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What could cause back pain like being winded?

I have a pain on either side of my spine and going around under my arms, about lung level in my back. It feels like I've been winded. The pain has been there for 3 or 4 days now. I have suffered with bad backs quite a lot in the past. But this pain is nothing like I've had in the passed. I do have a fairly active job, but I can't recall doing anything to pull or strain my back. Has any body got any ideas?
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asked Jun 07, 2010 at 03:20AM in General Medicine
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    answered Jun 08, 2010 at 10:53AM
    Back pain is often insidious, i.e. no obvious cause such as an injury. This can be due to a slow process of sensitisation occurring sometimes over weeks or months. This is frequently a complaint of the sedentary worker (i.e. desk bound for long periods) but also those who move in a repetitive pattern, have to hold sustained positions or in the case when a normal movement triggers pain.
    Pain can vary in intensity and description but is deemed not to be an accurate indicator of tissue damage. Therefore, it can really hurt despite there being little in the way of an injury. Pain is a warning sign of potential or actual 'danger' to the tissues, so you are right to take advice, that's the whole point of pain, to motivate an appropriate action.
    The area described appears to be about the ribcage and if there is sensitivity to movement of the chest wall then breathing will be challenging, especially if deeper inspiration is necessary. The sense of feeling winded is therefore not unexpected.
    The best course of action is to see your GP or a musculoskeletal physiotherapist for an assessment and subsequent treatment/management plan.
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