捏性神经是一种损伤，当神经伸展得太远或被周围的骨骼或组织挤压时会发生损伤。在上背部，脊柱神经很容易受到各种来源的伤害。

In some cases, a pinched nerve in your upper back can be brought on by poor posture or a sports or weightlifting injury. A pinched nerve in your upper back can cause pain, tingling, or numbness at the site of the injury and elsewhere in your upper body.

上背部的神经夹紧会引发剧烈的疼痛，当您转向一侧或调整姿势时，可能会更大。根据神经的拉伸或压缩，您可能会在右侧或左侧感到疼痛。

Sometimes the pain can radiate down the spine or through your torso so you feel it in yourshouldersand chest. You may also feel atingling，或在同一区域中的“销钉和针头”感觉。

Other symptoms of a pinched nerve in your upper back include muscle weakness in your back and shoulders or any muscle that is animated by the affected nerve.

Your back muscles may not cooperate when you try to bend over or lean back. You could feel stiff when trying to move. Even sitting for a long time may be difficult with a pinched nerve in your upper back.

To learn how spinal nerves can become compressed, it helps to understand more about the anatomy of the spinal column.

您有24个椎骨，骨头被椎间盘隔开。光盘有助于将骨头固定在一起，并充当它们之间的垫子。骨头和椎间盘一起形成脊柱，这是一根坚固，柔软的杆，可让您站立，坐着，行走并从侧面到侧面和前后移动。

从所有椎骨的中间延伸的是脊髓，这是由神经组织组成的管。从脊髓延伸到椎间盘是脊髓神经根，它们连接到整个身体的大量神经网络。

A common cause of pinched nerves in the back is a herniated disc. This occurs when the soft center of a disc, known as the nucleus, pushes through the harder outer disc layer, called the annulus.

If the nucleus pushes against a nerve in the spinal column, you can have a pinched nerve and some or all of its accompanying symptoms. This is calledradiculopathy。

脊柱的任何部分都可以发育。您的背部定义为有三个部分：

  • 腰部或下背部
  • 颈或颈
  • 胸腔，是腰部和颈部剖面之间的上背部

The main cause of disc herniation is age-related wear and tear. Discs lose some of their fluid through the years and become less flexible and more vulnerable to cracking and herniation.

This disc degeneration can happen in the upper back slowly over time. It can also be accelerated by lifting something heavy over your head.

脊柱神经的压力也可能来自骨马刺，骨刺是骨关节炎或骨创伤引起的骨骼异常。在椎骨上形成的骨刺会捏在附近的神经。

类风湿关节炎，一种影响关节的炎症性疾病，有时会在脊柱中发展。脊柱关节的炎症会给脊神经施加压力。

Your doctor may be able to diagnose a pinched nerve in your upper back by learning about your symptoms, medical history, and by examining your back. If a pinched nerve isn’t obvious, your doctor may recommend an imaging test, such as:

  • Magnetic resonance imaging (MRI).This painless, noninvasive test uses a powerful magnet and radio waves to create images of the inside your body. Unlike an X-ray, which primarily shows bones and large organs, anMRIcan reveal more detailed images of soft tissue, such as the discs in your spinal column. An MRI can sometimes pick up signs of nerve compression.
  • CT扫描。这无痛non-invasivetest creates detailed pictures of your nerve roots.Ultrasound, which uses sound waves to create images, can also detect nerve compression in the upper back.
  • Nerve conduction study.This checks nerve pulses and how your nerves and muscles respond to them through a small electrical charge delivered throughspecial electrodesplaced on your skin.
  • Electromyography (EMG).In an EMG, your doctor will inject a needle into the muscles activated by the nerves they believe are injured. The way the muscles respond to theelectrical chargedelivered by the needle can indicate if there’s nerve damage in that area.

Rest

Rest is the most common treatment for a pinched nerve in the upper back. You should refrain from activities that could strain your upper back, such as lifting heavy objects over your head or any strenuous pushing or pulling.

Medication

Along with rest, you may find pain relief by taking nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil) and naproxen (Aleve). Corticosteroid injections may also reduce inflammation and pain in the affected areas.

物理疗法

您的医生可能建议物理疗法锻炼和增强上背部的肌肉。调理这些肌肉可能有助于减轻神经的压力。

A physical therapist may also help you learn to modify the way you do certain tasks, such as yard work or lifting heavy items, to help ease the burden on your back muscles. Adjusting your standing and sitting posture may also be part of your physical therapy.

Surgery

If rest and physical therapy don’t help, surgery may help treat a painful pinched nerve in the upper back. This could involve removing part of a herniated disc or a bone spur.

While surgery can be quite effective, it’s usually a last resort. Other more conservative approaches should be tried first.

虽然在神经诊断后，静止上背部肌肉很重要，但有一些练习您可以做到帮助提高灵活性并减轻疼痛。

Remember to talk with your doctor first before engaging in any stretching or exercise routine that could affect your pinched nerve.

容易发生头部

This stretch can help your upper back and neck muscles.

  1. 躺在你的肚子上。通过休息肘部来提高上半身。
  2. Tuck your chin down toward your chest.
  3. 慢慢抬起头，使您的眼睛看起来尽可能高，而无需紧绷脖子或背部。
  4. 保持5秒钟，然后将头慢慢降低到起始位置。
  5. Hold in starting position for 5 seconds before repeating your head lift.
  6. Repeat up to 10 times a day.

Scapular retraction

This is a good exercise to help with posture.

  1. 双臂站在您的身边，头部处于中立位置。
  2. 慢慢地将肩膀向后拉，好像试图将肩blade骨挤在一起。
  3. Hold for 10 seconds, then return to your starting position.
  4. 重复5次。每天进行2套5次重复。

Add resistance by stretching a towel or resistance band in front of you while you move and squeeze your shoulders.

几天后轻度的上背部疼痛或刺痛可能只是暂时炎症的结果，造成神经压力。这些症状不需要医生就诊。

However, if upper back nerve pain is a recurring problem, explain your symptoms to your doctor. TheHealthline FindCare toolcan provide options in your area if you don’t already have a doctor.

如果您的背部疼痛或麻木持续了几天而无需缓解，那么您应该很快就会看医生。另外，如果疼痛射出您的脊椎或跨过躯干，请立即预约。手臂或腿部的刺痛或麻木也应促使您的医生快速拜访。

在大多数情况下,从一个捏nerv全面复苏e occurs with little more than some rest. At the first sign of a pinched nerve in your upper back, find a comfortable position and rest. If you’re able to take an NSAID, do so, but always follow the label’s instructions or the guidance of your doctor.

If pain or numbness continue after rest, see your doctor and try to explain your symptoms in detail, including when they started and what, if anything, brings relief.

Some severely damaged nerves may not regenerate or recover to their previous full strength. If this is the case, physical therapy and other treatments may be able to help you manage any lingering effects of a pinched nerve in your upper back.