 [ Symptoms ] what could be causing upper backspine pain why do i have bruises  i am 18 yrs old and for a week i have been having upper backspine pain it hurts to be laying on my back or even sitting on the couch and leaning against cushions i can not prop myself up against pillows because that will hurt my back i only feel better by laying on my sides or sitting while leaning forward i noticed today that i have 2 bruises near the area that is hurting i do not know why because i never did anything that would have caused this painbruising any ideas what this could be thanks [ Disease ] i am sorry you are going through this it sounds rather mysterious i would suggest you see your primary care provider for an evaluation since you have not experienced any trauma to the area there is no reason it should be bruised that said many people do experience mild trauma they subsequently forget about if you take over the counter nonsteroidal anti inflammatory medications like ibuprofen or aspirin and then bump yourself you could very well get a mild bruise at any rate the only way to determine why you are experiencing pain and bruising in your upper back is by examination your healthcare provider will perform a physical exam and might send you for imaging tests like x ray or mri  on rare occasion something concerning like a major illness can cause the symptoms you describe that is another good reason to see a doctor it is unlikely you are experiencing anything serious but it is safer to rule out those possibilities wishing you well