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Thoracic Pain Treatment

The thoracic area of the spine comprises the upper and middle portions of the back. Experiencing thoracic pain can be completely debilitating for patients, as the thoracic spine plays a vital role in many types of movement. Upper back pain can severely impact patients' functional abilities, quality of life, and mental health.  


To help manage thoracic pain, we have outlined 3 starter physiotherapy exercises designed to target this discomfort.

X-ray showing upper back anatomy for patient with upper back pain

Anatomy

The thoracic spine is the longest section of the back, consisting of 12 vertebrae and the rib cage. This important part of the body plays several key functional roles. It must provide a strong and stable base for arm and neck movement while allowing for rotational movement throughout the body. The rib cage also needs to expand and contract to facilitate inhalation and exhalation, all while offering a stable structure to protect the internal organs. Consequently, various structures within the thoracic spine can contribute to thoracic pain or become injured. 


A common issue related to the thoracic spine is upper back pain, often stemming from poor posture. In our modern office-based society, it’s quite common for long hours spent hunched over a keyboard to lead to joint overload and muscle pain in the upper back. To address this, incorporating specific physiotherapy exercises can be beneficial in alleviating discomfort and improving posture.

Symptoms of Thoracic Pain

The major symptom of thoracic pain is pain itself, which often leads to a restricted range of movement. Typically, this pain is felt across the middle and upper back, but it may also extend to the chest in cases where it has been referred. Physiotherapy exercises can be beneficial in managing these symptoms and improving mobility. 


The pain is often aggravated by certain triggers, including:


- Rotation through the trunk

- Bending forwards 

- Sitting for prolonged periods 

- Deep breaths 

- Carrying loads  


Additionally, patients may experience stiffness, particularly in cases involving osteoarthritis, which can contribute to upper back pain.

Common Causes and Conditions of Thoracic Pain

As mentioned above, one of the major causes of thoracic spine problems, such as thoracic pain and upper back pain, is prolonged postures. When patients hold a stationary position for an extended period, it exceeds the muscle and joint tolerance. Conditions affecting the thoracic spine include: disc herniation and protrusion, facet joint inflammation, muscle strain, rib dysfunction, and osteoarthritis, all of which can benefit from targeted physiotherapy exercises.

Forward desk posture causing upper back and neck pain. Home physiotherapy can help to reduce pain

In extremely rare cases, thoracic pain can indicate more serious conditions such as cancer. If you are experiencing thoracic pain alongside any of these additional symptoms, it is crucial to seek medical attention as soon as possible: night pain, night sweats, weight loss, a history of cancer, or leg weakness or numbness. Additionally, incorporating physiotherapy exercises may help alleviate upper back pain, but it should not replace professional medical advice.

Assessment of Thoracic Pain

Upper back pain physiotherapist assessment by the Home Physios

Before setting out a treatment plan, your Home Physio will conduct a thorough assessment of your symptoms to determine the source of your upper back pain and thoracic pain. They will evaluate the history of your condition, along with the presentation of your symptoms and pain. 


This assessment will include a physical examination, focusing on your movement and strength. Your physiotherapist will also palpate the spine, checking for joint restriction and muscle tenderness to inform the appropriate physiotherapy exercises.

Treatment of Thoracic Pain

Treatment for your thoracic spine issues will be customized based on the results of the physiotherapy assessment. Treatment options for upper back pain may include: 


- Joint mobilisation and manipulation 

- Joint or thoracic mobility exercises 

- Physiotherapy exercises focused on stretching and strengthening 

- Posture advice and education 

- Taping 


Beginner physiotherapy exercises include: 


- Seated rotations: In a seated position, cross your arms over your chest with hands touching opposite shoulders. Sit upright and gently rotate your waist while keeping your head and neck neutral. 

- Thread the needle: On all fours, extend your right hand with the palm facing up and thread it through the space between your left arm and left leg. Repeat on both sides. 

- Cat / Camel: On all fours, arch your back upwards towards the ceiling, tucking your belly button in and bringing your chin down to create the “Camel” pose. Then, reverse by looking up and lowering your belly button towards the floor for the “Cat” pose. Keep your hips stable throughout both movements. 


If you are seeking a local home physiotherapist to help with your thoracic pain or upper back pain, please reach out to us for a consultation. Contact us using the form below, call 020 8226 0187, or email us at contactus@thehomephysios.com.

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The Home Physios

London, Greater London, England, United Kingdom

020 8226 0187 contactus@thehomephysios.com

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