Thoracic Spine Pain: Causes and How Physiotherapy in Calgary Can Help

When most people think of back pain, they often think of the lower back or neck. However, pain in the thoracic spine (mid-back) is a common and often overlooked issue that can significantly impact posture, breathing, and daily movement. Thoracic spine pain is especially common among active individuals, desk workers, and athletes.

If you’re experiencing stiffness, aching, or persistent pain between your shoulder blades, physiotherapy in Calgary can play a key role in identifying the cause and guiding effective recovery. At MSK Rehab, physiotherapy treatment focuses on improving mobility, reducing pain, and restoring proper movement patterns so you can return to daily activities and sport with confidence.

Understanding the Thoracic Spine

The thoracic spine contains 12 vertebrae—running from the base of your neck to the bottom of

your rib cage. Though less mobile than the cervical or lumbar spine, its role is critical (Neumann,

2017):

• Supports your posture

• Anchors the rib cage

• Protects your heart and lungs

• Distributes mechanical loads

• 
  

When problems arise, pain may radiate through the chest or upper back, limiting mobility and

even interfering with deep breathing (Barrett & McCreesh, 2020).

Common Causes of Thoracic Spine Pain

1. Poor Posture

Long hours at a desk or slouching over your phone increases thoracic kyphosis, joint stiffness,

and muscle fatigue (Janda, 1983; Kebaetse et al., 1999).

2. Muscle Imbalances

Weak rhomboids and spinal extensors, combined with tight pectorals, often create dysfunctional

patterns that increase strain (Cools et al., 2007).

3. Joint or Rib Dysfunction

Restrictions in thoracic facet or costovertebral joints can mimic cardiac or gastrointestinal pain

and reduce movement (Walser et al., 2012).

4. Stress & Breathing Dysfunction

Poor breathing mechanics and emotional stress overuse accessory breathing muscles, adding to

thoracic tension (Courtney et al., 2011).

5. Structural Issues

Conditions like scoliosis or prior injuries can change load distribution, leading to chronic

symptoms (Weinstein et al., 2003).

How Physiotherapy in Calgary Helps

At our Calgary physiotherapy clinic on MacLeod Trail, we use a comprehensive, research-

based approach to restore movement, reduce pain, and improve quality of life:

1. Assessment & Diagnosis

We examine posture, spinal mechanics, and breathing to identify root causes (Brumitt &

Matheson, 2009).

2. Manual Therapy

Evidence supports joint mobilization and soft tissue release as part of an effective treatment plan

(Fernández-de-las-Peñas et al., 2009).

3. Postural Retraining

Re-educating movement and ergonomics can improve spinal alignment and reduce recurrence

(Seidi et al., 2014).

4. Targeted Exercise

We strengthen mid-back muscles like the rhomboids and lower traps to support posture and

prevent overload (Brumitt et al., 2013).

5. Breathing Techniques

Diaphragmatic breathing reduces tension and optimizes function (Darnall et al., 2014).

Home Tips for Thoracic Spine Pain Relief

• Take breaks every 30–60 minutes

• Use foam roller thoracic extensions

• Practice rows and wall slides

• Try breathing drills in a relaxed position

• Adjust your workstation ergonomics

Why Choose Our Calgary Clinic?

Located at 8989 MacLeod Trail SW, our clinic serves South Calgary communities

including Haysboro, Fairview, Kingsland, and Acadia. Whether you’re desk-bound, active, or

somewhere in between—we’ll tailor your treatment for your lifestyle.

Ready to Feel Better?

Don’t let upper back pain hold you back. Book an appointment with our Calgary

physiotherapists today and start your path toward pain-free movement.

Book Now

Bibliography

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