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Thoracic Mobility Exercises: Unlock Your Body for Pain Relief

May 2, 2023 · In: Mobility and Restoration, Movement

Thoracic mobility might seem like a complex term. It refers to the mobility of your upper back. This area of your spine is crucial for ensuring your whole body moves seamlessly. Considering its role in everything from turning your head to lifting your arms, it’s no wonder that enhancing the mobility in this region can lead to profound benefits. Improvements in thoracic mobility can significantly uplift your posture, opens the door to more efficient breathing, and can even reduce that nagging back pain you’ve been dealing with. Thoracic mobility exercises target the very part of your spine that will enhance your posture, athletic performance, and transform daily activities into pain-free experiences. This post will address what the thoracic spine is, why it is important for proper movement and posture, and what happens when the thoracic spine is stiff (which is very common for the majority of people). You’ll even learn about which thoracic mobility exercises will help you move better and more freely!

Take me straight to the exercises!

**This is not medical advice. Please consult your medical provider for more information.

thoracic mobility exercises

Anatomy of the Thoracic Spine

The thoracic spine is composed of 12 vertebrae, T1-T12. It is the area below your cervical spine (neck) and above your lumbar spine (low back). The thoracic spine comprises your upper and middle back region. It has many jobs including providing attachments for the ribs, protecting the spinal cord, nerves, and inner organs found within the chest and abdominal regions, and providing movement for the body.

Understanding the thoracic spine’s anatomy illuminates the interconnectedness of spine health. It facilitates functional movements involving rotation and extension. It supports postural health by keeping your upper back out of a flexed position. Having good thoracic rotation will have you performing better any any sport involving rotational movements or overhead work (pretty much every sport imaginable). And believe it or not, having thoracic spine mobility will actually improve your squat form! Paying attention to this area of your spine can significantly impact your mobility and sets the foundation for a holistic routine addressing not only back pain relief, but a myriad of other improvements.

The Importance of Thoracic Mobility

Thoracic mobility is important because it is an area of the body that should be mobile. For optimal function, the body alternates with areas of stability followed by areas of mobility. What happens with a lot of people is that the thoracic spine becomes stiff over time. When the thoracic spine becomes stiff, this throws off the alternating chain of mobile and stable areas of the body.

Take a look at the image below which shows how areas of the body should move for optimal function. Imagine if the thoracic spine were to become stiff – this would mean that it becomes more stable. Then, the cervical, thoracic, and lumbar spines all would become stiff. Another thing that can occur is that the cervical and/or lumbar spines become more mobile to make up for the stiff thoracic spine. This can lead to further dysfunction and pain in one or more areas of the body.

thoracic mobility exercises

Improving (and maintaining) thoracic mobility fosters better posture and improved range of motion of many areas of the body. Have adequate thoracic mobility ensures that your neck and shoulders move as optimally as they can. Try this: slouch forward with your upper back hunched and try to reach up with one of your arms as high as you can go. Note how far you can reach up. Then, sit up nice and tall and reach upwards again. Do you notice something? You can reach up much further. This is because the thoracic spine plays a role in your shoulder mobility. The same goes for your neck, too.

Thoracic Mobility Exercises for Pain Relief

A good foundation is paramount for the body to function properly, which is why posture is so important. These mobility exercises are targeting the thoracic spine, and better yet, posture as a whole. Give these exercises a try and see how it addresses pains you may be feeling in your neck or back. Perform them consistently and see how much your posture improves!

Y Lift Off Against Wall

thoracic mobility stretches
thoracic mobility test

Start by standing facing the wall. Your arms will be extended in a “Y” position (see image above). Keeping your arms in this position, try to lift your arms off the wall by a couple inches. Really work to squeeze your shoulder blades together while doing this. You should feel this through your upper back between your shoulder blades. If you are able to, hold this position for up to 5 seconds. If not, briefly pause and lower your arms back to the wall before repeating again.

Foam Roll Assisted Thoracic Extension

Place a foam roll on the ground. Sit in front of it so the middle to upper portion of your back is against the foam roll. Keep your ribs down so you are not arching your low back. If you do, you will not feel this exercise in the targeted area.

While keeping your ribs down, gently push your thoracic spine into the foam roll by leaning up against it. The trick is to still keep your ribs down to prevent your lumbar spine from extending. Hold this position for a brief pause, then return back to the start and repeat.

thoracic spine stretches
thoracic mobility exercises for breathing

Spinal Elongation

tight thoracic spine symptoms

Start in a seated position. Place one finger at the top of your head as shown in the image. Your finger will act as a cue – try to elongate your spine. Think about lifting your head up towards the ceiling and up into your finger as if you are lengthening your spine.

