Mid-Back Pain

Conditions / Mid-Back Pain

The mid-back or thoracic spine is prone to movement loss due to poor posture and a sedentary lifestyle. With the lack of movement, the joints of the thoracic spine, shoulder blades, rib cage, and neck can cause pain in the mid-back area.

Our sports chiropractic approach can help relieve the pain in the mid-back with chiropractic adjustments, muscle therapy, stretches, and exercises.

Causes of Mid-Back Pain:

      • Sedentary Environment

      • Slouched Posture

      • Poor Ergonomics

      • Lack of Movement

      • Repetitive Twisting

Dynamic Neuromuscular Stabilization

Thoracic Spine Anatomy

The thoracic spine/middle back lies between the neck and lower back. The middle back is made up of twelve thoracic segments and forms additional joints with the rib cage and shoulder blades. The rib cage provides protection to the underlying organs but makes the thoracic spine prone to stiffness. 

A mobile and strong thoracic spine can take pressure off the neck and lower back. For this reason, thoracic spine manipulation has been shown to help improve neck pain, shoulder pain, and lower back pain.

Our modern society, sedentary lifestyles, and makeshift work-from-home offices have made mid-back pain one of the most common conditions treated at OMNE Chiropractic. Pain in the middle back can be from neck joint referral, shoulder blade pain, and rib dysfunction. Our Omaha chiropractic office is committed to locating the source of your mid-back-pain. 

Thoracic Spine Mobility Guide

Is your mid-back pain coming from your neck? 

The joints of your neck can refer pain into the mid-back. The cervical spine commonly refers pain into the middle back. Surprisingly to patients, most mid-back pain is due to cervical spine referral.

Every patient that walks into our office with middle back pain gets a screen of their neck. If you want to take a moment to see if your middle back pain may be coming from your neck try the neck folder test.

Shoulder Blade Pain

Are you struggling with constant knots in your neck, upper back, and shoulders? 

Another common cause of middle back pain is muscle pain associated with the shoulders. 

Seventeen different muscles attach to the scapula including the four muscles that make up the rotator cuff. Muscle pain is common in this region and muscle imbalance can contribute to shoulder pain, shoulder impingement syndrome, and neck pain.

A common area of muscle pain surrounding the shoulder blade is in the gutter between the shoulder blade and spine. Our sports chiropractic approach of joint manipulation, hands-on muscle therapy, dry needling, and self-myofascial release is effective for relieving mid-back pain.

Rib Pain

Pain in the thoracic spine that wraps around the rib cage or seems to go straight through the chest wall is often due to pain in the ribs or costovertebral joints.  

This pain may worsen with deep breathing, coughing, bending, and twisting. The ribs attach to the sternum at the front and the thoracic spine vertebra at the back. Inflammation in these areas can cause pain and irritation in the surrounding intercostal muscles.

Our sports chiropractic clinic helps keep the rib cage and thoracic spine mobile with hands-on muscle therapy and joint manipulation.


OMNE Chiropractic is specializes in the treatment of mid-back pain with a variety of safe and effective treatment approaches. If you are dealing with mid-back pain do not hesitate to schedule an appointment with our office. 

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