Upper middle back pain in women has the same causes as upper middle back pain in the general population. There are many causes that can lead to upper middle back, including respiratory disorders, heart disorders, spinal disorders, and other disorders. 1. Respiratory diseases: Diseases such as pneumonia, bronchitis, and lung tumors can cause upper middle back pain. 2. Heart diseases: such as heart attack, myocardial ischemia, angina pectoris and other diseases, all of which can cause radiating pain in the upper middle of the back. 3. Spinal diseases: such as cervical spondylosis, intervertebral disc herniation, small joint misalignment, ankylosing spondylitis, etc. 4. Other diseases: including myofasciitis of the chest and back, gastroesophageal reflux disease and so on. All of the above diseases can cause women to experience pain in the upper and middle parts of the back. Therefore, when the symptoms persist, it is recommended to consult a doctor in a timely manner to clarify the cause of the disease and receive appropriate treatment.