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How to Use a Foam Roller for Upper Back Pain

December 19, 2023 · In: Mobility and Restoration, Movement

A foam roller is a tool that can be used for soft tissue mobilization and myofascial release. It can also be used with exercises to help improve mobility. Did you know that you can even use a foam roller for upper back pain? This post will look into the benefits of foam rolling and give 4 foam roller exercises for your back.

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

foam roller for upper back pain

Foam Roller Types

There are many different types of foam rollers on the market. Not sure where to start? Check out these options:

Firm Foam Rollers

This type of foam roller is more firm and dense. It is great for a more intense myofascial release. This can often be why some people say foam rolling is painful. It can be, just as some massages can be painful. The foam roller is meant to break up the myofascial restrictions and adhesions, which is why it can feel painful. At the end of the day, it is up to what you can tolerate and what feels best for you. Some individuals like the feeling of the firm foam roller and the discomfort that may come with it. For those who are more sensitive, a low-density foam roller may be beneficial.

Low-Density Foam Roller

A low-density foam roller is a lighter foam roller compared to it’s firm counterpart. Typically I will tell people to go based on what they prefer, as one is not better over the other. Greater firmness and more pain does not necessarily mean something is better! In the end, all foam rollers do the same thing. You might even notice you can do more with the low-density foam roller because you can tolerate more.

Textured Foam Roller

Some foam rollers have knobs or bumps on the surface. This is helpful for more precise pressure to release the “knots” within the muscle more quickly. This can add to the intensity of the pressure, so make sure you are aware of this before purchasing. It can be very helpful around the areas of the shoulder blade.

Foam Rollers with Vibration

Some foam rollers have fancy features attached like vibration and heat settings. While these offer all the “bells and whistles,” it certainly isn’t necessary. But if it is something you enjoy, go for it! Adding the vibration can help add to the intensity of the rolling out process. Some people prefer having the vibration because they feel they get a better session out of it.

You’ll notice the theme here, but it simply comes down to pick what is right for you. There is no right or wrong, as long as you are happy with the outcome and feel it is beneficial for what you need.

Benefits of Foam Rolling

Foam rolling is beneficial pre-workout and post-workout, as well as during times you aren’t working out. It can be especially beneficial for individuals who are more sedentary throughout the day. This can involve desk workers who find themselves sitting the large majority of the day or people who live a more sedentary lifestyle.

Foam rolling provides benefits like:

  • reducing muscle soreness
  • reducing inflammation
  • aiding in muscle recovery
  • improving soft tissue extensibility
  • helping with relaxation

When used strategically, a foam roller can be a great piece of equipment for exercises targeting areas of immobility in the body. More importantly, this can directly translate to postural improvements!

Upper back pain commonly comes from poor posture. We want to prevent the hunched-over posture and help open up the chest region. This will help pull you more upright.

So just how exactly can a foam roller help with your posture? Check out these options below!

Foam Roller Exercises for Upper Back Pain

Foam Roller pec stretch

This exercise can be performed two different ways. Both are shown in the video (right). Find which feels better or the one that gives you a better stretch and perform that one. You can also perform both if you choose to.

Lie on your back with the foam roller vertically down your spine. Place your feet firmly on the ground with your knees bent for balance and to protect your low back.

Spread your arms out to the side and keep your elbows extended. You should feel a stretch across your chest or you may feel a stretch through your thoracic spine. Both are okay.

The second option is to keep your elbows flexed at 90 degrees with your palms facing the ceiling. This is known as 90/90 or the goal post position.

Hold either position for up to 30 seconds and repeat.

Thoracic Extension with a foam roll

A chair with a back that reaches near your shoulder blades will be most beneficial for this exercise.

Place the foam roll against the back of the chair horizontally near the height of your shoulder blades. Cross your arms in front of your chest. You can also interlock your fingers behind your head, but make sure to keep your elbows in front of you to reduce stress through the shoulders.

Lean back into the foam roll. Try not to arch through your low back. You want to push your thoracic spine into extension so focus on keeping your ribs down. Think about pushing your upper back into the foam roll as it pushed your thoracic spine forward.

Perform 3 sets of 8-10 reps.

Foam Roller Open Books

Lie on your left side. You can use a pillow to support your head and neck. Flex your hips and knees at 90 degrees and place a foam roller between your knees and feet (see video to the right for setup).

With your arms extended one on top of the other, slowly rotate your right arm over to the right. At the same time, your eyes will follow your right hand as it moves. This will get your cervical spine to move as well.

