If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion

Quite likely pain is from thoracic nerves that exit the spine. No red flags in your symptoms which is reassuring. *For pains the options would be Lidocaine 5% plaster applied directly on the painful area (Brand name is LIDOVALOR) and should be kept for 12hrs and then removed. So basically 12hrs On and 12hrs off *Tablet option would be Pregabalin 75mg twice a day and try for a month before knowing if it helps or not. *TENS MACHINE - quite good and can be found on Amazon etc *Acupuncture treatment is also worth exploring. Consider getting an MRI spine to see what is pressing on the thoracic spinal nerves. All the best. WWW.JGSR-HEALTH-EDUCATION.IN For patients aged 50years and over FREE ONLINE CONSULTATIONS.

History given by you suggest a chronic myofascial pain due to improper posture and heavy exercises along with neuropathic pain as it radiating sometimes.

This pattern suggests more of a chronic mechanical/postural thoracic pain with a myofascial trigger point, especially because: pain is present for many years it starts/worsens immediately on sitting and slouching there is one specific tender point between the spine and right shoulder blade exercise gives temporary relief morning is relatively better, then pain increases during the day Possible causes include: chronic myofascial pain / trigger point in rhomboid or parascapular muscles postural strain due to prolonged sitting, car seat posture, soft couch posture scapular muscle imbalance sometimes cervical/thoracic spine–related referred pain also needs to be ruled out if symptoms persist Permanent solution usually is not one medicine alone. It requires correction of the cause: posture correction during sitting avoiding slouching and forward bending posture proper back support in car seat and chair targeted physiotherapy for rhomboids, trapezius, scapular stabilizers stretching + strengthening exercises trigger point release/manual therapy if needed One medicine for temporary symptomatic relief: Tab Paracetamol 650 mg after food, only when pain is more, up to 2–3 times a day if needed avoid excess dosing if you have liver disease, consult before taking it What I would advise next: clinical examination by a physician/orthopedic/spine specialist if pain is very localized and reproducible on pressure, physiotherapy assessment is very useful if there is radiation, numbness, weakness, night pain, fever, weight loss, cough, or breathing-related pain, then further evaluation is needed In most such long-standing cases, the best long-term relief comes from ergonomics + supervised physiotherapy + trigger point treatment, not repeated painkillers. For a proper assessment and personalized treatment plan, you may consult/connect with me directly on Practo. Dr Utkarsh Shrivastava

You honestly need a physiotherapy evaluation. This sounds more like muscle strain probably needs some adjustments in posture and specific exercises

Too long query  n too long duration. Physiotherapy session. Tab Ultracet p three times or sos

Your description is most consistent with chronic, posture‑dependent mechanical/myofascial spinal pain, but we must still exclude more serious causes. The 15‑year course without systemic symptoms makes malignancy, infection, or inflammatory spondyloarthropathy less likely, but “red flags” still need to be checked

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Better to consult orthopedic

Please consult a General Physician and Orthopedic surgeon in your area for a physical examination. If no abnormalities are found on clinical examination then you may need an MRI Chest. No opinion can be given based on your symptoms alone.

You may need a dorsal spine x-ray to check the alignment of the bones.It could be a radicular pain . Treatment depends on the severity and type of pain by consulting and orthopedist or pain medicine specialists

Looks like muscular pain. But still may need chest x ray . Kindly consult for better understanding and management

Physiotherapy may help.better if you consult with orthopedic doctor nearby.

upper back pain like this is usually due to posture. Correct your posture with a brace along with  targeted physiotherapy for long term relief. If it persists, you may need Orthopedic Consultation for physical examination

Hello, can u tell me weather any radiation down to the arm or fingers , if u abduct ur shoulder above head and hold this position for 1 to 2 minutes do u feel any numbnes or tingling sensation?

Do consult

Yoga helps

Need a few more details please consult for further evaluation and treatment

Take medications Muscle relaxants

Can help you, kindly consult and provide detailed history for proper diagnosis and further management