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Mid Back Pain Treatment in Portland & Hood River

Mid back pain is pain or stiffness in the thoracic spine — between the base of the neck and the bottom of the rib cage, often between the shoulder blades. It's commonly linked to posture and rib joint irritation. ALVIS Chiropractic treats mid back pain with chiropractic care at both our Portland and Hood River clinics.

Medically reviewed by Dr. Andrew Alvis, D.C. · Last reviewed

Man in his mid-30s reaching over his shoulder to rub his upper and mid back at his office desk

What is mid back pain?

The thoracic spine is the middle section of your back, where the ribs attach. It's built for stability more than mobility, so it tends to stiffen, especially with long hours of sitting. Each rib joins the spine at small joints that can become irritated and cause sharp, localized pain.

Medical illustration of the thoracic spine and the muscles between the shoulder blades highlighted
Illustration: the mid-back muscles between the shoulder blades

Common symptoms of mid back pain

  • Aching or burning pain between the shoulder blades
  • Stiffness when twisting or taking a deep breath
  • Sharp, localized pain near the spine that may wrap along a rib
  • Muscle tightness in the upper back
  • Pain that worsens after long periods at a desk

What causes mid back pain?

Common causes include slouched sitting posture, long computer or driving sessions, muscle strain from lifting or reaching, rib joint irritation, and sports with repetitive twisting such as paddling or golf. Less commonly, disc problems or arthritis are involved.

Rib-related mid back pain

A rib joint that's irritated or not moving well can cause sharp pain next to the spine that catches with deep breaths, coughing or twisting, and may wrap around toward the front. Because heart and lung problems can also cause pain in this area, your doctor will screen carefully before treating.

When should you see a doctor right away?

Most mid back pain is not an emergency, but some symptoms need immediate medical care. Call 911 or go to the nearest emergency room — rather than booking a chiropractic visit — if you have any of the following:

  • Chest pain, pressure or shortness of breath — call 911
  • Pain spreading to the arm, jaw or neck with sweating or nausea
  • Mid back pain after a fall or crash, especially with osteoporosis
  • Fever with back pain, or unexplained weight loss
  • Leg weakness, numbness or loss of bladder or bowel control

How chiropractic care may help mid back pain

Chiropractic care for mid back pain focuses on restoring motion in the thoracic spine and rib joints. Your doctor may use gentle adjustments, mobility techniques and stretching, plus posture and workstation advice. StemWave may be used for tight upper-back muscles.

Services used for mid back pain:

What to expect at ALVIS

Care for mid back pain at ALVIS Chiropractic follows three simple steps, starting with a free consultation. Nothing is decided until the doctor has heard your story and examined you, and there's no obligation to begin care.

  1. 1Free consultation: tell the doctor about your mid back pain — when it started, what makes it better or worse, and your goals.
  2. 2Exam: a hands-on chiropractic exam, with X-rays or other imaging reviewed or referred if needed, to identify the likely source and rule out red flags.
  3. 3Personalized plan: the doctor explains the findings and recommends a plan, which may include chiropractic care, StemWave, home exercises or — in Portland — spinal decompression, or a referral if another provider is a better fit.

At-home tips while you heal

These general tips are safe for most people. Stop anything that clearly worsens your symptoms and ask your doctor what's right for you.

  • Set a timer to stand and stretch every 30 minutes at your desk.
  • Try gentle thoracic extension over the back of a chair.
  • Practice slow, deep breathing to keep the rib cage moving.
  • Avoid carrying heavy bags on one shoulder.

Mid Back Pain treatment at our locations

Results vary. This page is for education and is not a substitute for a medical evaluation. Healthcare disclaimer.

Mid Back Pain FAQ

What causes pain between the shoulder blades?

Pain between the shoulder blades is commonly caused by sustained posture at a desk or phone, muscle strain, or irritated rib joints. Less often it comes from a disc in the neck or mid back. Because heart, lung or gallbladder problems can also refer pain there, new or unusual pain should be evaluated.

Can a chiropractor help mid back pain?

Yes. Chiropractic care may help mid back pain by restoring motion in the thoracic spine and rib joints, easing muscle tension and improving posture habits. Your doctor examines you first to rule out non-musculoskeletal causes. Care is available at both our Portland and Hood River clinics.

When is upper or mid back pain serious?

Call 911 if mid back pain comes with chest pain or pressure, shortness of breath, sweating, nausea or pain spreading to the arm or jaw. Also seek prompt care for pain after a fall, with fever, unexplained weight loss or leg weakness.

How do I relieve mid back stiffness at a desk?

Adjust your chair and screen so you sit upright with your back supported and your screen at eye level. Stand and move every 30 minutes, do gentle twists and extension stretches, and take a few deep breaths to keep the ribs moving. Regular exercise also helps.

Can a rib be out of place?

Ribs don't usually dislocate, but the small joints where ribs connect to the spine can become irritated or restricted, causing sharp pain with breathing or twisting. Gentle chiropractic techniques may help restore motion. Your doctor will rule out fractures and other causes first.

Last updated . Educational information, not medical advice; individual results vary. Healthcare disclaimer.

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