Thoracic facet syndrome

Mid-back pain arising from the small facet joints of the thoracic spine.

Overview

Thoracic facet syndrome describes pain from the facet joints of the mid-back. Pain is often localised between the shoulder blades, worse with rotation or sustained postures, and responds well to mobility and strengthening.

Symptoms

Localised mid-back pain, often one-sided
Pain with rotation or sustained sitting
Stiffness between the shoulder blades
Discomfort with deep breathing in some cases

Causes

Sustained desk or driving postures
Repetitive rotation loading
Degenerative change in the facet joints

Treatment

Thoracic mobility exercise
Postural variety and ergonomic advice
Manual therapy as an adjunct
Strengthening of the mid-back and shoulder girdle