Back Pain

Middle Back Pain Causes and their Diagnosis

There are several direct and associated reasons for back pain in its different segments. Knowing about the possible causes can avoid complications from developing and their prevention on time. All possible middle back pain causes followed by physical examinations and tests to pinpoint the exact cause are mentioned in this article.

What are the Possible Middle Back Pain Causes?

  • Excessive lifting
  • Strained ligaments
  • Back strain
  • Excessive exertion
  • Strained back muscles
  • Spinal arthritis
  • Scoliosis
  • Arthritis
  • Lung ailments
  • Pregnancy
  • Gallbladder conditions
  • Heart disease
  • Kidney infections
  • Peptic ulcers
  • Pneumonia
  • Aneurysm
  • Crush fracture
  • Discitis
  • Osteomyelitis
  • Epidural abscess
  • Tumor in the vertebrae
  • Retroperitoneal hemorrhage

Diagnostic Tests for Middle Back Pain:

  • Examination of posture, gait and stress levels
  • Inspecting the middle section of the back for any deformities and asymmetries
  • Palpitation of the back
  • A range of middle back movements are examined
  • Blood pressure is checked as a condition of ruptured aortic aneurysm might lead to low blood pressure and back pain
  • Blood test for ESR and total count of red blood cells, white blood cells and platelets
  • Presence of Calcium, alkaline phosphatase and phosphate levels in the blood
  • Blood culture
  • Serum electrophoresis test for diagnosing the possibility of Multiple myeloma cancer
  • Brucella agglutination test
  • HLA-B27 antigen test for finding Ankylosing Spondylitis and Reiter’s disease as causes for middle back pain though it is rare
  • Prostatic specific antigen (PSA) in men
  • Urine tests
  • Mantoux test – To rule the possibility of a condition known as skeletal tuberculosis
  • Computer tomography for finding for compression of nerves
  • Magnetic resonance imaging performed when the patient complains of persistent back pain
  • X-ray of the Spine – It rules out the possibilities of fractures, reduced height of the bone, reduced mass of the bone, changes due to arthritis and malignancies caused by cancer
  • Gastroscopy to look for the possibility of peptic ulcer
  • Electrocardiogram – To rule out the possibility of pain in the heart radiating to the middle back


Any of the above mentioned

middle back pain causes

, if observed, should not be ignored. The doctor should be contacted on time to keep all possible inhibitions to rest.

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