Mid-back pain is one of those things that can be frustrating because it often doesn't respond well to rest alone. The thoracic spine is designed to be mobile, and when it becomes stiff, the surrounding areas have to compensate.

Mid-back pain often involves mobility and strength in the neck, the thoracic spine, and the low back. Because these areas are all connected, a problem in one region can cause pain in another.

The Joint-by-Joint Approach

In physical therapy, we use a joint-by-joint approach to evaluate the entire chain. If your thoracic spine is stiff, your neck and lower back may be taking on extra stress. If your neck or low back is stiff, your mid-back may be compensating.

The key is to identify which areas need more mobility and which areas need more stability, then address them accordingly.

Common Causes

Treatment Approach

Treatment typically includes thoracic mobility exercises, strengthening of the muscles that support the spine, and addressing any contributing factors in the neck or low back. Soft tissue work and joint mobilizations can also be helpful for restoring movement.

— Dr. Caleb