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AnswerIt greatly depends on just where in your upper back the knot is located and several other factors...

1. Is it over the spine, over one of your shoulder/shoulder-blade areas or BELOW the shoulder-blade area? 2. How long have you had it (did you just find it, or have you been aware of it for some time)? 3. Is it getting bigger? (rapidly or slowly) 4. Is it hard (sebaceous cyst, muscle spasm, etc), or rubbery feeling (lipoma --benign fatty tumor...which are usually non-tender)? 5. Does it ever drain blood or pus? (sebaceous cyst) 6. If you press on it do you get "shooting pains" up into your neck/shoulder/arm) such as a muscle spasm with a "trigger point"? 7. Is it discolored? (like a skin cancer such as basal cell, squamous cell or melanoma... or it could be a sebaceous cyst) It could be an "inclusion cyst" such as when you lie on your back working on your car and get a 'puncture wound' and subsequent infected nodule (I've done that).

Copy and paste the following web address into your web browser (internet Explorer, Netscape, etc): http://www.webmd.com/ and look for the above-mentioned items I've listed.

Best solution: See your family doctor and let him refer your to the "best" specialist he thinks you should see (most likely a Dermatologist)...

ggy

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Q: What could a large painful knot in your upper back be and what you should do if it constantly hurts?
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