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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.
Shoulder injuries will usually cause one or more of the following physical symptoms to occur: Muscles in the neck may begin to tense up and become less pliable. Neck movement may be limited. Pain may occur in the back, in the neck or in the chest if the rotator cuff is injured.