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  • Dr. Anna, PT

The Go-To Move for Upper Back Tightness


Don't let nagging tightness or pain between your shoulder blades stop you. Just a few minutes a day with this upper back exercise can work wonders.

Thoracic extension over a foam roll is my jam right now! I don’t know if it’s my too-soft bed or simply holding too much tension in my upper back right now, but I’ve definitely been extra tight the last few weeks. When I feel this way, my go-to move is to get on the floor with my foam roll and try to get my upper back moving better and stretched out. Sure enough, after a few sessions of doing this the tightness is gone and I'm back to my pain-free self.


Thoracic segments are those vertebrae that are in the middle portion of the back. (They’re the spinal segments that attach to ribs.) When you extend them, you are bending backwards. It’s not a move that one typically does regularly, so I find that most of my patients are a little shocked at the tightness they feel when they begin, and they're pleasantly surprised by how much better they feel in their upper back when they finish. The next time you are in need of a little help alleviating that achy tightness between your shoulder blades, try thoracic extension over a foam roll!


Here's all you need to know about performing thoracic extension over a foam roll:


Thoracic extension over a foam roll is an easy and effective way to loosen your upper back and reduce pain.

Purpose of this movement: This movement focuses on reducing upper back pain and tightness by improving mobility of your thoracic spine. In particular, it highlights improving spinal extension. Thoracic mobility is a key requirement for dynamic movements like looking over your shoulder or doing anything with your arms over head.


How to perform: Lie on the floor, placing the foam roll across the middle portion of your spine around your shoulder blades. Once in position, support your head with both hands. Then, arch your back over the roll, taking your spine into extension as you keep your hips on the floor. Hold approximately 1-2 seconds, then return to the neutral starting position. Repeat this movement for 10 repetitions, and then move yourself up or down on the roll in order to target a new segment. Perform this at 3 to 4 different segments. The range of where the roll should be placed is anywhere between shoulder blades and very middle of the back. Anything above or below that range tends to not be as effective.

A water bottle wrapped in a towel is a great way to still do this exercise when you don't have a foam roll.


Sitting in a low-back chair is a great modification if lying on the floor is not for you. Use a pillow case to cradle your head and neck for greater neck support while you perform this exercise.

Give this movement a try for a handful of days and notice the difference in your upper back. It certainly works wonders for me!


Leave a comment below to share how thoracic extension over a foam roll works for you. I want to hear! And if you loved this exercise, check out my ebook, The Simple Cure to Neck and Upper Back Pain, for more pain-relieving exercises.


#MotionIsLotion #FoamRollRelief #SimpleCureEbook


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