Upper Back Care: Gentle Non-Invasive Methods
Upper back care is essential for maintaining spine health and overall upper body function. The upper back, comprising the thoracic spine and surrounding muscles, supports posture and arm movement. Various factors such as muscle strain, poor posture, or joint stiffness can cause discomfort or limited movement in this area. Recognizing symptoms and understanding causes early can guide appropriate care choices.
At Chiropractic Specialty Center, we offer non-invasive upper back care combining chiropractic, physiotherapy, and rehabilitation methods. Our gentle, integrative approach focuses on improving spine and joint function safely without surgery or medications. These non-rotatory techniques aim to restore mobility and comfort gradually, supporting long-term upper back health. Early attention to upper back concerns can help prevent worsening symptoms and promote better function.
Our clinical teams utilize targeted care, including spinal assessments, chiropractic adjustments, and physiotherapy techniques, to provide lasting comfort and promote long-term spinal health. The importance of timely intervention is emphasized, as neglecting minor upper back discomfort can lead to chronic conditions. For efficient recovery, CSC integrates modern technology and research-based methods, ensuring the comprehensive outcomes for patients.
Key Points About Upper Back Care
- Early recognition of upper back discomfort can guide timely care.
- Non-invasive options include chiropractic, physiotherapy, and rehabilitation.
- Gentle, integrative care helps restore spine function and improve comfort.
Contact Us Today for Upper Back Care
If you experience upper back discomfort or stiffness, Chiropractic Specialty Center provides non-invasive care combining chiropractic, physiotherapy, and rehabilitation to support spine health gently and safely. Early care may improve function and comfort. Contact us via our contact page to learn more.
Upper Back Concerns
While lower back concerns are more commonly discussed, neck and upper back discomfort is becoming increasingly prevalent. There are numerous causes of upper back discomfort, with the most common ones being shoulder-related issues, lower neck complications, spinal disc concerns (such as those cared for with our proven slipped disc methods), arthritis, osteoporosis, spondylosis, degenerative joint issues, muscle spasms, misalignments in the rib area, sprains/strains, fractures, and even malignancies.
This article will explore these causes and provide insights into efficient care approaches. But first, let’s begin with some foundational information about upper back concerns and the methods used to address them.
The Function of the Thoracic Spine
The upper back, or thoracic spine, is the longest segment of the spine. It begins at the base of the neck and extends down to the abdomen, making it the most complex spinal structure. The thoracic spine connects the cervical spine (neck) above and the lumbar spine (lower back) below.
The thoracic spine consists of 12 vertebrae stacked upon each other. Its primary role is to maintain and protect internal organs such as the heart, lungs, and liver. Additionally, it provides essential care for the neck. While the cervical (neck) and lumbar (lower back) regions of the spine are primarily responsible for mobility, the thoracic spine is designed for stability and protection. The two most important roles it plays are:
- Protects Internal Organs by Anchoring the Ribcage: The ribcage is attached to the thoracic spine, providing bony protection for vital organs like the lungs, heart, and liver.
- Protects the Spinal Cord: The spinal cord, which is a continuation of the brain, is protected by the vertebrae that form the bony canal. This critical bundle of nerve fibers controls all bodily functions and runs through this canal.
About Your Back
Upper back discomfort can stem from soft tissues, bones, and joints in the upper back, shoulders, or neck. Your back is a complex structure consisting of bones, joints, muscles, tendons, nerves, and ligaments. Your spine is made up of 24 separate vertebrae stacked on top of each other, with the final two segments combining to form the tailbone, which is made up of the sacrum and coccyx.
Between each vertebra are flexible but sturdy pads called spinal discs or vertebral discs, which help maintain the stability, strength, and mobility of the spine. These discs are securely attached to each vertebra by a structure known as the vertebral end-plate. The spinal disc is avascular, meaning it lacks blood vessels.
The space in the center of each vertebra creates the spinal canal. The spinal cord, a rope-like structure, emerges from the brain and passes through the spinal canal. It serves as a pathway for nerve signals between the brain and organs, muscles, tendons, ligaments, joints, spinal discs, arteries, and veins.
The spinal cord extends to the upper regions of the lower back before continuing downward as the Cauda Equina, named after its resemblance to a horse’s tail. Upper back discomfort occurs when the spinal nerves, spinal cord, muscles, ligaments, or joints of the spine or ribcage become affected. Misalignments, known as subluxations, can cause discomfort and are often a contributing factor. In the next section, we will explore the causes and symptoms of these conditions.
Symptoms & Causes of Upper Back Discomfort
Upper back discomfort refers to aches in the thoracic spine. This discomfort can arise from issues with the shoulder blades or neck. Recently, upper back discomfort has become more common, and no one is exempt from experiencing it. In young children and working adults, the discomfort is often due to carrying heavy bags.
Poor posture while sitting at a desk and the prolonged use of handheld electronics are frequent contributors to upper back discomfort in children. In athletes and laborers, overuse and inadequate rest during workouts are significant causes of upper back discomfort. In the elderly, degeneration plays a primary role in the development of upper back discomfort. Simply put, nobody is immune to this issue.
