Our midback consists of 12 thoracic vertebrae (thoracic spine), 24 ribs, and a variety of joints, tendons, ligaments, and muscles that are common sites for many injuries.  Our thoracic spine naturally has the least amount of range of motion of all of our spinal segments and prone to many faulty mechanics.  Our thoracic spine is often subject to forward flexed posture with rounded shoulders and anterior head carriage, which can impact the way move, feel, and breathe.


Often, our ribs are a significant source of pain in the midback, creating sharp, stabbing pain in the back that can be local or travel into the neck.  This rib dysfunction requires treatment and is often described as “a trigger point that doesn’t go away,” or “pinched nerve” in the back. Midback pain has many origins and many different presentations and should be evaluated by a medical professional.


Full body X-ray that demonstrates a normal looking thoracic region. Films include anterior view (front) and lateral view (side). 


  • Abnormal posture

  • Costochondritis

  • Diastasis Recti/Core Dysfunction

  • Disc Herniation

  • Generalized Muscle Weakness

  • Gibbus Deformity 

  • Hyperkyphosis (Rounded back) 

  • Intercostal Neuralgia 

  • Non/Pre and Post-Surgical (Discectomy, Fusion, Laminectomy, Scoliosis)

  • Myofascial Pain Syndrome

  • Post Fracture Rehabilitation

  • Scheuermann’s Disease

  • Scoliosis

  • Slipped Rib Syndrome

  • Sports Injury

  • T4 Syndrome


Illustration of the rib cage. Abnormal stresses anywhere in the body can alter theses symmetric rings, causing severe pain that feels like a "pinched nerve." 


Mid back pain has many origins and presentations and can affect a patient in many different ways. The region of pain might not be the region that is causing your current issue. Our team of doctors evaluates each patient through a detailed history and comprehensive physical exam that includes a series of dynamic and static tests, postural exam, GAIT analysis, and examination of the lower or upper extremity movement patterns that trigger your symptoms.  This thorough examination will allow us to identify what is causing your pain or dysfunction and begin working on an individualized treatment plan with corrective exercises that fits your exact needs.