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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.
Develops in the shoulder itself or on the outside of your upper arm; Is dull and aching; Occurs when you reach overhead or behind your back, or when lifting; Radiates into the upper arm, but not past the elbow; Persists at night; Improves when you rest your arm; When the neck is the likely culprit. Inflammation of any of the 14 nerves or eight pairs of joints in the neck can cause neck pain.