At Perth Chiro Centre We Commonly See a Number of Factors That Contribute to Mid Back Pain;

  • overall increases in work demands
  • overall decreases in physical activity
  • increases in prolonged sitting (at the computer, in the car, in front of the television)
  • failure to seek care following injury or after painful symptoms commence
  • poor postural habits and lifting techniques

At Perth Chiro Centre we initially try and identify the cause of your symptoms. We then work out the best treatment options specific for your symptoms and life style changes.  Our whole goal is to get you a correct diagnosis to maximize benefit from treatment with minimal treatment visits. We also work with a close network of GPs, orthopedic surgeons and other health practitioners who we can refer to if necessary.

Causes of Mid Back Pain

Mid back pain is most commonly caused by irritation or injury to the muscles and ligaments of the thoracic spine. The high incidence of poor postural habits, lack of adequate exercise and muscle conditioning, as well as the ever more popular “seated” lifestyles of Australians are all major contributors.

Chiropractors work hard to identify the exact problems of mid back pain. Since the majority of mid back pain cases are caused by soft tissue problems or have a significant soft tissue component, hands on chiropractic treatments may be beneficial.

Some of the more common causes of mid back pain include:

  • incomplete rehabilitation of past injuries
  • facet joint dysfunction
  • improper workstation setup
  • poor posture
  • prolonged sitting
  • prolonged use of non-ergonomically designed equipment
  • improper telephone techniques
  • excessive mental stress
  • physical inactivity
  • poor diet and nutritional practices


Treatments for Mid Back Pain

Doctors of chiropractic focus on thoracic facet joint dysfunction and muscle imbalances which can contribute to mid back pain. At Perth chiropractic we also try to identify and try to correct poor habits and postures that can contribute significantly to mid back pain. At Perth Chiro Centre we try to;

  • Identify The Cause

The first step in treating mid back pain is to determine what has and is causing the pain. Once the causes and contributing factors are identified, a successful treatment plan can be structured to try and eliminate pain and achieve the goals of the patient.

  • Treat the Cause

Dependent on the identified cause of the mid back pain we will use different modalities to try and improve your symptoms. Our range of treatments includes;

  • Spinal and/ or limb manipulation.
  • Spinal and/ or limb mobilization.
  • Soft Tissue Therapy (e.g. Trigger Point Therapy, Dry Needling, Cross friction Massage, Graston Technique and Stretching).
  • Traction and limited traction device known as flexion distraction.
  • Active Care (Supervised Rehabilitation Exercise Programs, Home Exercises).
  • Physical rehabilitation and advice.
  • Referral to appropriate healthcare professionals for further investigations or co management as deemed appropriate.


  • Identify Bad Habits and Implement Changes

Another key ingredient to a successful chiropractor mid back pain treatment plan includes the learning of proper postural habits and other techniques. Proper posture is a significant factor in the health of the mid back and proper posture should always be practiced. Techniques common to daily living and work also play a major role in the development or lack of development of neck pain. This includes proper lifting techniques, telephone techniques, avoidance of repetitive motions, and much more. We can teach you correct habits and techniques which will protect your mid back from discomfort and injury.

Other Therapies

Other manual therapies such as massage and trigger point therapy may be utilized to assist in the relaxation of para-spinal muscles and increase spinal mobility.

Back exercises are commonly prescribed to patients suffering from mid back pain. These exercises are designed to strengthen the muscles of the mid back so that they are less likely to fatigue during the day. When the muscles of the mid back are weak and fatigue easily the risk for injury is increased and the ability to maintain proper posture throughout the day is reduced.

Stretches are commonly provided to stretch the muscles of the chest as tightness in these muscles can place increased stress on the muscles of the mid back. Exercises and stretches are unique in that they can be performed outside the office without the assistance of the doctor.

Why Us?

