This is the reason why trauma or any excessive force over the area is betterly recognized as "kidney punch" rather than lower back pain. Kidney pain is directly linked to the organ itself but may usually manifest as lower back pain. It is acute in origin because the pain typically starts rapidly but may develop into chronic pain over time. So this means that the cause of back pain is not or may be minimally affected by the health of the sufferer. This pain is often felt in the lower section of the spine and cases of upper and middle back pain is rare. Additionally, some people may also experience coexisting pains such those felt at the thighs and the legs. In most cases, people suffering from it cannot exactly point out the location of concentrated pain or what they exactly feel. This is due to the reason that there are a number of underlying structures located at the lower back that may cause the pain. Listed below are several parts of the spiral anatomy that may be the reasons for pain: Irritation on the large nerve roots located at the low back that are connected to the arms and the legs. These trigger points include erector spinae, infraspinatus, latissimus dorsi and multifidi, rhomboids, serratus posterior inferior, serratus posterior superior, subscapularis, and trapezius. That long list of Latin terms may have complicated things for you but it will get even more complicated when the actual location of pain is displaced in the upper back and especially in the middle back. The goals of these basic treatments are to: 1) restore the strength and to reinstate the proper function of the back bone and 2) to prevent the condition for recurring. Medications such as aspirin, acetaminophen, ibuprofen target both chronic and acute low back pain. More efficient back pain relief may require the combination of over the counter remedies and prescription drugs. Additionally, upper back may develop lesser disorders and like herniated spinal disks, degenerative disc disease and spinal stenosis. Upper back pain may be the resultant of poor posture or extreme trauma. Interestingly enough, the most recent cases documented for upper back pain typically came from people who work continuously in front of computers.