Upper back injuries are relatively common due to the complexity of the anatomical structures within the associated spinal segments. Soft tissues, including muscles, tendons, ligaments, and spinal discs, are particularly vulnerable to injury. Various factors can contribute to upper back discomfort, including muscle tears, damaged ligaments, nerve impingement, facet joint arthritis, vertebral fractures, and slipped discs (protruded, herniated, or prolapsed spinal discs).
Spinal Joints & Upper Back Discomfort
Facet joints, also known as spinal joints or zygapophyseal joints, are a common source of discomfort in the upper back. Research published in Pain Physician by Dr. Manchikanti, Dr. Singh, Dr. Pampati, Dr. Beyer, and Dr. Damron highlighted facet joints in the thoracic spine as a prevalent source of discomfort. Their study, titled “Evaluation of the Prevalence of Facet Joint Discomfort in Chronic Thoracic Discomfort,” found that up to 48% of individuals experience discomfort in the upper and mid-back regions. The authors emphasized the need for more focus on the upper back portion of the spine.
Facet joint discomfort often results from facet hypertrophy (arthritis or bone spurs) or the thickening of the ligamentum flavum. While spine surgery is frequently recommended, conservative methods are often the preferred approach. Spine surgery has a high failure rate, and experts recommend exhausting non-invasive methods before considering surgery.
Facet joint issues in the upper back often lead to discomfort when muscle and ligament weakness is present. This weakness can result in spinal joint misalignment. Clinical chiropractors refer to this misalignment as subluxation. A separate study published in BMC Musculoskeletal Disorders also identified upper back joints as a common source of discomfort, with 42% of individuals reporting issues in this region.
Research-Based Clinical Chiropractic & Physiotherapy in Malaysia
The findings from the research mentioned above are why our clinical teams pay particular attention to the upper back and neck during assessments and care. At our centers, we employ the most efficient research-based methods to ensure that you receive productive care. Whether you are experiencing discomfort in the upper back or other areas, our team is committed to providing you with holistic, non-invasive solutions.
Slipped Disc & Upper Back Discomfort
The joints of the upper back are not always the sole cause of discomfort. Neck issues, such as a slipped disc at the C5-C6 level, can often refer discomfort to the upper back. Although slipped discs are rare in the upper back, they are a more common cause of discomfort in the neck, and this discomfort frequently extends to the upper back, especially around the shoulder blade area. Therefore, upper back discomfort is a typical symptom for those experiencing a slipped disc in the neck. It is crucial to have your neck thoroughly assessed by clinicians with a deep understanding of spinal health, especially when dealing with slipped discs.
Another factor to consider is the rib cage. Misalignments of the ribs or the joints between the ribs and sternum can also contribute to discomfort. However, it is important to note that the rib cage plays a vital role in protecting and housing essential organs such as the heart, lungs, diaphragm, liver, stomach, and spleen. With the significant mechanical load placed on the spine, the functioning of these organs can also be impacted.
Non-Surgical Care for Upper Back Discomfort
It is common to hear people express discomfort or tightness in their upper back. However, these symptoms should never be ignored, as they may be signals from your body indicating that something is wrong. Discomfort is a sign that your body requires attention. Ignoring these signs can lead to further complications. It is essential to listen to your body and address upper back discomfort promptly. Visit one of our centers today for expert care and non-invasive solutions. Unlike other centers, we utilize modern technology to maintain spinal health.
Neglecting minor issues is often the cause of developing chronic conditions over time. At Chiropractic Specialty Center®, our clinical teams are dedicated to helping you feel better and care you in living a healthy, active life. Discomfort in the upper back can affect posture, mental well-being, and overall physical health if left unaddressed.
If you or someone you know is experiencing upper back discomfort, it’s important to have it assessed properly. Our holistic approach to upper back care provides long-term comfort, helping you lead a more active and ache-free life. Contact us today for more information!
Yama Zafer, D.C. – Upper Back Care: Causes, Signs & Non-Invasive Options
Yama Zafer, D.C., with educational background in physiotherapy and chiropractic from Cleveland Chiropractic University in Kansas City, has nearly three decades of experience in physiotherapy and chiropractic; read more about Y. Zafer on his official bio page.
Peer-Reviewed Medical Reference Citations
- Mayer JM, et al. Thoracic spine and chest wall pain: diagnosis and management. Phys Med Rehabil Clin N Am. 2013;24(1):1-14.
- O’Sullivan PB, et al. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments. Man Ther. 2012;17(4):317-23.
- Strunce JB, et al. The upper thoracic spine: a pain referral area often overlooked. J Manipulative Physiol Ther. 2009;32(2):97-105.
- Cook C, et al. Effectiveness of chiropractic and physiotherapy care for upper back pain: a systematic review. J Manipulative Physiol Ther. 2011;34(7):486-95.
- Childs JD, et al. Interventions for upper back pain and thoracic dysfunction. Phys Ther. 2004;84(9):813-28.
- Fernández-de-Las-Peñas C, et al. Upper thoracic spine pain: pathophysiology and clinical management. Curr Pain Headache Rep. 2014;18(8):437.
- Cleland JA, et al. Effectiveness of manual therapy and exercise for thoracic spine pain: a systematic review. J Orthop Sports Phys Ther. 2008;38(7):367-87.
Last Updated
Last updated May 23, 2025: Upper Back Care: Gentle Non-Invasive Methods.
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