appears during breathing can arise from several different causes, each with unique characteristics and implications. Identifying the root cause is essential for appropriate treatment and can sometimes be life-saving.
Muscle Strain is one of the most common causes. Overexertion, sudden movements, or improper lifting can strain the muscles in the upper back, leading to pain that intensifies with deep breaths or certain movements. Symptoms often include muscle spasms, limited mobility, and discomfort when bending or twisting. This type of pain typically responds well to rest, ice application, and over-the-counter pain relief. For more information, visit Healthline’s guide on back pain when breathing.
Pleurisy is an inflammation of the pleura, the lining around the lungs, which can cause sharp, stabbing pain in the upper back during breathing. This pain usually worsens with deep breaths, coughing, or sneezing and may be accompanied by a dry cough and shortness of breath. Treatment depends on the underlying cause, such as infections requiring antibiotics or anti-inflammatory medications. Learn more at Medical News Today.
Herniated Discs in the thoracic spine can compress nerves, causing sharp or burning pain in the upper back that worsens with breathing. This condition may also cause numbness or weakness in the limbs. Physical therapy and medications are common treatments, with surgery considered in severe cases. Details are available at New York Pain Care.
More serious causes include pulmonary embolism, a blockage in lung arteries often due to blood clots, which causes sudden sharp upper back pain accompanied by shortness of breath, chest pain, rapid heartbeat, and coughing up blood. This condition requires immediate emergency care. For more insights into thoracic discomfort, explore our related blog on upper back pain in the middle.
Other significant causes include scoliosis, which can alter spinal alignment and cause pain during breathing; lung cancer, which may refer pain to the upper back; and heart attack, where chest pain radiates to the back and worsens with breathing. Both require urgent medical evaluation. In addition to these conditions, costochondritis is another potential source of upper back pain linked to breathing.
This inflammation of the cartilage that connects a rib to the sternum can lead to sharp pain that may mimic heart-related issues. The discomfort often increases with deep breaths, coughing, or physical activity. Treatment typically involves anti-inflammatory medications and physical therapy to alleviate symptoms and improve mobility.
Another important factor to consider is anxiety and stress, which can manifest physically as tension in the upper back and chest. Individuals experiencing high levels of stress may notice that their breathing becomes shallow, which can exacerbate pain in the upper back. Techniques such as deep breathing exercises, yoga, and mindfulness can be beneficial in managing both the psychological and physical aspects of this pain. For more insights, visit Verywell Mind’s article on anxiety and chest pain.
Musculoskeletal vs. Medical Causes

Distinguishing between musculoskeletal and medical causes of upper back pain during breathing is critical because the management and urgency differ greatly. Musculoskeletal causes generally involve the muscles, bones, joints, or discs of the spine. These include muscle strains, herniated discs, and scoliosis. Such conditions often develop gradually or after physical activity and are usually localized to the upper back.
They may worsen with movement or posture changes but typically improve with specialist physiotherapy, rest, and targeted exercises. In many cases, individuals may notice that specific activities, such as lifting heavy objects or prolonged sitting, exacerbate their discomfort. Additionally, muscle tension resulting from stress or poor ergonomics can contribute to chronic pain, making it essential to address not only physical factors but also lifestyle habits that may be influencing the condition.
In contrast, medical causes often involve the lungs, heart, or pleura and may present with systemic symptoms such as shortness of breath, coughing, fever, or unexplained weight loss. Conditions like pulmonary embolism, pleurisy, lung cancer, and heart attacks are medical emergencies or require specialized treatment. These causes often produce sharp, severe pain and may be accompanied by other alarming signs such as dizziness, rapid heartbeat, or coughing up blood.
Recognizing these symptoms early is crucial, as timely intervention can be lifesaving. For instance, a pulmonary embolism, which is a blockage in a pulmonary artery, can occur suddenly and requires immediate medical attention to prevent serious complications or death.
Because of these differences, it is essential to seek immediate medical attention if upper back pain during breathing is sudden, severe, or accompanied by symptoms such as chest pain, difficulty breathing, dizziness, or coughing blood. Early diagnosis and treatment can prevent complications and improve outcomes. Furthermore, understanding the underlying mechanisms of both musculoskeletal and medical causes can empower patients to engage in preventative measures.
