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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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By: Tera · 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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Meet Tera

Meet Tera
hi friends!

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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If you sit most of the day and still work out, the If you sit most of the day and still work out, then we need to talk about something...

You are doing all the “right” things. But let me guess... by 4pm, your hips feel tight and your neck aches.

Here is the part no one talks about:

A single workout does not offset prolonged stillness. Your body adapts to what it experiences most. If 8 to 10 hours of your day are spent in the same position, that becomes the dominant input. Your body reflects it.

This does not mean you are damaged or injured. It means your body needs more variety throughout the day, not more exercise at the end of it.

The full breakdown is on the blog this week. Link in bio or comment “SITTING” and I’ll send you the direct link.

#deskwork #movementismedicine #movementvariability #chronicpain #painscience
6 months married to my best friend! And cheers to 6 months married to my best friend!

And cheers to finally booking our honeymoon!! 🌴☀️🌊🏖️
For most of my twenties, my approach to nutrition For most of my twenties, my approach to nutrition came from my bodybuilding background.

The focus was always the same:

✔️ very high protein
✔️ very low fat
✔️ very low carbs
✔️ low calories overall

Training was heavy strength workouts and a lot of cardio to stay as lean as possible. Over time, that mindset stuck with me. I thought “healthy” eating meant a plate with protein and maybe a small serving of greens and not much else.

What I didn’t realize was that this way of eating was slowly creating more stress on my body than support.

Over the years I started dealing with more and more symptoms. The biggest one eventually became severe, painful bloating that would come and go unpredictably. Eventually, it just wouldn’t go away. It was present 24/7 regardless if I ate or not.

Last year, I finally decided to approach nutrition differently. I discovered @beingbrigid and went through her 10 week program, “My Food is Health.”

It completely shifted the way I think about building meals. I do not count calories anymore. My focus is much simpler: high protein, fiber-rich, and very colorful plates. While I learned so much more in that program, these are the main things I have found that help me the most.

These are meals that support digestion, stabilize my blood sugar, lower inflammation, and support recovery.

When I build my plate now, I am thinking about things like:

- protein for tissue repair and satiety
- fiber for digestion, satiety, and blood sugar balance
- healthy fats to keep energy stable and support my hormones
- bitters to support digestion
- and a colorful plate for micronutrients and to support gut health

These small shifts made such a big difference for me. My digestion improved, my energy became more stable throughout the day, my brain fog disappeared, cravings decreased. I actually feel full after meals now. And I even sleep more deeply now.

Just like movement can support healing, food can too.

I am not chasing “perfect” nutrition anymore. I focus on building meals that actually support my body. The meals in this carousel are some of the simple ways I do that most days.

#nutritionforhealth #guthealth #wholefoodnutrition #nutritionandwellness
Two weeks of high stress and my body has been lett Two weeks of high stress and my body has been letting me know.

Not through pain this time…through everything else. Disrupted sleep. Constant exhaustion. Brain fog. Zero motivation. That heavy feeling where the couch is the only thing that makes sense.

And I know exactly what was happening. I know the science. I know what my nervous system needed. I even know what would have helped.

I just couldn’t do it.

That’s the part nobody talks about. Understanding your body doesn’t automatically make it easier to respond to it. Sometimes the load is just high and your system is going to feel it regardless of how much you know.

So I gave myself permission to be in it. Without making it mean something was wrong.

And now that I’m starting to come out the other side, I’m not overhauling everything at once. I’m choosing small things, slowly, without adding more pressure to an already taxed system.

A little cleaning. It calms me and a clean environment helps me feel more settled.

Nutritious meals prepped and ready to go. Not because I’m being perfect about food, but because having something ready removes a decision I don’t have the bandwidth to make. Less decision fatigue, more support for my body without even thinking about it.

A short meditation before bed on the nights my brain won’t shut off. I don’t do it every night. But the nights I have, it’s helped.

None of these things are dramatic. That’s the point.

With the nervous system, the sum of everything you’re doing matters more than the one big thing you choose to do. Small, repeatable actions over time add up to something real. If you try to overhaul everything at once, the overwhelm becomes its own stressor.

Choose one small thing. Do it a few times. If you’re feeling up to it, add something else.

Two weeks of running on empty won’t be fixed in a day. Give yourself grace, and find the balance of actually sticking with it.

#nervoussystemregulation #bodyawareness #restandrecovery #nervoussystemsupport
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