Thoracic spine

The thoracic spine is the middle and upper part of your back, where the ribs attach. Because it's built for stability, it tends to get stiff rather than painful — but that stiffness can lead to aching between the shoulder blades, tight breathing, or discomfort with twisting and reaching. Posture and long periods of sitting often play a part.

Physiotherapy for the thoracic spine focuses on restoring movement, easing muscle tension, and building the mobility and strength needed for comfortable posture and breathing. In this section you'll find clear, evidence-based guidance on assessing and treating upper- and mid-back pain and rib-related problems — useful for clinicians and easy for patients to follow.