Hi please take an online consultation for best diagnosis and treatment.

Maybe it is just a strain, a personalised exercise program should be done after assessment of the pain please connect online for the same

In physiotherapy electrotherapy for low back pain will get good relief.

Might be due to strain it's causing pain. You can take SWD and IFT treatment for days or STM+CUPPING for 3 sessions will give you relief from pain and discomfort.

Hey there! First of all I need to assess your movements. Factors aggravating it. Then your reports. Kindly consult me online. Just click the button on your right and I will connect with you with in 2 mins.

Moist heat to be applied twice a day for 20 minutes

As u described pain likely started due to sudden heavy lifting and prolonged walking with load, affects the upper back muscles, scapular Good part MRI of the thoracic spine is normal

First focus on pain relief -  (DOES) 01- Apply hot formantation on affected part  10min /2 times daily 02- rest for 15 days (can do your day-to-day activity but obey dos and don'ts 03- rolle  one long towel or bedsheet and place it under your neck ( sleep in supine ) , hold it for 15 min / 2 times daily Do this all for 15-20 days

Patient Complaint: Persistent upper back pain since April 2025 after lifting 7 kg of rice (talambralu) and walking ~40 minutes. Pain continuous since then. No relief with Etoricoxib, Thiocolchicoside, or Gabapentin. MRI Thoracic Spine: Normal ⸻ Clinical Impression / Diagnosis: • Upper back myofascial strain involving trapezius, rhomboids, and thoracic paraspinal muscles • Postural overload due to prolonged weight carrying in front of the chest ⸻ Physiotherapy Treatment Plan: 1. Pain Relief Phase (First 7–10 days) • IFT / TENS therapy: 15–20 min for pain relief • Ultrasound therapy: 7–10 min on affected thoracic and interscapular area • Moist heat / hot pack: 15 min before exercises • Gentle soft tissue & myofascial release for trapezius and rhomboids ⸻ 2. Recovery Phase (After pain reduces) • Postural correction exercises • Scapular setting & strengthening: • Scapular retraction (shoulder blade squeeze) – 10 reps × 3 sets • Wall slides / Wall angels – 10 reps × 3 sets • Thoracic extension over rolled towel – 10 reps • Cat-camel stretches for spinal mobility • Breathing exercises to relax thoracic muscles ⸻ 3. Ergonomic & Lifestyle Advice: • Avoid lifting heavy weight close to the chest for long duration • Maintain upright posture while sitting or standing • Support back with cushion while working or driving • Gentle stretching every 2 hours if working long at desk ⸻ Medication Advice: Continue only mild pain-relief as prescribed by physician for short term. Focus on physiotherapy and exercises for long-term recovery. ⸻ Prognosis: Good. Since MRI is normal, pain is muscular and reversible with regular physiotherapy (10–15 sessions) and home exercise continuation. ⸻ Dr. Anjana Gupta (Physiotherapist – Pain Relief & Postural Rehabilitation Specialist)

You should visit a clinic. It might involve some time to work out the origin of the strain. It is also good to  investigate the lower cervical spine.....

Hot water fermentation Gentle stretching and postural correction exercises Strengthening exercises once pain reduces, focusing on upper back, shoulder, and core muscles.