There are a variety of reasons your mid back (thoracic spine) may be causing you pain. During our assessment, the focus is on WHY you have pain, rather than on the anatomical structure (i.e. disc, ligament, tendon, joint). Once we know that answer, then we can find a solution.

Mid-back injuries are typically more chronic so if we don't know the cause then we are only treating symptoms. That will not fix your pain permanently!

Here are a few reasons you may be in pain but your therapist will be the one to assess your injury and create a treatment plan.

1) Postural dysfunction - Do you sit for long periods? Is your computer screen too small or too high/low for you? Are you reaching for your mouse? Are you twisted when working at your desk? Do you have multiples screens?

If the answer is Yes to any of these questions then it might be your posture which is creating the pain. Frequently we do not realize what position we are in at work or at home and we stay there for many hours without moving!

We also need to remember to assess the neck and shoulders when there is midback pain because pain can be referred from other places.

2) Poor or altered body mechanics - Are your arms out to the side or away from your body when lifting? Do you do a lot of twisting while working or gardening? Do you do repetitive lifting/pushing/pulling for long periods? Have you changed your golf swing/golf clubs recently? 

If the answer is Yes to any of these questions then your body mechanics might be the cause of your pain!

3) Muscle weakness - frequently a lack in strength in certain muscles, especially in the shoulder (rotator cuff), will contribute to midback pain. The therapist will need to assess those muscles to see which ones are the problem.

4) Muscle or joint tightness - if certain muscles are too tight then they are not able to move in the proper patterns. A muscle that is too tight or too stretched can be a problem! Also, if your spine is not moving then that can cause you pain too.

Who can help you?

What might be involved in their treatment?

  1. Assessment of movement and strength
  2. Education - to teach you what is causing your pain and how to make it better as well as how to prevent it from returning in the future
  3. Exercises - teaching you how to do the proper exercises to decrease your pain and improve your strength and/or mobility
  4. Manual therapy - your therapist may need to release muscles or mobilize joints to improve their ability to move
  5. Referral back to family doctor for imaging or to a specialist - if the therapist feels there is a need for an Xray, U/S or MRI then they will contact your family physician to discuss it. They may also suggest a specialist's referral if treatment is not progressing as it should.