The initial treatment often involves conservative management strategies. Rest and the application of heat or ice can be effective in reducing inflammation and alleviating pain. Physical Therapy is pivotal, providing exercises and stretches aimed at strengthening the muscles supporting the upper back, enhancing flexibility, and improving posture.

Continued physical therapy plays a crucial role in managing upper back pain. It includes tailored exercises to strengthen and stabilize the back and shoulder blades, posture training, and techniques for pain management.

Chiropractic interventions can be integral, especially for those experiencing pain due to spinal misalignments or muscular imbalances. Spinal adjustments and manipulative therapy performed by chiropractors can help realign the spine, reduce muscle tension, and restore proper motion.

Depending on the severity of pain, over-the-counter or prescription medications, including anti-inflammatory drugs and muscle relaxants, might be recommended to manage symptoms.

Lifestyle and ergonomic modifications are crucial in both managing and preventing upper back pain. This includes adopting proper posture, especially when sitting or working at a desk, maintaining a healthy weight, and avoiding activities that strain the upper back.

Massage therapy can be beneficial in relaxing tense muscles, improving circulation, and providing relief from pain.

Acupuncture may be considered as part of a holistic approach to pain management, offering potential relief by targeting specific points in the body.

Yoga and stretching exercises can improve flexibility, strengthen back muscles, and reduce stress, which can all contribute to pain relief.

In cases where conservative measures are inadequate, procedures like trigger point injections or epidural steroid injections may be considered for pain relief.

Surgery is generally seen as a last resort and may be considered only in cases where structural abnormalities are causing the pain and conservative treatments have failed.