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Upper back pain
April 2025 srirama navami I lifted talambralu rice 7 kgs rice by hands placed between in front chest area by plate and walked to temple almost 40 mints that time onwards full upper back pain .used etoricoxib and thiocolchicoside tablets no relief from pain.and used gabapentin 300mg tablets no relief from pain what type of physiotherapy can u suggest.plz reply.what tablet can I use .what physiotherapy can u suggest.plz reply.is it because of weight lifting caused this pain.mri thoracic spine normal.
Answers (11)
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Hi please take an online consultation for best diagnosis and treatment.
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You need proper assessment.
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Rest.
Don’t try faulty exercise
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Maybe it is just a strain, a personalised exercise program should be done after assessment of the pain please connect online for the same
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connect online for consultation
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In physiotherapy electrotherapy for low back pain will get good relief.
Next Steps
Check your pain score from 0 to 10 . 0 means no pain 10 highest pain
Health Tips
Do hot water formantation at home and Avoid bending. Do consult me for better understanding.
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Might be due to strain it's causing pain.
You can take SWD and IFT treatment for days or
STM+CUPPING for 3 sessions will give you relief from pain and discomfort.
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Hey there!
First of all I need to assess your movements. Factors aggravating it. Then your reports. Kindly consult me online. Just click the button on your right and I will connect with you with in 2 mins.
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Moist heat to be applied twice a day for 20 minutes
Next Steps
Start with thoracic expansion, exercises, back, stretching and strengthening exercise exercises and also core strengthening advised
Health Tips
Proper posture while working and avoid lifting heavyweights. Maintain good levels of vitamin D in your body.
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As u described pain likely started due to sudden heavy lifting and prolonged walking with load, affects the upper back muscles, scapular Good part MRI of the thoracic spine is normal
Next Steps
Start physiotherapy sessions 5–7 days per week initially.(can consult )
In addition to this heat therapy hot pack affected part can relief
Health Tips
Avoid heavy weight lifting,maintain back posture straight while working
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First focus on pain relief - (DOES)
01- Apply hot formantation on affected part 10min /2 times daily
02- rest for 15 days (can do your day-to-day activity but obey dos and don'ts
03- rolle one long towel or bedsheet and place it under your neck ( sleep in supine ) , hold it for 15 min / 2 times daily
Do this all for 15-20 days
Next Steps
Do this all for 15-20 days ,
If after 20 days you felt any relief then continue all for 1 month
Or if you don't get any relief then consult a well-qualified physiotherapist in your area (offline )
01- Use ultrasonic therapy for 06 min
02-TENS /IFT FOR 15 min
03-Take rest
Health Tips
What no to do- ( DON'TS)
Avoid heavy lifting and forword bending activities
Avoiding using more than 4 inch hight pilow
( Either use cervical pilow or cotton pilow)
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Patient Complaint:
Persistent upper back pain since April 2025 after lifting 7 kg of rice (talambralu) and walking ~40 minutes. Pain continuous since then. No relief with Etoricoxib, Thiocolchicoside, or Gabapentin.
MRI Thoracic Spine: Normal
⸻
Clinical Impression / Diagnosis:
• Upper back myofascial strain involving trapezius, rhomboids, and thoracic paraspinal muscles
• Postural overload due to prolonged weight carrying in front of the chest
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Physiotherapy Treatment Plan:
1. Pain Relief Phase (First 7–10 days)
• IFT / TENS therapy: 15–20 min for pain relief
• Ultrasound therapy: 7–10 min on affected thoracic and interscapular area
• Moist heat / hot pack: 15 min before exercises
• Gentle soft tissue & myofascial release for trapezius and rhomboids
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2. Recovery Phase (After pain reduces)
• Postural correction exercises
• Scapular setting & strengthening:
• Scapular retraction (shoulder blade squeeze) – 10 reps × 3 sets
• Wall slides / Wall angels – 10 reps × 3 sets
• Thoracic extension over rolled towel – 10 reps
• Cat-camel stretches for spinal mobility
• Breathing exercises to relax thoracic muscles
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3. Ergonomic & Lifestyle Advice:
• Avoid lifting heavy weight close to the chest for long duration
• Maintain upright posture while sitting or standing
• Support back with cushion while working or driving
• Gentle stretching every 2 hours if working long at desk
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Medication Advice:
Continue only mild pain-relief as prescribed by physician for short term.
Focus on physiotherapy and exercises for long-term recovery.
⸻
Prognosis:
Good. Since MRI is normal, pain is muscular and reversible with regular physiotherapy (10–15 sessions) and home exercise continuation.
⸻
Dr. Anjana Gupta
(Physiotherapist – Pain Relief & Postural Rehabilitation Specialist)
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Dr. Jacob Roshan Mathew (PT)
Physiotherapist
21 yrs exp
Bangalore
You should visit a clinic. It might involve some time to work out the origin of the strain.
It is also good to investigate the lower cervical spine.....
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Dr. Afsa Rafiq (PT)
Physiotherapist
5 yrs exp
Srinagar
Hot water fermentation
Gentle stretching and postural correction exercises
Strengthening exercises once pain reduces, focusing on upper back, shoulder, and core muscles.
Health Tips
Apply warm compress for 15–20 minutes twice a day.
Maintain good posture while sitting and standing.
Avoid carrying heavy weights until the muscles strengthen.
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