Numbness in the Right Upper Back: Possible Causes and When to Seek Help

Numbness in the back?

Hello Dr.
Jiang, for the past two or three days, I have frequently felt numbness in my right upper back (near the center).
When I researched online, some people suggested it might be a cervical spine issue, but I don't seem to have any discomfort in my cervical spine.
I'm not sure if this is indeed a cervical spine problem that requires examination, or if there is something I should pay more attention to at the moment.

Bei Kun Rao De Ren, 10~19 year old female. Ask Date: 2019/03/19

Dr. Jiang Junyi reply Neurology

Hello, based on your description, it may be necessary to consider thoracic nerve root compression, as the symptoms are located in the back.
However, it is important to consult a physician to investigate the cause of the compression.
Generally, cervical nerve root compression is more common, primarily due to poor posture while looking down, which leads to cervical curvature and narrowing deformities.
Compression of the intervertebral disc at the fourth and fifth cervical vertebrae may cause shoulder and neck pain, while compression of the fifth and sixth cervical nerve roots can result in symptoms such as numbness and weakness in the upper arms and fingertips.
I recommend that you consult a rehabilitation specialist or a neurologist/neurosurgeon to discuss examination and treatment options.
Wishing you good health and peace.
Dr.
Jiang from the Department of Neurology cares about you.

Reply Date: 2019/03/19

More Info

Numbness in the right upper back can be concerning, and it's important to understand the potential causes and when to seek medical help. Based on your description, it seems that you are experiencing a sensation of numbness or tingling in the area close to the middle of your upper back, specifically on the right side. While you mentioned that you do not have any discomfort in your cervical spine (neck), it's still possible that the symptoms you are experiencing could be related to issues in the cervical region or other underlying conditions.

Possible Causes of Numbness in the Upper Back
1. Cervical Radiculopathy: Even if you do not feel pain in your neck, nerve roots that exit the cervical spine can become compressed or irritated, leading to numbness or tingling in the upper back and arms. This can occur due to herniated discs, bone spurs, or degenerative changes in the spine.

2. Muscle Strain or Spasm: Poor posture, especially if you spend long hours sitting or working at a computer, can lead to muscle strain or spasms in the upper back. This can sometimes cause referred sensations, including numbness.

3. Thoracic Outlet Syndrome: This condition occurs when the blood vessels or nerves in the space between your collarbone and your first rib become compressed. Symptoms can include numbness in the upper back, shoulders, and arms.

4. Pinched Nerve: A pinched nerve in the thoracic or cervical spine can lead to numbness in the upper back. This can be caused by various factors, including herniated discs or spinal stenosis.

5. Other Medical Conditions: Conditions such as diabetes, multiple sclerosis, or vitamin deficiencies (like B12 deficiency) can also lead to numbness and tingling sensations.

When to Seek Medical Help
It is advisable to seek medical attention if you experience any of the following:
- Persistent numbness that does not improve or worsens over time.

- Weakness in the arms or hands.

- Difficulty with coordination or balance.

- Symptoms that interfere with daily activities or quality of life.

- Any new or unusual symptoms, such as pain radiating down the arms, changes in bowel or bladder function, or severe headaches.

Recommended Actions
1. Consult a Healthcare Professional: Given your symptoms, it would be prudent to consult a healthcare professional, such as a primary care physician or a neurologist. They can perform a thorough examination and may recommend imaging studies, such as an MRI or CT scan, to assess the cervical and thoracic spine.

2. Physical Therapy: If the cause is related to muscle strain or poor posture, physical therapy may be beneficial. A physical therapist can provide exercises to strengthen the back and improve posture, which may alleviate symptoms.

3. Lifestyle Modifications: Pay attention to your posture, especially when sitting or using electronic devices. Ergonomic adjustments to your workspace can help reduce strain on your back and neck.

4. Monitor Symptoms: Keep track of when the numbness occurs, how long it lasts, and any activities that seem to trigger it. This information can be helpful for your healthcare provider in diagnosing the issue.

In summary, while there are several potential causes for numbness in the right upper back, it is essential to consult with a healthcare professional to determine the underlying issue and appropriate treatment. Early intervention can often lead to better outcomes and help prevent further complications.

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