Mid Back Pain

Mid-back pain, also called thoracic spine pain, commonly feels like stiffness between the shoulder blades or a sharp twinge when twisting, reaching, or taking a deep breath. At KIRO, we focus on restoring rib and thoracic spine motion so you can move freely, train effectively, and handle daily tasks without constant restriction.

Why does mid-back pain occur?

Mid-back pain often develops from repetitive reaching, rotational sports, prolonged sitting, or lifting awkwardly. These movements can strain the thoracic joints and surrounding muscles. When thoracic rotation is limited, the neck and lower back are forced to compensate, leading to a chain reaction of pain. In many cases, rib dysfunction adds a sharp, breath-related component that makes the discomfort more noticeable.

What are the common symptoms of mid-back pain?

Common symptoms of mid-back pain include stiffness or pressure between the shoulder blades, sharp pain when twisting, sneezing, or taking a deep breath, reduced rotation, and discomfort that may radiate to the chest wall or make it hard to sit upright with good posture.

Who is most at risk with mid-back pain?

People most at risk for mid-back pain include office workers, teachers, and drivers who sit for long periods, as well as athletes in rotational or overhead sports like golf, tennis, swimming, climbing, and racquet sports. Dentists, stylists, warehouse workers, and musicians who reach or twist repeatedly are also more likely to develop thoracic pain.

How do KIRO doctors treat mid-back pain?

On your first visit, our chiropractors perform a comprehensive exam and a baseline Nervous System Scan to identify the root cause of your mid-back pain and related symptoms. After the exam, we share a detailed report of findings so you understand the severity of your condition and what a personalized chiropractic treatment plan will look like.

During the first few weeks, what we call the symptomatic phase, our doctors typically recommend 1–2 visits per week to reduce pain and restore motion in the thoracic spine and rib joints. Your plan blends targeted adjustments to the thoracic spine and costovertebral (rib) joints with progressive mobility and strengthening. Once you move into the corrective phase, weekly adjustments are often suggested so your spine can build long-term stability and better movement patterns. After about three months of consistent care, most patients enter the preventive phase to maintain mobility and prevent symptoms from returning.

To track your progress, we perform a monthly Nervous System Scan and adjust your care plan to focus on key target areas. Throughout your journey, our doctors also coach you on stretches and exercises that help relieve symptoms and support healing. In addition, we rotate doctors during your care so you benefit from multiple expert perspectives and the highest level of clinical insight.

How long does it take to heal mid-back pain?

Most patients notice improvement in mid-back pain within 4–6 weeks of consistent chiropractic care. The corrective phase, which builds posture endurance and coordination, usually adds another 6–8 weeks. In total, about 12 weeks of care often leads to lasting relief, with many patients choosing periodic maintenance visits to prevent the pain from returning.

What are the benefits of chiropractic care for mid-back pain?

Benefits of chiropractic care for mid-back pain:

  • Improves thoracic spine rotation and mobility

  • Makes breathing and deep movements easier

  • Enhances posture tolerance for sitting and standing

  • Reduces referred pain into the chest or neck

  • Supports a faster, safer return to sports and lifting

  • Provides a drug-free, non-surgical treatment option

  • Focuses on addressing the root cause, not just symptoms

READY TO TAKE THE NEXT STEP?

Schedule your first appointment for just $39.
Includes an Exam, Consultation, and Total-Spinal Adjustment.

Bonus: your $39 is fully-refundable if you decide to become a Member and begin treatment with our doctors during your appointment.

FREQUENTLY ASKED QUESTIONS

    • Why do I feel a sharp pain when I sneeze?

    • Why do I feel a sharp pain when I sneeze?

    • Why do I feel a sharp pain when I sneeze?

    • What is the knot between my shoulder blades?

    • What is the knot between my shoulder blades?

    • What is the knot between my shoulder blades?

    • Can mid-back or thoracic pain cause chest discomfort?

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    • Does sitting cause mid-back pain?

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    • Does a standing desk help with mid-back pain?

    • Do I need an x-ray for mid-back pain?

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    • Can working out help with mid-back pain?

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    • Can chiropractic adjustment fix mid-back pain?

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    • Can mid-back pain be related to heart or gallbladder?

    • Can mid-back pain be related to heart or gallbladder?

    • Can mid-back pain be related to heart or gallbladder?