Physical discomfort affecting the upper part of the back that may vary from a dull ache to serious pain.

Hot or cold packs may ease discomfort. Pain relievers available without a prescription often help back pain. Limited bed rest, followed by regular activities and gentle stretching exercises may help.

Seek medical care immediately if the pain:

• Happens after a car crash, bad fall or sports injury.
• Causes new bowel or bladder control problems.
• Occurs with a fever.

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

• Persists or worsens.
• Occurs with unintentional weight loss, nausea or both.
• Limits the ability to work, sleep or perform daily activities.