Middle Right Back Pain: Causes & How to Get Relief

Key takeaways:

• Middle right back pain can result from various causes, including muscle strain, problems with posture, or pain from internal organs such as your kidneys.
• Identifying the type of pain, whether it’s sharp, burning, or occurs during breathing, can help you and your doctor determine its cause.
• Early recognition and appropriate care can relieve your symptoms and help to prevent complications.

Middle right back pain is a common health concern. From muscle strains to more serious conditions, understanding what may be behind this pain is the first step toward getting effective relief. Let’s explore the common causes, symptoms, and available treatments for middle right back pain so you know when you can safely manage it at home and when to see a doctor.

Middle right back pain defined

Middle right back pain refers to discomfort localized to the right side of your middle thoracic spine area, which is located between your neck and your lower back. This pain can come from musculoskeletal issues, such as strained muscles or ligaments, or other conditions affecting nearby organs like your kidneys or gallbladder.

The severity and duration of the pain often depend on the cause and can range from mild, short-lived discomfort to more severe, long-lasting pain requiring medical evaluation and treatment.

Understanding thoracic spine anatomy

Your thoracic spine plays a crucial role in providing structural body support and protecting your internal organs. The spine consists of 12 vertebrae, each connected to your ribs. Pain in your middle right back can often be linked to the network of muscles, ligaments, and nerves surrounding your spine in this area and nearby organs.

Health risks associated with middle right back pain

While some cases of middle right back pain are minor and get better with rest or home care, there are potential health risks associated with ignoring persistent or severe symptoms. These include:

• Chronic pain: Untreated musculoskeletal injuries can lead to ongoing pain that can disrupt your sleep, work, and the ability to complete your daily tasks.
• Nerve damage: Conditions like a herniated disc or spinal stenosis may compress nerves, causing numbness, tingling, or muscle weakness, which can become permanent if untreated.
• Organ-related complications: Pain stemming from your kidneys or gallbladder may indicate an infection, kidney or gallstones, or another medical condition that requires prompt medical attention.
• Impact on mental health: Persistent back pain is associated with increased stress, anxiety, and depression. Getting treatment can help not only the physical discomfort but also the emotional impact of dealing with chronic pain.

Symptoms associated with middle right back pain

Middle right back pain can present with various symptoms, such as dull aches, sharp pain, radiating discomfort, or stiffness, often providing clues to its underlying cause.

Dull or aching pain

This type of pain often results from overuse injuries, poor posture, or sitting for extended periods. It may worsen with prolonged activity..

Sharp or stabbing pain

Sudden, sharp pain may be caused by nerve irritation or an injury such as a rib fracture. In some cases, it can be caused by conditions such as gallstones.

Radiating pain

Pain that extends from your back to other areas, such as to your abdomen, sides, or lower body, can sometimes be pain referred from internal organs such as your kidneys or gallbladder.

Tightness or stiffness

Muscle tightness or stiffness in your thoracic region can result from repetitive strain, poor posture, or conditions like scoliosis. Stretching exercises can help alleviate this symptom.

Associated symptoms to watch for

Middle right back pain may be accompanied by other symptoms, such as fever, nausea, or changes in bowel habits. These additional symptoms could indicate another condition, such as an infection or gastrointestinal problems.

Causes of middle right back pain

Middle right back pain can result from muscle strain, poor posture, spinal issues like herniated discs, or referred pain from organs such as the gallbladder or kidneys.

Muscle strain

Muscle strain is a common cause of middle right back pain and is often triggered by overuse or sudden movements. This can happen during specific activities, such as lifting heavy objects, twisting awkwardly, or working out without using proper form.

Poor posture

Poor posture, especially during long hours of sitting or standing, places excessive pressure on the muscles and ligaments supporting your spine. Over time, this can lead to discomfort and make you prone to injury.

Herniated discs

A herniated disc happens when the soft inner material of a spinal disc protrudes through its outer layer, irritating nearby nerves. This condition can cause localized pain or the pain may radiate, depending on the location of the herniation.

Gallbladder or kidney issues

Referred pain from your gallbladder or kidneys is another possible cause of middle right back pain. Gallstones, kidney infections, or stones can cause sharp, cramping pain that may also affect your abdomen or side.

