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Rib Pain and Shoulder
Blade Pain: What’s Causing
It and How Chiropractic Can Help

Rib Pain and Shoulder Blade Pain:
What’s Causing It
and How Chiropractic Can Help

Whether it’s a sharp pain when you breathe in, a dull ache under your shoulder blade, or discomfort wrapping around your ribs, upper back pain can be frustrating and surprisingly common. 

At Wellbeing Chiropractic, we regularly see people with rib pain or shoulder blade discomfort that has slowly built up over time, or appeared suddenly after a movement, workout, or even a sneeze. 

While this type of pain is often overlooked, it can affect your breathing, sleep, posture, and even your ability to turn, lift, or relax. 

So what causes it and what can be done about it? 

Common Causes of Rib or Shoulder Blade Pain

There are several structures around the upper spine and ribcage that can contribute to pain in this area: 

  • Joint dysfunction between the ribs and spine (costovertebral joints) 
  • Muscle tension or imbalance in the upper back, shoulders, or chest 
  • Poor posture (especially prolonged slouching or desk work) 
  • Straining during lifting or twisting 
  • Breathing pattern issues related to stress or poor diaphragm function 
  • Irritation of the thoracic spine or intercostal nerves 

Sometimes the pain is sharp and catches with breathing, while other times it feels like a burning, pulling, or stabbing sensation that radiates toward the chest, back, or side. 

In most cases, the pain is musculoskeletal but it’s always important to rule out more serious causes such as cardiac or organ-related issues, especially if symptoms are unusual or persistent. 

Why Does It Feel Like It’s “Under the Shoulder Blade”?

Pain under or around the shoulder blade often isn’t coming from the shoulder itself. Instead, it can be related to: 

  • Restrictions in the thoracic spine (middle back) 
  • Rib joints that are not moving properly 
  • Referred pain from postural tension 
  • Muscle strain or imbalanced movement patterns 

When joints or muscles in the upper back are out of sync, it can irritate surrounding nerves and cause pain that’s difficult to pinpoint. This is why many patients say it feels like a deep ache or sharp jab behind the shoulder that comes and goes.

How Chiropractic Can Help

At Wellbeing Chiropractic, our team is trained to assess and manage conditions involving the spine, ribs, and shoulder region.

We look closely at:

  • The mobility of your spine and rib joints
  • Postural alignment and breathing mechanics
  • Areas of muscle tension or restriction
  • How your body is moving and compensating

Treatment may include:

  • Gentle chiropractic adjustments to restore motion to stiff joints
  • Soft tissue release or specific stretching
  • Postural advice and movement education
  • Breathing support or exercises when relevant

The goal is to reduce irritation, improve alignment, and help your body move more freely—with less strain on the structures around the ribs and shoulder blades.

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REASONS TO CONSULT OUR CHIROPRACTORS ?

The most obvious reason you may think to visit a chiropractor is for back or neck pain. However did you know many choose to attend chiropractors for a range of other reasons.

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