Mid-back, Chest and Rib pain
Pain in the mid-back, chest or around the ribs can feel worrying, particularly when it affects breathing or movement. In many cases, these symptoms are related to how the thoracic spine and ribs are moving and coping with everyday postures and load.
The mid-back and rib cage play an important role in posture and breathing. Reduced movement or stiffness in this area can develop with prolonged sitting, laptop or desk work, stress or sustained forward-rounded postures. This may lead to localised pain, aching, sharp discomfort with movement or a feeling of tightness around the chest or rib cage. Some people also notice clicking or cracking sounds when moving, which are common and not usually a cause for concern.
Pain in this region may also be influenced by tension or spasm in the muscles between the ribs. This can cause discomfort that wraps around the chest or side of the rib cage and may be aggravated by breathing, twisting or certain positions.
In some cases, pain felt in the mid-back or chest can be referred from elsewhere in the body. Internal organs share nerve pathways with muscles and joints, which means symptoms are sometimes felt away from their source. For this reason, it is important to distinguish between musculoskeletal pain and pain that may require medical assessment.
Osteopathic assessment and care
Osteopathic assessment for mid-back, chest and rib pain focuses on how the thoracic spine, ribs, shoulders and neck are moving and working together. Posture, breathing mechanics and daily activities are also considered.
Treatment may involve hands-on techniques to ease muscle tension, support joint and rib movement and improve overall mobility. Advice is often given on posture, breathing, activity modification and simple exercises to reduce strain and support recovery.
Where symptoms suggest that pain may not be musculoskeletal in origin, appropriate referral for medical assessment is always advised.
When to seek medical advice
You should seek medical advice if chest or mid-back pain is accompanied by symptoms such as fever, unexplained shortness of breath, a severe or persistent cough, dizziness or pain that is sudden, severe or worsening.
Appointments can be booked via my online diary.
