Q. Why am I having upper back pain at night?

Answered by
Jay Indravadan Patel
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Apr 10, 2019

Hello doctor,

I currently am suffering nighttime upper back pain. It is only painful when laying down, I have been prescribed Co-codamol but have yet to get any tests or scans done. This pain wakes me every night to a point I cannot roll over or change sleeping postion. Last night bothered arms from the elbow down, went numb with pins and needles. Kindly advise.



Welcome to

As this sounds like the cervical radiculopathy, an MRI is suggested of the cervical spine. Also, I will advise you to use neck collar and continue the medicine. Once the pain level drops between 5 to 6 in the VAS pain scale of 0 to 10 where 0 is no pain and 10 is maximum pain, then you can begin neck strengthening exercises which will help stabilize the cervical spine. Also, shoulder stability exercises, inter-scapular muscle strengthening exercises are advised.

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