Ribs/Thoracic Spine Stress Injury

Symptoms of a rib or thoracic spine (middle back) stress injury will include:
Muscle Tightness of: thoracic paraspinals, intercostal musculature, diaphragm, abdominal, pectoral muscles
Weakness in: trunk extensors

Restriction with:

-thoracic spine extension
(arching your back)
-shoulder elevation
(shrugs)
-side bending and rotation of back -rib mobility
-breathing -costovertebral joint mobility
Exercises:
Lion Stretch- side to side Upper Trunk Rotation Stretch

  • Keeping abdominals tight and the low back rounded, roll ball forward.  
  • Exhale, roll ball fully to one side without moving hips.  Feel stretch in shoulders and trunk.  
  • Keep hands and forearms on the ball.
  • Return to start, repeat to the opposite side.
  • Rest trunk on ball, palms flat, elbows straight.
  • Raise hand to ceiling, rotating trunk and head.
  • Feel stretch in upper trunk.  Stay in pain free range of motion.  
  • Return to start and repeat.
Seated Side Bends Prone Upper Trunk Extensions- feet on wall

  • Sit on ball with back straight, hand on head, opposite arm down.  
  • Bend sideways toward down arm without leaning forward.  Keep head neutral and elbow up.  
  • Return to start and repeat.  
  • Feet on wall with trunk and hips over ball.
  • Place hands under chin, elbows out.  
  • Lift trunk to neutral position w/o hyper-extending the low back.
  • Lower the trunk back to start position and repeat.
1/2 Kneeling Chops Side Lying Side Bends

  • From a 1/2 kneeling position, place ball to the outside of the down knee.  
  • Lift and rotate the head, arms, and trunk to the opposite side.  
  • Feel work and stretch in the trunk and down hip/thigh.  
  • Return to start position and repeat. Work both sides.
  • 1/2 kneel next to ball using hand for support.
    Lean sideways over ball reaching down hand to floor.
  • Straighten outer leg, roll trunk on top of ball, bring top arm overhead.
  • Rotate bottom hip forward to increase stretch.
  • Return to start position and repeat.

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