Other causes of middle right back pain based on another symptom or situation

Middle right back pain can vary in cause depending on the accompanying symptoms or specific situations, requiring tailored evaluation and management.

Intense or severe middle right back pain

Severe pain is often a red flag for a serious issue like a fracture, infection, or an organ-related problem. This level of pain requires that you get an immediate evaluation by a healthcare provider.

Sharp or stabbing middle right back pain

Sharp pain may be caused by nerve compression and can happen in the case of a herniated disc. This type of pain can limit your mobility and greatly affect your ability to function in your daily tasks.

Burning middle right back pain

Burning sensations are commonly caused by nerve-related conditions, such as shingles or a pinched nerve (radiculopathy). This symptom often requires medical evaluation to identify the root cause.

Middle right back pain when breathing or inhaling

Pain during breathing may be caused by costochondritis (inflammation of the rib cartilage) or lung-related conditions like pleurisy. You should get medical care if this symptom continues or worsens.

Middle right back pain during pregnancy

Pregnancy-related back pain often happens due to hormonal changes, weight gain, and shifts in your posture. Staying active, practicing good posture, and using supportive cushions can help alleviate this pain.

Middle right back pain in females

For women and individuals assigned female at birth (AFAB) back pain may be associated with gynecological conditions such as endometriosis or ovarian cysts. In addition to back pain, there are usually other symptoms like pelvic pain or irregular periods.

Middle right back pain in males

Men and individuals assigned male at birth (AMAB) may experience middle right back pain due to conditions such as hernias or prostate issues. Early evaluation is important in diagnosing and managing these effectively.

How to get short-term relief from middle right back pain

Short-term relief from middle right back pain can be achieved through a combination of cold and heat therapy, gentle stretching, proper medication, and relaxation techniques.

Use a cold or hot compress

Alternating between cold and heat therapy can help ease pain and inflammation. Apply an ice pack wrapped in a thin cloth to the affected area during the first 48 hours to reduce swelling. After that, switch to a heating pad or warm compress to relax your muscles and improve blood flow. It’s best to limit each session to 15-20 minutes, taking breaks in between.

Practice mindful stretching

Gentle stretching exercises can improve flexibility and reduce stiffness. For middle right back pain, try these:

• Cat-cow stretch: Start on your hands and knees, arch your back upward (cat position), then gently lower your belly while lifting your head (cow position). This movement increases mobility in your spine.
• Child’s pose: Kneel on the floor, stretch your arms forward, and rest your forehead on the floor. This elongates your back and releases tension.
• Thread the needle: From a hands-and-knees position, slide one arm under the opposite shoulder and twist gently. This stretch targets your thoracic spine.

Over-the-counter medications

Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (brand names Advil or Motrin) or naproxen (brand names such as Aleve or Naprosyn) can reduce inflammation and provide temporary pain relief. Acetaminophen (Tylenol) is another option if NSAIDs are contraindicated for you. Always follow the dosage instructions on the packaging or consult a doctor if unsure. These medications should not be taken on an empty stomach.

Adjust your sleeping position

Your sleeping posture can either help your back pain or make it worse. If you sleep on your back, place a pillow under your knees to maintain the natural curve of your spine. If you are a side sleeper, try placing a pillow between your knees to reduce strain on your lower back. Avoid sleeping on your stomach, as this position can make your discomfort worse.

Incorporate light movement

While resting is important, staying in bed for too long can worsen stiffness. Try light, non-strenuous activities like walking or gentle yoga to keep your muscles active. Avoid high-impact exercises like jogging or running until your pain has resolved.

Try topical treatments

Over-the-counter pain relief creams, gels, or patches containing menthol or capsaicin (the ingredient in hot pepper) can provide temporary local relief. These products create a warming or cooling sensation that can help interfere with pain signals.

Explore relaxation techniques

Stress can amplify your back pain by causing muscle tension. Breathing exercises, meditation, or guided imagery can help reduce stress and promote relaxation. Deep breathing involves inhaling deeply through your nose, holding your breath for a few seconds, and exhaling slowly through your mouth.

How to prevent middle right back pain

Preventing middle right back pain involves building core strength, maintaining good posture, staying active, and making ergonomic adjustments to your daily habits and environment.