  • We are honest and Genuinely CARE about you and your problem
  • We are good at what we do!!!
  • We do after work hours appointments
  • Our fundamental goal is to alleviate your symptoms in minimal visits
  • We work with network of GP’s and Surgeons and can bounce ideas between our network and work out what is best for our patients
  • We have HICAPS facilities so private health claims can be made instantly
  • “No Wait Policy”. All of our patients are seen immediately we don’t over schedule appointments so there is no lengthy wait in waiting room.
  • Friendly and courteous staff.
  • We are honest and evidence based
  • We do not over service
  • X Rays are only taken if actually required. We don’t x ray every patient and use the x ray as a tool to scare patients into lengthy treatment schedules.
  • We use Xrays to rule out pathology and arthritic problems. We don’t use them to look at postural stances.
  • Professional but comfortable atmosphere.
  • We have easy parking at the door
  • Large private treatment rooms.
  • Convenient location.
  • Secondary evaluations/opinions.
  • M.D. and attorney referrals.

Contact Us 

To book an appointment please call us;

Greenwood Clinic                (08) 9342 1211

Wembley Downs Clinic       (08) 9341 3002

Alternatively click here to book online.

Anatomy of the Thoracic Spine


Thoracic Vertebrae

The thoracic spine contains 12 medium sized vertebrae all of which form articulations (joints) with 2 opposing ribs. Like the other spinal vertebrae, the thoracic vertebrae act as attachments for muscles and ligaments in the mid spine and also encase and protect the median aspect of the spinal cord and thoracic nerve roots.

Because the thoracic vertebrae form relatively strong articulations with the ribs, the mobility of the thoracic spine is less than that of the cervical and lumbar spines. However, this same characteristic also protects the thoracic spinal discs and facet joints from the wear and tear experienced by these structures in the other areas of the spine.

Common vertebral problems in the thoracic spine include facet joint dysfunction, a condition where the vertebrae of the thoracic spine become function abnormally resulting in pain, muscle spasm.

Rib Articulation

The thoracic is unique in that each of it’s vertebrae attaches to a pair of ribs. There are 12 thoracic vertebrae and thus, 24 ribs (12 on the left and 12 on the right). Just like adjacent connecting vertebrae can be dysfunctional in movement, so too can the thoracic vertebrae and it’s adjacent ribs. When ribs have dysfunctional movement to their adjacent vertebra, the individual will often experience sharp pains in the area of the rib head, especially on twisting movements of the torso. Patients can experience sharp pain on breathing and coughing.

As with vertebral dysfunction, chiropractors can treat rib joint dysfunction with the chiropractic spinal adjustment. The adjustment stretches the rib and normalizes impaired motion patterns.

Thoracic Intervertebral Discs

The intervertebral discs in the thoracic spine are located between adjacent vertebrae. They function as spacers to provide clearance for exiting spinal nerves, as connectors to link adjacent vertebrae together and allow for movement, and also as spinal shock absorbers.

The discs of the thoracic spine are less likely to become injured compared to those of the cervical and lumbar spines, making up only 2% of intervertebral disc herniations. This is because of the rib articulations made by the vertebrae which significantly increases the stability of the thoracic spine. This does not mean that the discs of the thoracic are immune from damage, rather, statistically less likely to become injured.

Thoracic Facet Joints

The facet joints in the thoracic spine allow for considerable amounts of flexion and extension. The facet joints can become injured with excessive amounts of rotation and extension. Golfers are prime candidates for facet joint injury due to their repetitive twisting motions as they swing their golf clubs. When injured, pain is often sharp and localized to the area of the affected facet joint.

Thoracic Spinal Musculature

The para-spinal muscles of the thoracic spine are numerous. They are responsible for the majority of trunkal movements as well as a number of upper extremity movements and are a common source of injury and pain.

Over exertion of the muscles from lifting and pulling and poor posture are the major contributors in mid back strains. Pain originating from these muscles characteristically produces a dull generalized ache.



Contact Us 

To book an appointment please call us;

Greenwood Clinic                (08) 9342 1211

Wembley Downs Clinic       (08) 9341 3002

Alternatively click here to book online.