Physiotherapy for Back Pain

Middle back pain refers to pain or discomfort in the thoracic spine — the region of the back between the rib cage and the base of the neck. Physiotherapy for back pain can help you in eliminating the pain.

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Causes of Middle Back Pain

There are many possible causes of middle back pain, ranging from injury to poor posture. Potential causes include:

Pain in any part of the back becomes more likely as a person ages. Back pain is typical in people aged 30 to 60, but it can affect people of any age.

Natural causes of back pain in older adults include:

  • less fluid between spinal joints
  • reduced muscle mass
  • thinning bones

There are a number of different forms of arthritis, some of which can affect the back.

Osteoarthritis (OA) is a common degenerative joint disease that affects adults in the India. OA causes the ends of bones to rub together, leading to pain, swelling, and stiffness.

A Fracture or broken bone can occur in any of the vertebrae in the middle back as a result of a sports injury, automobile crash, or fall.

Extreme deterioration of the spine over time, such as from osteoarthritis, can also cause a fractured vertebra.

Disks are located between the vertebrae, where they act as shock-absorbing cushions. They also help a person move.

The disks are filled with liquid and can rupture or bulge outward. This is known as a Herniated disk, slipped disk, or ruptured disk, and it puts pressure on the surrounding nerves.

A herniated disk in the middle back does not always cause symptoms, but it may result in pain, tingling, or numbness.

Kidney problems can cause pain in the middle back, just underneath the ribcage on either side of the spine.

The most common causes of kidney pain are infections and Kidney stones.

Repeatedly lifting heavy objects or carrying items improperly can cause the muscles and ligaments in the back to stretch or tear.

Being overweight or obese puts additional strain on the muscles, bones, and other structures in the back.

Osteoporosis is a type of bone disease that results in brittle bones. It occurs when the body does not make enough new bone to replace natural bone loss.

People with osteoporosis in the back can experience middle back pain due to strains or compression fractures.

Incorrect posture while sitting or standing is a leading cause of back pain. Slouching increases pressure on the spine and leads to strained muscles as they try to maintain balance.

Incorrect posture while sitting or standing is a leading cause of back pain. Slouching increases pressure on the spine and leads to strained muscles as they try to maintain balance.

Physiotherapy For Back Pain

The treatment for middle back pain will depend on the underlying cause. Doctors usually suggest home remedies first but may recommend medical and surgical interventions if needed. Physiotherapy for back pain is the efficient method to get rid of pain.


Contrast Therapy

Alternating hot and cold compresses, or ice and heat, can provide relief from many types of middle back pain.

Improvements to posture

Poor posture should be corrected to alleviate back pain. Practice correct posture by:

  • standing tall with the shoulders back
  • not slouching
  • taking regular breaks from sitting or using a computer

Workstations should be ergonomically optimized for back health. People should adjust the height and positioning of the chair, desk, computer screen, keyboard, and mouse for their needs.

best exercises for mid back pain therapy


Several exercises may help to stretch and strengthen the muscles in the middle back to treat and prevent pain.

Beneficial stretches include:

  • Cat-Cow Pose: Position yourself on your hands and knees. Then, arch your back as far as comfortable (like a cat) before sinking your back toward the ground in a U-shape (like a cow).
  • Cobra Pose: Lying flat on the ground, use your arms to prop up the upper body, stretching the back.
  • Seated twist: Sitting cross-legged, twist your upper body to the right, placing your left hand on the right knee for support. Repeat on the other side.

Beneficial exercises include:

  • Low-impact activities. Good options include yoga, swimming, and walking.
  • Core-strengthening exercises. Working the abdominal and back muscles using bridges and planks helps to support the back.

People should speak with a doctor or physiotherapist before beginning any new exercise regimen.

physiotherapist for back pain

Medical Trearments

A person should see a doctor for back pain that persists for several days or does not respond to home remedies.

Possible medical treatments for middle back pain include:

  • prescription medications, including painkillers, muscle relaxants, or steroid injections
  • Physiotherapy for back pain such as exercises and massage
back pain physiotherapy


Not all cases of middle back pain are preventable, but the following steps may reduce the risk of injury:

  • Maintain a healthful weight. Being overweight or obese puts extra stress on the back muscles.
  • Sleep on one side or on the back. People who sleep on their stomach may experience spinal misalignment. It is best to sleep on the back, or one side with a pillow between the knees.
  • Practice proper posture. Stand tall with the shoulders back and keep the pelvis in a neutral position.
  • Ergonomically optimize all workspaces. Make sure computers are at eye level, look for a seat with armrests and lower back supports, and wear supportive shoes.
  • Lift with caution. Where possible, avoid heavy lifting or find someone to help. When lifting, keep the back straight and bend at the knees.
  • Try physiotherapy. Ask your physiotherapist for a personalized physiotherapy for back pain to improve posture, core strength and mobility
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