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Thoracic Spine aka Upper Back Pain

This is an area that tends to be forgotten…the thoracic spine aka your upper back. This area needs to be able to move well AND be strong! Often times one or both of these things are occurring which leads to that annoying upper back pain!

What you’ll learn today:

  1. Common causes of upper back pain

  2. How to relieve the pain

  3. How to stop aggravating the area

  4. Long term relief

*Disclaimer: All of this content is for educational and informational purposes only. None of which constitutes as medical advice and does not establish any kind of patient-provider relationship by your use of this information. Please consult your doctor or qualified medial professional if you have a genuine concern.

This is a GENERAL GUIDE with GENERL INFORMATION. Everyone’s pain and circumstances are different. Ideally, you should have an individualized treatment plan based on your unique needs (I can help with this). Let me share a few things to help you get started…

Common Causes of Upper Back Pain

During Pregnancy:

  • Your center of gravity changes as your baby grows and increased breast tissue can lead to…

    • Your shoulders rounding forward and pec (chest muscle) tightness

    • Upper back rounds and can become stiff

      • Limited movement through the upper back can cause pain

During Postpartum:

  • Caring for the baby - holding, rocking, feeding, etc can lead to…

    • Your shoulders rounding forward and pec tightness

    • Upper back rounds and can become stiff

      • Lack of rotation (twisting) and extension through the upper back can cause pain

      • Weak and/or tight muscles that don’t work efficiently or effectively can also lead to pain

Muscle imbalance: weakness or tightness

    • Our bodies crave balance and when one area is too tight or another area is weak, this can lead to aches/pains

      • Weakness in the muscles of the upper back

      • Tightness in the pecs

Pain Relieving Techniques

  • Moist heat to relax those muscles

    • A warm compress or heating pad on the back muscles for 10 -15 minutes (20 minutes MAX) can do wonders!

  • THEN, after relaxing those muscles, try to get your upper back moving in all directions

    • Twisting left to right

    • Rounding and arching your upper back

    • Tilting side to side

    • 10 times each motion

  • Trigger point release of upper back muscles

    • Stand up against a wall

    • Using a massage ball, lacrosse ball, golf ball, find those tight muscles or “knots” around your shoulder blades

    • Roll the ball over those muscles using the pressure from the wall

    • Start with gentle pressure and work your way up in intensity always making sure it’s not painful

    • Roll for 2-5 minutes

Daily Modifications

  • Modify the activities throughout your day that are aggravating your pain

    • If we can optimize our alignment/position as well as movement patterns it will put less stress/strain on our back, and then less aches and pains

  • Remind yourself to think tall (like someone pulling you up by your ponytail) to improve your posture

  • Shoulder blade squeeze (check out this blog for more details) when using your arms

Long Term Solutions

  • Strength/stability

    • Upper back strengthening

  • Mobility/flexibility

Let’s Review

  1. Relieve your pain with heat, gentle movements, and trigger point release

  2. Modify your daily activities to prevent aggravation (upright posture and shoulder blade squeeze)

  3. Movement component: mobility and stability for long term relief

Remember, this is a GENERAL GUIDE. If you want an individualized plan, schedule a 1:1 Virtual Consult. Let’s get you thriving!  


*Disclaimer: All of the content is for educational and informational purposes only. None of which constitutes as medical advice and does not establish any kind of patient-provider relationship by your use of this website. Please consult your doctor or qualified medial professional if you have a genuine concern regarding your health or the health of your baby