The neck and low back get all the attention in terms of pain and disability, while the upper back is blamed as a contributor. So what happens when your upper back, also known as your thoracic spine, is painful and causing limitations? Situated below the neck, between the shoulders, above the low back, and in between the ribs, the thoracic spine is a major player in stability and movement of the upper body. When the upper back is effected, our ability to move and function globally becomes quite limited. This region may be exacerbated with activities such as sitting at a desk, working on a computer, washing dishes, and standing for long periods of time. Concomitant neck and shoulder pain is common with upper back pain, as there are direct connections between the thoracic spine, cervical spine, and shoulder blades. Let us evaluate and treat the cause of your upper back pain before pain and dysfunction spreads to other neighboring regions.