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. It is also known to be the second, if not the primary reason why people visit care clinics and stands third for the most frequent reason why people get surgical procedures and fifth for having hospitalized. Moreover, there is no general rule as to who will be affected with back pain. It doesn't imply that I you are healthy and do exercise regularly that you may not be susceptible with this form of ailment. Feeling of guilt or worthlessness Problems with memory and concentration Thoughts of death and suicide Decreased interest on generally everything Clinical depression is often observed on suffers of chronic back pain rather than those experiencing only acute pain for which the condition is felt only for shorter periods. Yet, there is still no comparison to the relief that may be felt during the duration of the attacks. For the majority of sufferers, the agonizing pain may be helped with simple homeophatic therapies and by application of pain reliever creams and medications. But a number of individuals need the aids that may only be provided by treatments for relief which are typically termed as alternative medicines. What May Cause Back Neck Pain Though cases of cervical neck pain is more infrequent as compared to lumbar pain, a large portion of the American population still undergoes neck pains that often come with arm pain. The majority of such cases may be healed in time without the need of medical interventions. Muscle Relaxants Muscle Relaxants are known to induce the efficiency created in most Non-Steroidal Anti-Inflammatory Drugs and are often prescribed only for severe back pains. These include medications such as cyclobenzaprine (Flexeril ), methocarbamol (Robaxin ), carisoprodol (Soma ), and diazepam (Valium ).