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If a nerve root is compressed in the spinal column it can send pain signals throughout the nerve, causing symptoms to radiate to other parts of the body. Common sources of upper back problems and shoulder pain include: 1  Degenerative disc disease (DDD) or other intervertebral disc problems. 2  Facet disease. 3  Osteoarthritis. 4  Stenosis. 5  Bone spurs.
Sometimes shoulder injuries cause radiating pain in your arm or neck: 1  Arthritis in the joint at the top of your shoulder, called the acromioclavicular joint, can cause radiating pain in the neck. 2 A common cause of acromioclavicular joint arthritis is overuse. Rotator cuff tendonitis can result in pain radiating from the outside of your arm near the topmost part of your shoulder.