When it comes to physical therapy, Made 2 Move has your back. Literally. Back pain is one of the most common issues we see patients here at Made 2 Move for. Whether it’s chronic pain or injury, most people recognize that strengthening the back muscles is important for getting out of pain. But what about mobility through the back, especially the T-spine (aka the mid-back)?
What is the T-Spine?
The T-spine, or thoracic spine, is the middle segment of the spinal column. Composed of 12 vertebrae, it is responsible for primarily rotation (think golf swing or baseball swing) but also plays a role in extension (think backbend) and flexion (think cat pose or rounding through the back). The thoracic spine has the potential for lots of movement but like our Made 2 Move therapists like to say- you must use it or you’ll lose it!
Why is Thoracic Spine Mobility Important?
Trouble with overhead movements? Chronic low back pain? Neck pain? These may be the result of limited T-spine mobility. Someone could have the strength to do a perfect front squat, but if they lack T-spine mobility, it will be incredibly challenging to move through the full range of motion required for the movement. When the thoracic spine lacks mobility, the lumbar spine (vertebrae making up the lower back) or cervical spine (vertebrae making up the neck), which are generally designed for more stability and less mobility, will compensate. This can cause a lot of neck and lower back pain.
One of the most common issues we see patients for is chronic low back pain (CLBP)- so common it even has its own acronym. Another common issue is difficulty, pain, or limitations with overhead movements. What body part is sandwiched between these two issues? The T-Spine! Often, pain or weakness related to our T-spine won’t be felt in the actual T-spine: “Instead, your lower back will take over work for which it’s really not designed, getting chronic pain for its troubles, and your scapula (shoulder blades) will compensate by moving away from the spine, making overhead shoulder work difficult. Everything in the body is linked, remember, and you can’t remove a major player from the equation without seriously affecting the balance” (Sisson 2010).
In addition to pain and overhead limitations, a lack of T-spine mobility can also lead to limitations in squats and olympic lifts. Many Crossfitters and weightlifters face frustration or injury with lifts because they struggle through snatches, front squats, or cleans. Physio Rob Taylor notes that, “a lot of missed lifts occur because the chest is unable to open up due to stiffness in the thoracic spine and decreased strength in upper back muscles.”