Discomfort in the area of the spine between the base of the neck to the bottom of the ribcage.

Self-care measures include keeping the back as straight as possible and balancing weight evenly when walking or sitting.

See a health care professional immediately if middle back pain:

• Occurs after a traumatic incident, such as a car crash, bad fall or sports injury.
• Causes new bowel or bladder control problems.
• Occurs with a fever.
• Causes shortness of breath.

Make an appointment to see a health care professional if middle back pain:

• Is constant or intense, especially at night or when lying down.
• Spreads down one or both legs, especially if the pain extends below the knee.
• Causes weakness, numbness or tingling in one or both legs.
• Occurs with unintended weight loss.
• Occurs with swelling or redness on the back.