MID AND UPPER BACK PAIN | Active Health Spine & Sport
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Mid back pain can occur either in the middle of your back from

Mid Back Pain usually occurs between the shoulder blades, posterior ribs or within the 12 vertebrae that make up the mid-back (thoracic spine). Most people who experience mid back pain or pain between the shoulder blades feel it when they twist, move in certain directions, or take a deep breath.

A common cause of mid back pain is a rib injury or rib joint fixation. Anatomically speaking, the thoracic spine (middle back) attaches to the ribs. If a blunt force affects the ribs, even if the force occurred in the front part of the body, a mid back symptom may be felt because the muscles between the ribs were irritated or the rib joints were stressed at the spinal level. This can also occur very easily during a cough or a sneeze! The muscles extend from the front part of the ribs to the area that attaches to the spine of the middle back so an uncontrolled cough or sneeze can cause a great deal of middle back discomfort.  Mid back pain is a reality for some patients, and that situation can be addressed using chiropractic treatment.


Treatment typically consists of chiropractic adjustments to any fixated spinal segments. Manipulation or adjustments of the small rib joints between the shoulder blades. Manual therapy to the soft tissue of the rhomboids, spinal thoracic erectors, and any and all restricted muscles and connective tissue. Exercises and homework to re-inforce the new range of motion.