Upper Back Pain After a Cold: Causes and Solutions - Internal Medicine

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I have a severe pain in the upper left back due to a cold?


I caught a cold yesterday, and when I woke up from my nap at noon, I noticed that my upper back hurts a lot.
What could be the cause? When I turn my head to the right and look up, it doesn't hurt, but when I turn my head to the left and look up, it hurts a lot.
It also hurts when I turn my body to the left, but it doesn't hurt when I turn to the right.
What could be going on? Is it due to poor sleeping posture? Sneezing also causes pain, and deep breathing is painful as well.

Jian Jian, 20~29 year old female. Ask Date: 2015/12/09

Dr. Li Zhiyao reply Internal Medicine


Hello: Since you mentioned that deep breathing also causes pain, to rule out any issues with the lungs and pleura, I recommend that you consult a pulmonologist for an examination.

Reply Date: 2015/12/09

More Info


Upper back pain following a cold can be attributed to several factors, including muscle strain, poor posture, and even referred pain from other areas of the body. When you experience a cold, your body goes through various changes, including inflammation and muscle tension, which can lead to discomfort in the upper back region.

One possible explanation for your pain is muscle strain or tension. When you have a cold, you may be coughing or sneezing frequently, which can put additional stress on the muscles in your upper back. This repetitive motion can lead to muscle fatigue and soreness. Additionally, if you were sleeping in an awkward position while you were feeling unwell, this could also contribute to muscle strain. Poor sleep posture can lead to misalignment of the spine and increased tension in the muscles, resulting in pain when you move your head or body in certain directions.

The fact that you experience pain when turning your head to the left or when turning your body to the left suggests that there may be a specific muscle or group of muscles that are particularly tense or strained on that side. This could be due to muscle imbalances or tightness that developed during your illness. The pain you feel when sneezing or taking deep breaths could also indicate that the muscles in your upper back are tight and are being further stressed during these actions.

To alleviate your upper back pain, consider the following strategies:
1. Rest and Recovery: Allow your body to recover from the cold. Avoid activities that exacerbate the pain, and give your muscles time to heal.

2. Heat Therapy: Applying a warm compress or heating pad to the affected area can help relax tense muscles and improve blood circulation, which may alleviate pain.

3. Gentle Stretching: Engage in gentle stretching exercises to relieve tension in your upper back. Focus on stretches that target the upper back, neck, and shoulders. For example, try shoulder rolls, neck stretches, and upper back stretches.

4. Posture Awareness: Pay attention to your posture, especially when sitting or sleeping. Ensure that your back is supported, and avoid slouching. If you sleep on your back, consider using a supportive pillow that keeps your neck aligned with your spine.

5. Pain Relief Medications: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help reduce pain and inflammation. Always follow the recommended dosage and consult with a healthcare professional if you have any concerns.

6. Physical Therapy: If the pain persists or worsens, consider consulting a physical therapist. They can assess your condition and provide targeted exercises and treatments to help alleviate pain and improve mobility.

7. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support your body's recovery process. Nutrients like vitamin C and zinc can help boost your immune system.

If your upper back pain does not improve with these self-care measures or if you experience additional symptoms such as numbness, tingling, or severe pain, it is essential to seek medical attention. A healthcare professional can perform a thorough evaluation to rule out any underlying conditions and recommend appropriate treatment options.

In summary, upper back pain after a cold can be caused by muscle strain, poor posture, or tension from coughing and sneezing. By implementing self-care strategies and being mindful of your posture, you can help alleviate discomfort and support your recovery. If the pain persists, do not hesitate to consult a healthcare provider for further evaluation and treatment.

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