Strengthen your core and back muscles

A strong core supports your spine and reduces the risk of strain. Add exercises like:

• Planks: Hold your body in a straight line while supporting yourself on your forearms and toes.
• Bird-dog: Start on your hands and knees, extend one arm and the opposite leg, and hold the position before switching sides.
• Superman pose: Lie on your stomach and lift your arms and legs simultaneously, holding the position for a few seconds.

These exercises target the muscles that stabilize your spine, helping to prevent injuries and improve your posture.

Practice good posture

Good posture minimizes strain on your back muscles and spine. When sitting, make sure your feet are flat on the floor, your knees are level with your hips, and your back is supported by a chair with lumbar support.

Incorporate flexibility exercises

Regular stretching can improve your range of motion and reduce muscle tightness. Yoga poses like the downward dog, cobra, and seated forward fold are effective for elongating your spine and relieving tension in your thoracic area.

Maintain a healthy weight

Excess body weight places additional stress on your spine and increases the risk of back pain. A balanced diet rich in lean proteins, whole grains, fruits, and vegetables can help you reach and maintain a healthy weight. Regular physical activities, like walking, swimming, or cycling, will help your overall fitness.

Wear supportive footwear

Your choice of footwear can affect your posture and back health. Avoid high heels or shoes with inadequate support. Opt for shoes with cushioned insoles and good arch support to minimize the impact on your back.

Avoid heavy lifting or lift properly

When lifting heavy objects, bend at your knees and keep your back straight. Hold the object close to your body and avoid twisting while lifting. Using tools like a dolly or asking for assistance can help to prevent injury.

Stay active throughout the day

Prolonged sitting or standing can strain your back muscles. If you work at a desk, take breaks every 30-60 minutes to stand, stretch, or walk around. Adjust your workspace to encourage movement, such as using a height-adjustable desk.

Create an ergonomic workspace

Set up your workstation to support good posture and minimize back strain. Use a chair with lumbar support, position your computer monitor at eye level, and make sure your keyboard and mouse are within easy reach.

When you should see a doctor about middle right back pain

Knowing when to seek medical attention for middle right back pain is important to address potential underlying conditions and prevent complications.

You should see a doctor if:

• Your pain continues for more than two weeks or gets progressively worse.
• You experience other symptoms like fever, numbness, or weakness in your legs.
• Your pain interferes with your daily tasks despite at-home treatments.

You should go to the emergency room if:

• Your pain is sudden and severe.
• You have a loss of bladder or bowel control, which could mean a serious nerve issue.
• You have significant swelling or deformity in your back.

Managing middle right back pain

Middle right back pain can result from a range of causes, from simple muscle strain to more complex conditions. Understanding its symptoms and knowing how to manage them can help you take appropriate steps toward relief. If your pain is severe or continues, seeking professional medical care is essential.

General Medicine follows a strict editorial process, including using real experts to write our articles, vetted primary sources, fact-checking, a secondary medical review, and updates as necessary. This article was medically reviewed and fact checked by Dr. Poushali Bhattacharjee, MD.

Sources

Dydyk, A. M., M. Z. Khan, and P. Singh. "Radicular Back Pain." StatPearls, StatPearls Publishing, 24 Oct. 2022, https://www.ncbi.nlm.nih.gov/books/NBK546593. Accessed 6 Dec. 2024.

"Lifting Safety: Tips to Help Prevent Back Injuries." FamilyDoctor.org, American Academy of Family Physicians, https://familydoctor.org/lifting-safety-tips-to-help-prevent-back-injuries/. Accessed 4 Dec. 2024.

Nair, P. A., and B. C. Patel. "Herpes Zoster." StatPearls, StatPearls Publishing, 4 Sept. 2023, https://www.ncbi.nlm.nih.gov/sites/books/NBK441824/. Accessed 4 Dec. 2024.

"Scoliosis." FamilyDoctor.org, American Academy of Family Physicians, https://familydoctor.org/condition/scoliosis/. Accessed 6 Dec. 2024.

StatPearls. "Back Pain." StatPearls, StatPearls Publishing, https://www.statpearls.com/point-of-care/29356. Accessed 6 Dec. 2024.

"Stress: How to Cope Better with Life's Challenges." FamilyDoctor.org, American Academy of Family Physicians, https://familydoctor.org/stress-how-to-cope-better-with-lifes-challenges/. Accessed 6 Dec. 2024.