The pain in the center of the upper back may be related to the following diseases: 1, some vertebral diseases, the most common is the thoracic spine caused by disc herniation, may compress the nerves, resulting in radicular pain, often the pain is more intense, posture-related, forward leaning, forward flexion position when the pain is more serious, this time you need to go to orthopaedics, and the serious need for surgical treatment. 2, myofascial inflammation of the muscles of the back, which is a non-bacterial Inflammation, can also cause back pain and discomfort, need to go to the physical therapy department line massage, physical therapy and other treatments, pain can be relieved, some serious patients need to go to the pain department. 3, coronary angina pectoris patients, in the emotional excitement, after the activity can also appear in the anterior chest and back pain, but also for the center of the back pain, usually lasts for 3-5 minutes can be relieved, such as frequent episodes of the need to go to the Department of Cardiology Consultation.