Middle Back Pain
Middle back pain is a common condition that many people experience at some point in their life. It can significantly affect daily comfort, posture, breathing mechanics, and the ability to enjoy work, exercise, and everyday activities. While pain between the shoulder blades or across the rib-cage is the main symptom, the underlying causes vary widely. Which is why proper assessment matters to determine the right management or appropriate referral.
Contributing factors and symptoms you might be feeling
Common Causes
Middle back joint dysfunction
Rib joint dysfunction (costovertebral / costotransverse joints)
Muscle strain or overload
Postural fatigue (desk work, slouching, long sitting)
Thoracic disc herniation
Referred pain from the neck or shoulders
Trauma or direct impact to back region
Stress‑related muscle tension
Common Symptoms
Aching, tightness, or burning between the shoulder blades
Sharp pain with twisting, reaching, or deep breathing
Stiffness after sitting or working at a desk
Pain that wraps around the ribs or chest
Fatigue through the upper back and shoulders
Discomfort during lifting or overhead work
Chiropractic Management Approach
Treatment Plan
01
Assessment & Screening
A comprehensive evaluation of your thoracic spine including range of motion testing, orthopaedic and neurological examination, and postural analysis to pinpoint the source of your middle back pain and screen for any red flags.
02
Diagnosis & Care Plan
A clear explanation of what is contributing to your middle back pain, whether it is postural, mechanical, or injury-related. You will receive a tailored care plan with specific treatment goals and an expected recovery time frame.
03
Hands-On Chiropractic Care
Gentle, precise adjustments to the thoracic spine and upper thoracic region to restore proper joint function, reduce muscle tension, and alleviate pain. Combined with rehabilitation to release tight muscles in the thoracic and ribcage.
04
Rehabilitation & Self-Management
Specific exercises to correct forward head posture, anterior rounded shoulders, strengthen the deep neck flexors, and improve overall postural awareness. Includes ergonomic advice on workplace setup, sleeping position, and device usage habits.
05
Progress Review & Prevention
Regular monitoring of your progress with adjustments to your care plan based on how your body responds. Prevention strategies focus on maintaining healthy posture and movement patterns in daily life.
What to Expect
Treatment begins with a thorough assessment to determine the cause of your middle back pain. Gentle cervical adjustments and rehabilitation typically provide noticeable relief within the first few sessions. Your care plan will include specific exercises and ergonomic advice to support long-term recovery and prevent recurrence.
Ready to start your recovery?
Book a consultation with Dr Silver Esho to discuss your middle back pain and develop a personalised care plan.
Important:
Seek urgent medical care if you experience severe trauma, loss of bowel or bladder control, unexplained weight loss or fever, progressive weakness or numbness, chest pain, or sudden severe headache. These symptoms require immediate medical attention.