For example, maintaining a healthy weight, practicing good posture, and incorporating regular exercise can help mitigate musculoskeletal issues, while being aware of risk factors, such as family history or smoking, can aid in early detection of serious medical conditions. Ultimately, a proactive approach to health can significantly enhance quality of life and reduce the incidence of both types of pain.
Treatment Options for Relief
Treatment for upper back pain during breathing depends on the underlying cause. For musculoskeletal issues, physiotherapy plays a central role in recovery. London’s leading physiotherapy clinics, such as One Body LDN, offer expert assessments and tailored rehabilitation programs designed to address the root cause of pain.
Physiotherapy treatments may include deep tissue massage, joint mobilizations, and bespoke exercise plans aimed at reducing muscle tightness, improving joint mobility, and strengthening weak areas. These hands-on therapies provide immediate relief and promote long-term recovery, helping patients regain full function and prevent future flare-ups.
For acute muscle strains, rest combined with ice application and over-the-counter pain medications can be effective initially. However, persistent or worsening symptoms should prompt consultation with a physiotherapist or healthcare professional.
Medical causes such as pulmonary embolism, pleurisy, lung cancer, or heart attack require specialized medical interventions. Emergency services must be contacted immediately if these conditions are suspected. Treatments may involve anticoagulants, antibiotics, surgery, chemotherapy, or cardiac care depending on the diagnosis.
In some cases, surgical intervention may be necessary, especially for severe herniated discs or advanced scoliosis. Post-operative physiotherapy is vital to restore mobility and strength, ensuring a safe and effective recovery.
For those experiencing chronic pain or complex conditions, multidisciplinary approaches including pain management specialists, pulmonologists, and cardiologists may be involved alongside physiotherapy to provide comprehensive care.
Additionally, lifestyle modifications can significantly contribute to the management of upper back pain. Incorporating ergonomic adjustments in the workplace, such as using supportive chairs and maintaining proper posture while sitting, can alleviate strain on the back.
Regular physical activity, including low-impact exercises like swimming or walking, can also enhance overall strength and flexibility, further reducing the risk of injury. Mindfulness practices such as yoga or tai chi may help in managing stress and improving body awareness, which can be beneficial for those with chronic pain conditions.
Moreover, nutritional support should not be overlooked in the treatment plan. A balanced diet rich in anti-inflammatory foods, such as fatty fish, nuts, and leafy greens, can aid in reducing inflammation and promoting healing. Staying well-hydrated and maintaining a healthy weight are also essential factors that contribute to spinal health and overall well-being. By addressing both physical and lifestyle factors, patients can create a more holistic approach to managing their upper back pain effectively.
FAQ
What causes upper back pain when breathing deeply?
Upper back pain during deep breathing can be caused by muscle strain, inflammation of the lung lining (pleurisy), herniated discs, or more serious conditions like pulmonary embolism or heart problems. The nature and severity of symptoms help determine the cause. In some cases, poor posture during prolonged sitting or standing can contribute to discomfort, as slouched positions can place additional strain on the muscles and ligaments of the upper back. Additionally, activities that involve repetitive motions, such as heavy lifting or sports, may also lead to muscle fatigue and pain, particularly if proper techniques are not employed.

When should I seek emergency care for upper back pain?
If upper back pain is sudden, severe, or accompanied by chest pain, difficulty breathing, dizziness, or coughing up blood, seek emergency medical attention immediately as these may indicate life-threatening conditions. It’s crucial to be aware of any accompanying symptoms that may suggest a more serious underlying issue, such as radiating pain to the arms or jaw, which could indicate a heart attack. Furthermore, if the pain is associated with a recent injury or trauma, it is advisable to seek immediate evaluation to rule out fractures or other significant injuries.
Can physiotherapy help with upper back pain related to breathing?
Yes, upper back pain physiotherapy is highly effective for musculoskeletal causes of upper back pain such as muscle strains and herniated discs. Expert physiotherapists provide hands-on treatments and tailored exercises to relieve pain and restore function. In addition to manual therapy, physiotherapists may incorporate modalities such as ultrasound or electrical stimulation to enhance healing. Education on ergonomics and body mechanics is also a key component of physiotherapy, empowering patients to make lifestyle changes that can prevent future episodes of pain and improve overall spinal health.
