06Where does it hurt?
Upper & Mid Back
Step 1
Common symptoms
- Aching between the shoulder blades
- Sharp pain with twisting or deep breathing
- Pain after a compression fracture
- Muscle spasm along the spine
Step 2
Conditions we treat
The condition pages that cover pain in this area.
Step 3
How we evaluate
Your visit starts with a comprehensive evaluation: your history, a focused musculoskeletal and neurologic examination, and a review of any imaging or diagnostic studies you already have. When it helps to pinpoint the source of pain, we use diagnostic nerve blocks or ultrasound-guided assessment before recommending treatment.
Thoracic pain is assessed for facet, disc, vertebral fracture and myofascial causes, with imaging review when a fracture is suspected.
Step 4
Treatment options
Treatments linked from those condition pages, from conservative care to advanced procedures.
Physical Therapy, Rehabilitation & Functional RestorationPhysical therapy and rehabilitation help patients improve movement, strength, flexibility, endurance, balance, and confidence with activity.
Epidural Steroid InjectionsEpidural steroid injections are image-guided procedures used to place anti-inflammatory medication near irritated spinal nerves.
Selective Nerve Root BlocksA selective nerve root block targets a specific spinal nerve as it exits the spine.
Facet Joint & Medial Branch BlocksFacet joints are small joints at the back of the spine that help guide movement.
Radiofrequency Ablation of the SpineRadiofrequency ablation (RFA) uses controlled thermal energy to interrupt pain signals carried by selected sensory nerves.
Sacroiliac Joint Injections & Diagnostic ProceduresThe sacroiliac (SI) joints connect the pelvis to the lower spine.
Sacroiliac Joint AblationAt APICO Pain and Wellness, Dr. Rany Abdallah offers Sacroiliac (SI) Joint Ablation for patients with chronic lower back or pelvic pain caused by inflammation or…
Basivertebral Nerve Ablation (BVNA)Basivertebral nerve ablation is a minimally invasive treatment for a specific form of chronic low back pain called vertebrogenic pain.
Minimally Invasive Lumbar Decompression (MILD)Minimally invasive lumbar decompression is designed for selected patients with lumbar spinal stenosis and neurogenic claudication, particularly when thickened ligament contributes to narrowing of the spinal canal.
Restorative Neurostimulation (ReActiv8)ReActiv8 is a restorative neurostimulation therapy for carefully selected patients with chronic mechanical low back pain associated with impaired control or function of the multifidus muscles.
Spinal Cord Stimulation (SCS)Spinal cord stimulation is an implantable neuromodulation therapy used for selected chronic pain conditions, particularly persistent neuropathic pain that has not responded adequately to more conservative treatment.
Dorsal Root Ganglion (DRG) StimulationDRG stimulation is a targeted form of neuromodulation that delivers electrical stimulation near the dorsal root ganglion, an important structure involved in sensory signaling.
Peripheral Nerve Stimulation (PNS)Peripheral nerve stimulation delivers electrical stimulation directly to a selected peripheral nerve or nerve region.
Minimally Invasive SI Joint FusionMinimally invasive sacroiliac joint fusion is an option for selected patients with persistent SI joint pain that has been carefully confirmed and has not responded adequately to conservative and interventional care.
Weight & Metabolic Health OptimizationBody weight and metabolic health can influence joint loading, inflammation, energy, sleep, cardiovascular health, and the ability to exercise comfortably.
Bone Health, Balance & Fall PreventionBone strength, muscle strength, and balance become increasingly important with age.
Regenerative Medicine & Orthobiologics (PRP, BMAC & Fat Aspirate)Orthobiologic treatments use autologous materials obtained from the patient with the goal of supporting the body’s biologic healing environment. BMAC & fat aspirate: Coming Soon
Work Injury Evaluation, Rehabilitation & Return-to-Work PlanningWork-related injuries often involve several overlapping issues: identifying the injured structure, controlling pain, restoring function, documenting progress, and determining safe work capacity.
Chiropractic CareAt APICO Pain and Wellness, Dr. Rany Abdallah offers comprehensive Chiropractic Care as part of an integrated approach to managing musculoskeletal pain.
Kyphoplasty/VertebroplastyMinimally invasive procedures that relieve pain from spinal compression fractures caused by osteoporosis or trauma.
Interspinous StabilizationAt APICO Pain and Wellness, Dr. Rany Abdallah offers Interspinous Stabilization as a minimally invasive solution for patients suffering from lumbar spinal stenosis and…
Intercostal Nerve BlocksIntercostal nerves travel beneath each rib and carry sensation from the chest and abdominal wall.
Erector Spinae Plane (ESP) BlockThe erector spinae plane block is an ultrasound-guided fascial plane block used to treat pain involving the chest wall, ribs, thorax, and selected postoperative conditions.
Serratus Anterior & Other Fascial Plane BlocksFascial plane blocks place local anesthetic within tissue planes where sensory nerves travel.
Trigger Point & Myofascial InjectionsTrigger points are focal areas of tight, painful muscle that can produce local discomfort or referred pain.
Ultrasound-Guided Peripheral Nerve BlocksPeripheral nerve blocks place medication around a specific nerve outside the spine.
Inpatient Pain Consultation & Acute Pain ManagementHospitalized patients may have severe pain after surgery, trauma, fractures, acute illness, or worsening of a chronic pain condition.
Regional Anesthesia for Acute & Postoperative PainRegional anesthesia uses targeted nerve or fascial plane blocks to reduce pain in a specific part of the body.Request an Evaluation
Questions? Call 855-932-7426
A member of our team will answer all your questions and help you find relief.