Can GERD cause back pain?

Yes. Severe esophageal irritation from acid can refer pain to the mid-back region between the shoulder blades. This is one of the most common non-cardiac causes of simultaneous chest and back pain.

Chest Pain and Back Pain Simultaneously: What Could It Mean?

Important Disclaimer

This guide is for informational purposes and does not replace professional medical advice. If you are experiencing a medical emergency, call 911 or your local emergency services immediately.

Overview

Pain felt in both the chest and back simultaneously can originate from the heart (MI radiating to back), the aorta (dissection), the esophagus (severe GERD), the pancreas, or the musculoskeletal system. The key is identifying accompanying symptoms.

Possible Causes

GERD

common

Severe acid reflux causes burning chest pain that penetrates through to the mid-back, especially when lying down.

View Condition Details

Musculoskeletal Strain

common

Thoracic spine or intercostal muscle strain can simultaneously produce chest and back pain.

Aortic Dissection

rare

A tear in the aorta causes sudden, tearing chest pain radiating to the back — a life-threatening emergency.

When It Is Serious

Sudden, tearing pain described as 'ripping' between the shoulder blades, especially with blood pressure differences between arms, is a potential aortic dissection — call 911.

When It's Likely Benign

Pain that changes with body position, is reproducible by pressing on the chest, or follows heavy lifting is likely musculoskeletal.

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Frequently Asked Questions

Related Resources

Chest Pain Guide Back Pain Guide

Medically Reviewed for Accuracy

Medical Advisory Board

•Last reviewed: March 20, 2026

Content is aligned with established clinical guidelines from authoritative medical institutions, including MedlinePlus (U.S. National Library of Medicine), the CDC, the NIH, and the NHS. All content is reviewed by our medical advisory board for accuracy and safety.