Hello dear Greetings Regarding your experience with upper back pain radiating to your chest and being aggravated with lifting up your hands during awaken in the mornings I am suggesting that you have the following differential diagnosis Cervical spondylitis Myositis Nerve root lesion Spinal cord compression Spinal cord stenosis Spinal cord tumor Multiple sclerosis Acute disseminated encephalomyelitis SLE Migrating Arthritis In view of this please do the following test MRI CT scan Cervical /thoracic x-ray Complete blood count +ESR +C reactive protein Meanwhile please see an orthopaedic specialist with the result and for further clinical evaluation as well as adequate drug prescription Moreover please take tablet Tylenol pending your appointment with the specialist I hope this helps Regards