What causes mid-back pain radiating towards the ribs while having spinal stenosis?
Patient: I have pain to the right of my mid back which feels like someone punched me in the back. It is worsened with standing or sitting upright and improves if I slouch in a chair. The pain is now radiating to my right ribs. I have had this for 6 months and the radiation is new. I have severe degenerative spine disease with spinal stenosis in my lumbar and cervical spine. Any suggestions? Doctor: Hi,I am Dr Gopal Goel Orthopedic Surgeon. Your pain seems as if one of the nerves in dorsal spine is being pressed.  I suggest MRI of Dorsal spine , Pain killers , Pregabalin . If pain does not improve in few days time , I suggest you consult a pain specialist who may use nerve block to relieve pain.