While this really isn’t an exercise, it is a great practice to have to help offload the spine and improve posture. It resets our posture and can sometimes even reduce some mild back pain depending on the source.

Use this as frequently as you need to. The nice thing about this practice is that it can be done anywhere – at work, standing in line, sitting on the couch watching tv, etc.

Cat Cow

thoracic mobility exercises - physiopedia
thoracic mobility exercises physiotherapy

This is a common yoga move. For this exercise, you will be on your hands and knees. The first movement will be to “curl” your back up towards the ceiling. Try to tuck your tailbone under, like a dog when it is scared and tucks its tail underneath its butt. At the same time, bring your chin towards your chest. Hold this position for a brief pause.

Next, try to arch your back in the opposite direction. You will look up towards the ceiling while arching your back as much as you can to your comfort level. Try to stick your butt out with this movement too. You want to try and get as much movement throughout your spine which involves moving all the way from your head down to your bottom. Alternate between each position at least 10 times.

Thread The Needle

thoracic mobility and shoulder pain
thoracic extension

You will also start on your hands and knees for this exercise. While lifting your left hand off the ground, reach with it across your body. This will cause a right rotation through your spine and you may feel a stretch. Hold this position briefly. Then, start rotating your spine to the left – your left arm should glide from underneath your body to up and out towards the ceiling. Remember to follow your hand with your eyes to include your cervical spine in the movement as well. Repeat this up to 10 times, then repeat using your right arm.

Tools and Services for Additional Support

Thoracic mobility exercises aren’t just about the movements themselves. There are tools and techniques that can assist you with your goals and help you take your exercises a step further. The thoracic spine can be a tough area to get to on your own, so using tools to your advantage can make things much easier for you.

A foam roller is a great first tool to use. This piece of equipment can help enhance your rotation and extension-based exercise, as well as provide you with some self-massage to your upper back. If you don’t have a foam roller or if the foam roller is a bit too aggressive for you at this point in time, rolling up some both towels into a cylinder-like shape will simulate something similar to the foam roller.

Yoga and Pilates are great additional tools to start incorporating, if it is something you are interested in. Participating in group classes can be a motivating factor, making it easier to stay consistent with workouts. Both Pilates and yoga are great ways to incorporate thoracic mobility as they both address posture in different ways.

Services that can provide additional support will be physical therapists and massage therapists. Instead of relying on the self-massage from the foam roller, a massage therapist can provide a relaxing and rejuvenating massage for you. Not only are massages relaxing, but it can help with stiff and sore muscles, allowing you to more effectively participate in your own workouts. Seeking out the expertise of a physical therapist can offer you tailored advice based on what your body needs. They can ensure your mobility training is both safe and effective.

Related Articles on Thoracic Mobility, Upper Back Pain, and Posture

  • What is the Correct Sitting Posture?
  • How to Relieve Neck Pain and Tension
  • How to Use a Foam Roller for Upper Back Pain
  • How to Fix Your Rhomboid Pain
  • Do I Need to Fix My Anterior Pelvic Tilt?

Maintaining Thoracic Health Beyond Exercises

Maintaining the health and mobility of your thoracic spine extends beyond mobility and flexibility workouts. It encompasses a holistic approach that interweaves lifestyle choices seamlessly into your daily routine. On top of consistent thoracic mobility exercises, ergonomic adjustments at work and around the house are pivotal. Consider the height of your monitor, the back support of your chair, and the arrangement of your desk to sustain a posture that supports you and your spine’s health. You can perform thoracic exercises every day for a couple of minutes, but if you sit with bad posture for 8 hours a day, those exercises will not be able to undo what 8 hours of sustained postures will do. Focusing on postural awareness, along with these exercises, have the potential to profoundly impact your thoracic mobility and overall wellbeing.

How to Integrate Thoracic Mobility Into Your Routine

Integrating thoracic mobility exercises into your routine doesn’t have to be daunting. Start by dedicating just a few minutes per day to focus on just one or a few of the exercises provided above. Start by forming good habits and getting used to being consistent with the exercises. If you are someone who regularly exercises, try incorporating a few of these exercises either before or after your workout. This is what we refer to as a habit stack—where you pair a new habit with an existing one to make it easier to stick with the new habit to where it becomes easier to do.

