Severe Upper Back Pain for Over 10 Years? It Could Be an Upper Cervical Issue

by Son PMR(Physical medicine &Rehabilitation ) & Chiropractic Clinic in Seoul

Recently, a patient, Mr. Kim ○○, visited our clinic after suffering from severe upper back pain for 10 years. Despite undergoing various treatments, including manual therapy, nerve block injections (cervical and thoracic), and traditional Korean medicine, he experienced little improvement. After a thorough physical examination and diagnostic tests, we determined that his condition was related to an upper cervical (C1-C2) issue. Following treatment, he is currently experiencing significant improvement.

The Relationship Between Upper Back Pain and the Upper Cervical Spine (C1-C2)

If upper back pain is merely a muscle-related issue, it typically improves with conventional treatments. However, if the pain persists for an extended period, an upper cervical problem should be considered. The following conditions may be linked to chronic upper back pain:

1. Upper Cervical Instability

Trauma, poor posture, or cervical spine injuries can lead to instability of the C1-C2 region. This instability disrupts body balance, causing excessive tension in the thoracic (upper back) muscles, which can lead to chronic pain.

2. Upper Cervical Misalignment

When the atlas (C1) or axis (C2) is misaligned, spinal balance is disturbed, affecting the thoracic and even lumbar spine. Prolonged tension in the spinal dura mater (tentorium cerebelli, spinal dura mater) may cause stiffness and pain in the upper back and shoulder muscles.

3. Nerve Irritation at C1-C2

The nerve roots at C1-C2 are connected to the occipital region and the cervical spine and are closely related to the autonomic nervous system. Nerve dysfunction in this area may contribute to upper back pain, and excessive activation of the sympathetic nervous system can cause muscle tension.

4. Spinal Cord Tension

Problems in the upper cervical spine (such as instability, misalignment, or disc issues) can increase tension in the spinal cord, affecting the thoracic spine and potentially leading to chronic upper back pain.

5. Post-Traumatic Effects (Whiplash or Trauma)

Past injuries, such as whiplash from car accidents or falls, may lead to upper cervical dysfunction. As a compensatory response, thoracic and lumbar spine issues may develop, resulting in chronic upper back pain.

If upper back pain has persisted for over a decade and conventional treatments have not been effective, it is likely not just a simple muscle problem. Conditions such as upper cervical misalignment, nerve compression, and spinal cord tension should be evaluated and addressed accordingly.

Many patients have experienced significant symptom relief through specialized upper cervical treatment. If chronic upper back pain is negatively affecting your quality of life, it may be beneficial to have your upper cervical health assessed. We recommend a thorough evaluation and consultation to determine the most suitable treatment for your condition.

Consultation and Appointment Information

Son PMR & Chiropractic Clinic( 2nd floor, 229-1 Gucheonmyun-Ro, Gangdongu, Seoul, South Korea)
Contact: 02-482-8875 in Seoul( +82-2-482-8875)

chson@daum.net

Feel free to reach out for further consultation or to schedule an appointment.

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