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
Excessive anterior rotation of the pelvis increasing lumbar lordosis. Driven by hip flexor shortening, weak glutes, altered breathing patterns, and rib cage position dysfunction. Common in sedentary populations and lifters who skip glute activation work.
Deep Hip PainDeep anterior or lateral hip pain not explained by muscle strain alone. Differential includes labral pathology, hip impingement, hip OA, and referral from the lumbar spine. Assessment uses provocation tests and strength in available range.
Posterior Pelvic TiltExcessive posterior rotation of the pelvis flattening the lumbar lordosis. Driven by glute overactivity relative to hip flexors, hamstring dominance, thoracic kyphosis compensation, and pelvic floor tension. Common in desk workers and those who 'tuck under' habitually.
Achilles TendinopathyDegenerative tendon condition of the Achilles tendon, either at the mid-portion or insertion. Assessment targets calf endurance, ankle dorsiflexion, heel rise capacity, and biomechanical loading patterns during gait.
Piriformis SyndromeDeep buttock pain from piriformis muscle spasm or tightness compressing the sciatic nerve. Assessment targets hip IR/ER ratio, piriformis length testing, lumbar contribution screening, and neural tension signs.
Pelvic Floor DysfunctionAssessment and management of pelvic floor dysfunction including incontinence, pelvic organ prolapse symptoms, and pelvic pain. Covers breathing-pelvic floor coordination, core canister function, and graduated return to impact and load.