Rib Pain

Thoracic Spine/Rib Cage Pain

The thoracic spine consists of 12 vertebrae and is more commonly referred to as the upper back. The thoracic spine connects to the rib cage via joints called the costovertebral joints. Together, the thoracic spine and ribcage act to protect the spinal cord and internal organs, support breathing, and help to promote postural stability. Tightness through the thoracic spine, notably between the shoulder blades, can result in back pain, shoulder pain, and neck pain. When the thoracic spine and ribcage lack mobility, it can lead to sharp pain and is often described as “something is out of place”. Similarly, lacking mobility through the spine and ribcage can make it feel difficult to take a full breath due to the mechanical function this area has during breathing via the control of the diaphragm. 

Common Thoracic Spine/Ribcage Injuries Include:

• Costochondritis 
• Thoracic Joint Irritation
• Scapulothoracic Dysfunction/Dyskinesia 
• Increased Thoracic Kyphosis 

Physical Therapy can help to improve mobility through the thoracic spine and ribcage via a variety of manual therapy techniques, manipulation, and exercises to promote postural stabilization. Treatment may also incorporate addressing mechanical flaws in breathing mechanics. The thoracic spine and ribcage have a large role in mobility, stability, and support of surrounding structures, such as the shoulder girdle and lumbar spine. As such, your Physical Therapist will help to identify whether the thoracic spine and ribcage are the cause of your symptoms or a byproduct of inefficiencies elsewhere. 

*Seek Immediate Medical Attention if you experience chest pain with shortness of breath, difficulty breathing, or sudden severe pain without a clear cause.