Heartburn is most often associated with a burning sensation in the chest or throat, but many people experience discomfort beyond the digestive system. This raises an important question: can heartburn cause back pain? In some cases, acid reflux can lead to pain felt in the upper or middle back, especially during flare-ups or after meals.
How heartburn can cause back pain?
Heartburn occurs when stomach acid flows back into the esophagus, irritating sensitive tissues. The nerves that supply the esophagus, chest, and upper back are closely connected, which means irritation in one area can be felt elsewhere. This type of pain is known as referred pain.
During heartburn episodes, people often change posture unconsciously, leaning forward or hunching to reduce chest discomfort. Over time, this added muscle tension in the upper back can contribute to pain and stiffness.
What does heartburn-related back pain usually feel like?
- Dull or burning pain in the upper or middle back
- Discomfort that appears after eating or lying down
- Pain that occurs together with chest burning or acid taste
- Back pain that improves when heartburn symptoms ease
Heartburn-related back pain vs spine-related back pain
Back pain caused by heartburn usually follows digestive triggers. It may worsen after meals, when lying flat, or during acid reflux episodes. In contrast, spine-related back pain often worsens with movement, bending, lifting, or prolonged sitting.
If back pain is sharp, stabbing, radiates into the leg or shoulder blade, or started after a car accident or workplace injury, it is far more likely related to spinal, nerve, or muscle issues rather than heartburn.
When heartburn is not the real cause?
Although heartburn can cause back pain, not all back discomfort should be attributed to digestive issues. Severe or persistent pain, pain that worsens with activity, or pain accompanied by numbness, weakness, or tingling may indicate a more serious underlying condition.
When should you see a doctor for back pain?
You should seek medical evaluation if back pain continues despite controlling heartburn, interferes with sleep or daily activity, or worsens with movement rather than digestion. Pain that begins after an accident or injury should always be evaluated, even if heartburn symptoms are present.
Expert evaluation for back pain
Heartburn can cause back pain, but it is not always the explanation. At Allied Neurology & Interventional Pain Practice, we carefully evaluate back pain to determine whether it originates from digestive issues, nerve compression, spinal conditions, or injury-related causes. Proper diagnosis is the key to effective and lasting relief.
Call 201-894-1313 or schedule your consultation today if you are experiencing persistent or unexplained back pain.
