hi sir/madam, Thanks for your question on Healthcare Magic. Possible indications are:- 1. Problematic kyphosis. 2. Scoliosis. 3. Osteoporosis. 4. Trauma/injury. 5. Acid reflux (GERD). Upper Back Pain Treatments:- Pain relievers and anti-inflammatory medications may temporarily reduce pain and inflammation, but they do nothing to heal strained muscles or malfunctioning joints. They wear off after a few hours and the pain returns. Meanwhile, they’re interacting with other medications you may take and creating unwanted side effects! Moderate exercise is certainly beneficial in helping prevent back pain; however, once the pain is present, that’s a sign that something’s not right. Exercising strained areas puts further stress on the muscles and joints, creating additional nerve irritation and potentially worsening the underlying problem. Trigger point injections are shots of local anesthetic such as Lidocaine administered directly to areas of acute pain. Like other pain relievers, they simply reduce pain temporarily without addressing the underlying problem. hope this was helpful. have a healthy day.