How long does it take to recover from upper back muscle strain?
Recovery from muscle strain varies but typically improves within a few weeks with rest, ice, and physiotherapy. Severe strains may take longer and require more intensive rehabilitation. During recovery, it’s important to gradually reintroduce activities to avoid re-injury. Patients are often encouraged to engage in gentle stretching and strengthening exercises as they heal, which can promote flexibility and support the muscles around the spine. Additionally, maintaining a healthy lifestyle with proper nutrition and hydration can significantly impact recovery time and overall well-being.
Is upper back pain during breathing a sign of lung cancer?
Upper back pain can be a referred symptom of advanced lung cancer, especially when accompanied by persistent cough, coughing blood, unexplained weight loss, and shortness of breath. Medical evaluation is essential for diagnosis. Early detection is crucial, as lung cancer can progress rapidly. Routine screenings and awareness of personal risk factors, such as smoking history or family history of lung cancer, can play a significant role in early intervention and treatment options.
Are there exercises to prevent upper back pain?
Yes, strengthening the upper back muscles, improving posture, and maintaining spinal mobility through targeted exercises can help prevent pain. A physiotherapist can design a personalized program to suit your needs. Incorporating activities such as yoga or Pilates can also enhance core stability and flexibility, which are vital for maintaining a healthy spine. Regular breaks during long periods of sitting, along with stretching routines, can further reduce the risk of developing upper back pain, especially for those with sedentary jobs.
Does scoliosis cause breathing difficulties and back pain?
Severe scoliosis can alter the shape of the chest cavity, potentially causing upper back pain and respiratory issues. Treatment may include physical therapy, bracing, or surgery depending on severity. In addition to physical interventions, ongoing monitoring is essential to assess any changes in spinal curvature over time. Patients with scoliosis may also benefit from respiratory therapy to improve lung function and capacity, especially if the curvature significantly impacts their breathing mechanics.
Can stress cause upper back pain during breathing?
Stress can lead to muscle tension in the upper back, which may cause pain that worsens with deep breathing. Relaxation techniques and physiotherapy can help alleviate symptoms. Mindfulness practices, such as meditation and deep-breathing exercises, can be particularly effective in managing stress-related tension. Furthermore, engaging in regular physical activity can serve as a natural stress reliever, promoting the release of endorphins that enhance mood and reduce pain perception. Addressing both the physical and emotional aspects of stress is crucial for comprehensive management of upper back pain.

Understanding the nuances of back pain, especially when it interferes with breathing, is crucial for effective management and treatment. The articles linked above provide a wealth of information on the various causes of upper back pain, ranging from muscle strain to more serious conditions like herniated discs or spinal issues.
They also highlight the importance of recognizing accompanying symptoms, such as shortness of breath or chest pain, which may necessitate immediate medical attention.
This comprehensive approach not only aids in identifying the root cause of discomfort but also empowers individuals to seek appropriate care. Moreover, these resources delve into various treatment options available for those suffering from upper back pain, including physical therapy, medication, and lifestyle modifications.
For instance, engaging in regular exercise, maintaining good posture, and incorporating stretching routines can significantly alleviate discomfort. The articles also emphasize the role of professional guidance, as physiotherapists and pain specialists can tailor treatment plans to individual needs, ensuring a more effective recovery journey.
By exploring these references, readers can gain a deeper understanding of their condition and the steps they can take towards relief.
Take Control of Your Upper Back Pain with One Body LDN
If upper back pain when breathing is impacting your quality of life, it’s time to take action with One Body LDN. Voted as the best London physio clinic by thousands, our expert team is equipped to address the root cause of your discomfort. From gym injuries to chronic back aches, our award-winning physiotherapists blend exercise rehab and deep tissue massage to provide instant pain relief and long-term recovery. Specializing in musculoskeletal physiotherapy, post-operative care, and sports injuries, we cater to both corporate office workers and athletes. Don’t let your symptoms escalate; book your free initial assessment today and experience the highest standard of care, as recognized by our “London Physiotherapy Clinic of the Year” award in 2024. At One Body LDN, we’re committed to getting you back to feeling amazing without overselling treatments. Let’s fix your pains together.