Rib Pain
Mid back pain is a fairly common complaint. Causes of mid back pain can range from joint fixations to fractures or even from indigestion to internal organ disease. However, the most common cause of mid back pain involves an alteration of the normal biomechanics of the spine and surrounding joints. Sources of biomechanical problems include:
- Vertebral subluxation
- Rib subluxation
- Disc bulge or herniation
- Myofascial pain and trigger points
- Postural distortions
- Abnormal muscular tension
The spinal area of the mid back is called the thoracic spine. It comprises 24 interlocked and movable bones called vertebrae. The attachment of the 12 ribs is a unique feature of the thoracic spine.
In my experience, rib pain is frequently caused by a subluxation(s) of the costovertebral joint (the place at your back where the rib connects to the vertebrae). To get an accurate diagnosis, I would first take a detailed history of your condition. Sometimes patients with rib subluxations complain of painful breathing. Others only have pain when they move their torso or neck to extremes. Some have an obvious physical cause,while others have a mysterious onset.
Then I would need to fully evaluate your mid back and rib areas by performing various tests including but not limited to:
- Examining your posture.
- Checking your range of motion.
- Using my hands to feel for asymmetries in position, movement, and muscle tone (this is called Palpation).
- Orthopedic and neurologic testing.
Rib subluxations are easily treated by using a special adjusting technique. All rib adjustments just take a few seconds to complete, and are generally painless. In many cases, patient describe the adjustment as a “relief”, like when a large stone is moved off of your foot.
Muscle work typically ranges from around 10-60 minute sessions. In many cases, our patients experience an immediate reduction of pain and symptoms after their treatment.
If you are suffering from mid back pain and you’re looking for a natural way of treating the problem, give us a call. We would be happy to provide you a thorough examination to allow for a clear diagnosis as to the cause of your pain.


2 comments
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