Middle back

The central part of the spine, also known as the thoracic or mid-back spine, encompasses the region of the spine between the cervical and lumbar sections. It consists of twelve vertebrae, labeled T1 to T12. This part of the spine is unique because each vertebra has rib attachments that articulate with the ribs, forming the rib cage that protects vital organs such as the heart and lungs. The thoracic spine is less mobile than the cervical or lumbar spine due to its role in protecting the thoracic organs and supporting the rib cage. This stability is essential for basic body functions, such as breathing. However, the reduced mobility of the thoracic spine can contribute to increased stiffness and pain in this area, especially in individuals who perform activities with limited movement for extended periods.

How can physiotherapy help you?

Physiotherapists often treat various conditions and issues that occur in the mid-back (thoracic spine). Some of these include:

• Muscle tension and pain: poor posture, prolonged sitting, or physical strain often lead to pain and tension in the muscles of the thoracic spine.
• Intervertebral disc herniation: although less common in the thoracic spine compared to the cervical or lumbar spine, disc herniation in this region can cause pain, stiffness, and even neurological symptoms such as tingling or weakness in the arms.
• Scoliosis: this condition involves a lateral curvature of the spine, often affecting the thoracic region. Physiotherapy is used to manage symptoms and prevent further curvature progression.
• Osteoporosis: osteoporosis can weaken the vertebrae in the thoracic spine, causing pain and increasing the risk of fractures.
• Spondylosis: degenerative changes in the vertebrae, known as spondylosis, are common in the thoracic spine and can lead to pain and limited mobility.
• Kyphosis: pathological increase in the curvature of the spine in the thoracic region, known as kyphosis, can cause pain and posture problems.
• Overuse injuries: athletes and individuals performing repetitive motions may experience overuse injuries in the thoracic spine.
• Postural issues: poor posture can lead to chronic pain in the thoracic spine, often due to the modern lifestyle that involves prolonged sitting in front of a computer.