If motivation or consistency is a challenge for you, consider participating in a group workout class, such as yoga or Pilates. Having a skilled instructor to lead, as well as being surrounded by others, can help provide the little push you need to get going with a workout and to stay consistent. The good thing is that both yoga and Pilates heavily address posture. They will incorporate thoracic rotation and extension exercises consistently in their classes. You can either use these exercises to add into your home routine or use them to supplement what you are already doing at home.

Finally, paying attention to your posture throughout the day will solidify all the work you are putting in elsewhere. You can’t outrun consistently terrible posture. Always remember, consistency is key.

TL;DR

Thoracic mobility is key to healthy posture, shoulder movement, and reducing pain in the neck and lower back. This post covers simple thoracic mobility exercises to improve spine flexibility and help counteract the effects of daily sitting and slouching. Consistent practice can enhance athletic performance, breathing, and overall mobility. These exercises are especially useful for those with desk jobs or active lifestyles.

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Tera Sandona
Tera Sandona

Tera Sandona is a licensed Doctor of Physical Therapy (DPT) and the founder of PT Complete. She helps high-achieving women break out of cycles of chronic pain, stress, and burnout through her Regulate and Rebuild Method, a sequenced approach that addresses the nervous system first and builds strength second. Her work focuses on helping women finally understand their bodies, rebuild strength, and create lasting resilience that fits real life.

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By: Tera Sandona · In: Mobility and Restoration, Movement · Tagged: body mechanics, gentle movement, mobility, posture and positioning, upper back

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I'm a practicing physical therapist based out of sunny SoCal who loves to educate others and share information and knowledge. You can typically find me hard at work trying to manage normal life or cuddled up under a blanket enjoying coffee or desserts I can never seem to get away from!

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I stood in front of my fridge for an hour. Couldn’ I stood in front of my fridge for an hour. Couldn’t decide, not even sure I was hungry. Just stuck. And one decision felt like the hardest thing I’d been asked to do all day, even though I’d made decisions all day long without a second thought.

I kept wondering what was wrong with me. Turns out, nothing was.

Fight, flight, and freeze are all protective responses your nervous system reaches for under threat. Fight and flight speed you up. They give you the energy to push back or get away. Freeze does the opposite. It shuts things down because there’s nothing left to fight with or run from.

That fridge moment wasn’t a discipline problem. It was my nervous system running out before dinner could be decided and made.

Freeze doesn’t get talked about as much as fight or flight, but it’s just as real and it shows up in the most ordinary places…a kitchen, a closed laptop, a decision that shouldn’t be hard and somehow is.

If you’ve had a night like this, you already know exactly what I’m talking about.

If this sounds familiar, tell me in the comments, or text someone who’d know exactly what I mean.
I reached for the weights I used to lift before my I reached for the weights I used to lift before my brain caught up.

It took half a second in my garage. The half second was the moment I realized I couldn’t even lift the dumbbell. I registered the gap between the body I used to train and the body I have now.

I dialed back down. Instead of the 30s, I picked up the 10s, and I did the work that fits what my system can absorb right now.

Nobody warns you that the rebuilding work has these moments built into it. The half-seconds when your old identity reaches for a load your current capacity can’t carry, and you mistake the disappointment for evidence that you are failing.

Your current body is not a smaller version of the one you used to have. It is a different body, doing real work, on a different scale.

You can train this one.

Tag the woman who’s still reaching for the weight she used to lift. Remind her she’s not alone.
I currently do not squat, lunge, or deadlift. I g I currently do not squat, lunge, or deadlift.

I get why everyone defaults to these movements. They’re efficient, they build strength, and if your body can tolerate them, there’s nothing wrong with having them in a program.

For a long time, I assumed that if I pushed through it, my body would eventually catch up. That’s not how it works when you’re dealing with chronic pain. Pushing through leads to a setback fast.

Your back is tied directly into what your hips and legs are doing. Careful form can only take it so far out of the equation, especially when weakness is involved.

A few months ago, I was doing bodyweight versions of these same exercises at home. Every time, it aggravated my back. So I stepped back to isolated machines instead.

Here’s what made it click. I couldn’t even tolerate a leg extension machine at 30lbs. I weigh about 120. There was no version of me safely squatting my own bodyweight and that’s still true right now.

Isolated machines do exactly what they’re built for. They isolate one muscle group and take my back out of the equation so I can still train and progressively add weight at a pace that’s safe for my body.

If a compound lift keeps interfering with your back, this is where I’d start looking instead.

If this is the kind of order-of-operations thinking that’s useful to you, hit follow. That’s exactly what I break down here.
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