Avoid pillow while sleeping Sit with support Hot water bag massage Tablet Nucoxia mr Powergesic gel application

There is muscle spasm in neck … please provide your work history to diagnose cause of upper back pain Go for physio as per orthopedic advise

Hi. Without proper history or clinical examination, this X-ray is not helpful.

From the provided X-ray, there is no obvious fracture, dislocation, or serious structural abnormality visible in the cervical–upper thoracic spine upper back and neck pain for one month with a near-normal X-ray is most commonly due to muscle spasm, poor posture, or cervical strain, especially with prolonged sitting or phone/computer use X-rays do not show muscles, discs, or nerves well, so pain can still be present despite a normal report if pain persists increases, or is associated with arm pain numbness, or tingling an MRI cervical spine may be required.

With a given xray quality, Xray shows Loss of Cervical Curvature ( lordosis ) Likely cervical Muscle spasm Physical examination required