Rotate to the right as far as you can go 20-30 times. Then repeat on the other side.

Foam Rolling the Upper Back Muscles

To loosen up the muscles around the upper back, lie on the foam roller with it across your back. Use your legs to roll up and down the top half of your back. You can use the foam roller for as short as a couple minutes.

When Should I Use a Foam Roller for Upper Back Pain?

The exercises provided above can be performed when you have upper back pain, but they can also be used for preventative measures.

Making sure to prevent forward flexed posturing can help reduce chances of developing upper back pain. You want to make sure you keep your thoracic spine mobile and you strengthen your postural muscles to have the endurance to hold you upright.

You can use a foam roller once a week or even once a day. It really is based on what makes you feel better. If you know that you can roll out and perform certain exercises twice a week, then that may be all you need. Individuals who tend to be more prone to tightness might have to use a foam roller more frequently.

How Long Should I Use a Foam Roller for?

Regardless of how many times a week you decide to use a foam roller, it can last as long as just a few minutes to up to 10 minutes. Again, it depends on what your needs are.

TL;DR

Did you know that you could use a foam roller for upper back pain? This post reviews different types of foam rollers to try. It also gives examples of exercises to open up the chest, improve thoracic mobility, and fix your posture!

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tera vaughn physical therapist
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: gentle movement, mobility, pain flares, upper back

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  1. What to Know About Patellar Tendinopathy in Runners - PT Complete says:
    December 27, 2023 at 8:15 pm

    […] the major muscle groups around the knee stiff? If so, take some extra time to stretch and use the foam roller. When you squat, are your heels coming off the ground? This can place extra stress on the front of […]

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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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This was a test. For the last couple of months, I This was a test.

For the last couple of months, I’ve been thoughtful about when I train legs while managing back pain. It’s not a hard rule, it’s just what makes sense in the season I’m in.

But I’ve also been doing a lot of foundational work and I wanted to see if that’s gotten me to a place where I could test my body a little differently.

Today wasn’t about adding weight or reps. It was about seeing if I could handle a familiar workout while actively experiencing some back pain. Could my body tolerate what I already know it can handle?

Turns out, yeah. And that tells me something about the work I’ve been putting in.

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If this week has already felt like too much before If this week has already felt like too much before it even really started, this one is for you.

You are probably actively trying to rest. Rest days, early nights, stepping back when you can. And you are probably still waking up exhausted, still carrying the weight of yesterday into today, still wondering why nothing is fully resetting.

Here is what nobody told you: your body being horizontal and your nervous system being at rest are two completely different things. You can stop moving and still be bracing. Still be running the list. Still be waiting for the next thing to land.

The tools that actually help are not the ones that require perfect conditions. They are the ones small enough to use in the middle of real life: at your desk, and between meetings, while you are already in it.

The full breakdown is on the blog. Link is in bio.

#nervoussystemregulation #chronicpainsupport #restandrecovery #nervoussystemhealth
You might be treating four problems that are actua You might be treating four problems that are actually one.

When you are living with chronic pain, fatigue, poor sleep, and anxiety all at once, it is easy to assume each one needs its own fix. But, when you keep addressing them separately and nothing fully sticks, that is information.

Your nervous system is your body’s control center. It regulates pain signals, sleep cycles, energy levels, and stress responses. When it gets stuck in a prolonged state of threat, all of those systems get pulled into that same dysregulated state. Your body is doing exactly what it was designed to do when it does not feel safe.

The problem is not that you have four things going wrong at once. The problem is that the one thing driving all of them has not gotten the support it actually needs.

That is not a willpower or discipline issue. That is a nervous system that has been running in “threat mode” for a long time and needs a different kind of approach than what you have been trying.

When you start working with your nervous system instead of managing each symptom separately, things shift in a way they never did before. Not overnight, but slowly, overtime, in a way that actually gets to the root of the problem.

Pain level is one data point. It is not the whole story.​​​​​​​​​​​​​​​​

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You’re taking rest days, sleeping more, and saying You’re taking rest days, sleeping more, and saying no to plans.

And you still wake up exhausted, still hurting, and still wondering what you’re doing wrong.

Here’s what nobody is telling you: physical rest and rest for your nervous system are not the same thing.

You can lie on the couch for eight hours while your brain runs a full sprint. Your heart rate stays elevated, your muscles stay braced, your body keeps producing the same stress response it would if you were actually in danger (just at a smaller scale).

You’re horizontal, but your nervous system never got the memo.

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Tell me in the comments: do you take rest days and still wake up feeling like you didn’t rest at all?

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