instruction: hi doctor I started working 12 hour shifts about a month ago my upper back has been hurting it feels like it starts from the middle up to the upper back it is not a sharp pain but it is like a tension we are supposed to wear steel toe shoes I just recently changed to tennis shoes since I work nights I want to see if it is the shoes or long hours can you advise as to what it could be I feel stressed out and I am very prone to it the tension just does not go away at all
output: hi I have reviewed your question I am sorry you are experiencing upper back pain in your question you said you recently started working 12 hours shift and since then your upper back has been hurting it is not a sharp pain but feels like tension most likely you experience muscle fatigue and at some times muscle spasms I would like to know what your job entails many police officers have upper and middle back pain and have something call upper cross syndrome this is were the pectoral muscle are tight and pull the shoulders forward while the muscles of the back are weak it is a stabilization problem usually attributed to wearing the heavy vest all day same thing in your case many students who study with their head down all day or text a lot experience similar pain in their upper and middle back if you were my patient I would perform a chiropractic examination and recommend several home exercises as well as chiropractic adjustments since I am unable to confirm my suspicion I recommend that you go see a local chiropractor for a proper examination if they believe you are a candidate for chiropractic care they will most likely recommend a trial of care as well as a series of home exercises to determine how you will respond to treatment