Upper Back Pain (Thoracic)
Pain between the shoulder blades or in the mid-back region. Assessment targets thoracic mobility, scapular positioning, cervical contribution, breathing patterns, and postural endurance.
Key ROM Tests
Risk Factors Assessed
Expected Timeline
4-8 weeks for acute, 8-16 weeks for chronic postural-driven
Frequently Asked Questions
Can upper back pain (thoracic) be corrected with exercise?
What assessments are done for upper back pain (thoracic)?
Is upper back pain (thoracic) the same for everyone?
How do I get started with the Upper Back Pain (Thoracic) protocol?
Get your Upper Back Pain (Thoracic) assessment
Your coach runs this protocol as part of your structural evaluation, then builds a personalized corrective plan based on the data.
Apply for AssessmentProtocol Details
- Category
- Condition
- Subcategory
- Pain Condition
- ROM Tests
- 6
- Corrective Targets
- 4
- Benchmarked
- Yes
- Red Flag Screens
- 4
- Timeline
- 4-8 weeks for acute, 8-16 weeks for chronic postural-driven
Take our 2-minute quiz to identify your pain patterns and get a personalized correction plan.
Related Condition Protocols
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Tension HeadachesCervicogenic and tension-type headaches driven by cervical dysfunction, forward head posture, upper trapezius tension, and breathing pattern disorders. Assessment targets the musculoskeletal contributors to headache frequency and intensity.
Sacroiliac Joint DysfunctionPain arising from the sacroiliac joint, often presenting as unilateral low back and buttock pain. Assessment targets SIJ provocation tests, pelvic symmetry, hip mobility, and lumbar contribution.
Frozen Shoulder (Adhesive Capsulitis)Progressive loss of shoulder ROM with pain, following a freezing-frozen-thawing pattern. Assessment targets active and passive ROM loss, capsular pattern identification, and functional limitation severity.
Rounded Upper Back (Thoracic Kyphosis)Excessive thoracic flexion creating a rounded upper back. Driven by pec tightness, scapular protraction, rib cage depression, weak thoracic extensors, and sustained flexed postures. Upstream driver for forward head posture and shoulder impingement.
Forward Head PostureAnterior translation of the head relative to the thorax, increasing cervical lordosis at the upper segments and creating chin-poke posture. Driven by deep neck flexor weakness, upper trapezius dominance, thoracic kyphosis, and sustained screen/device use.