###Human: Why am I having upper back pain at night? ###Assistant: Hello. 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.