The mid back, or thoracic spine, sits between the neck and lower back and forms the structural foundation for the ribcage. It is a region that is frequently overlooked in the assessment and treatment of pain, despite playing a central role in shoulder function, breathing mechanics, and the distribution of load through the whole spine.

​

Mid back pain can arise from a range of sources, including joint restriction, muscle tension, rib dysfunction, disc-related changes, and postural loading. It is particularly common in people who spend long hours at desks or screens, in those who carry physical load through work or sport, and in people with underlying postural patterns that place sustained stress on the thoracic region.

​

One of the most important principles in assessing mid-back pain is understanding that the thoracic spine does not function in isolation. Restriction or dysfunction in the lower back, pelvis, glutes, and legs frequently contributes to how load is distributed through the mid back, and addressing these areas as part of treatment is often essential to achieving lasting results.

 

Your osteopath will always assess and treat the full spinal and pelvic chain rather than focusing on the symptomatic area alone.

​

Rib pain is a distinct but related presentation. The ribs articulate with the thoracic spine posteriorly and the sternum in the front, and dysfunction at either end can produce pain that is sharp, catching, or breath-related.

 

Rib pain is often aggravated by deep breathing, coughing, or specific movements, and can sometimes be mistaken for referred pain from other structures.