Experiencing upper back pain while running can be both frustrating and concerning. While many runners focus on lower body injuries, upper back pain is a common issue that can affect performance and enjoyment. Understanding the causes of this discomfort and exploring effective solutions is essential for maintaining a healthy running routine.
At Triangle Physiotherapy, our team of physiotherapists have the expertise and education to help you develop a plan to ensure your runs are done right!
Understanding Upper Back Pain
Upper back pain during running can arise from various factors, including muscle strain, poor posture, or underlying conditions. The upper back, or thoracic region, comprises the spine and surrounding muscles, which play a crucial role in maintaining proper running form. If any part of this system is compromised, it can lead to discomfort and pain.

Common Causes of Upper Back Pain While Running
- Poor Posture: Runners who hunch their shoulders or lean forward excessively may put strain on their upper back muscles, leading to pain. Maintaining a neutral spine and relaxed shoulders is essential for proper running form.
- Muscle Imbalance: Weakness in the core or upper back muscles can result in poor stabilization during running. This imbalance may lead to overcompensation by other muscles, causing pain.
- Overuse: Increasing running distance or intensity too quickly can lead to muscle fatigue and strain in the upper back. It’s crucial to allow adequate recovery time between runs.
- Tension and Stress: Mental stress can lead to physical tension in the upper body, exacerbating discomfort during exercise. Runners may unconsciously tighten their shoulders and upper back while running, contributing to pain.
How can Physiotherapy help?
Physiotherapy can play a significant role in addressing upper back pain related to running. A physiotherapist will conduct a thorough assessment to identify the underlying causes of your discomfort. Based on this evaluation, they will develop a personalized treatment plan that may include:
- Postural Assessment: Evaluating your running posture and identifying areas for improvement can help alleviate strain on the upper back.
- Strengthening Exercises: Targeted exercises to strengthen the upper back and core muscles can improve stability and support proper running form.
- Stretching and Flexibility Training: Incorporating stretches for the upper back and shoulders can relieve tension and enhance flexibility.
- IMS: Intra muscular Stimulation is an effective tool to trace and treat the root cause, reducing recurrence.
- Education: Learning about proper running techniques and body mechanics can help prevent further injuries.
Tips for Reducing Upper Back Pain While Running
- Warm-Up Properly: Engage in a dynamic warm-up to prepare your muscles for running. Focus on movements that activate the upper back and shoulders.
- Focus on Form: Pay attention to your running posture. Keep your shoulders relaxed and your chest open, and avoid hunching over while you run.
- Strength Train: Incorporate strength training exercises targeting the upper back and core into your fitness routine to build muscle balance and support.
- Gradually Increase Intensity: Avoid sudden increases in running distance or intensity. Follow a structured training plan to prevent overuse injuries.
- Manage Stress: Practice stress-reduction techniques, such as mindfulness or yoga, to help relieve physical tension in the upper body.
FAQs
Why does my upper back hurt when I run?
Upper back pain while running can result from poor posture, muscle imbalances, overuse, or tension. Identifying the specific cause is essential for effective treatment.
What should I expect during my first visit to Triangle Physiotherapy?
During your initial visit, a physiotherapist will assess your posture, movement patterns, and any contributing factors to your pain. They will develop a personalized treatment plan to address your needs.
How many sessions will I need?
The number of sessions varies based on the severity of your pain and your response to treatment. Your physiotherapist will provide an estimate after your assessment.
Do I need a referral to see a physiotherapist?
No, you do not need a referral to access physiotherapy services. You can book an appointment directly, unless needed by insurance for billing purposes.
How soon can I expect to feel better?
Many individuals notice improvements within a few sessions, but the timeline can vary depending on individual circumstances and the nature of the pain.
How can I prevent upper back pain while running?
Focus on maintaining good posture, strengthening your upper back and core, warming up properly, and gradually increasing your running intensity to help prevent pain.
Call us today to get help with any running related back pain issues!
Upper back pain during running is a common issue that can hinder performance and enjoyment. By understanding the underlying causes and implementing effective strategies, you can alleviate discomfort and enhance your running experience. Book an appointment with us to get help!