MID BACK PAIN · DECISION GUIDE · LOGANSPORT, IN
Rib Pain vs. Mid Back Pain: How to Tell the Difference (and What to Do First)
One-sided “mid back pain” is often rib-related — and the fix is different.
Rib joint irritation, thoracic stiffness, and muscle strain can feel similar at first. Use the patterns below to narrow it down and choose the right first step.
- Quick pattern checks
- First-step plan (48–72 hours)
- Clear “when to worry” guidance
The 3 Most Common Patterns
These are the “big three” we see behind rib/mid-back pain complaints.
Rib joint irritation (near the spine)
Often sharp, one-sided, and can flare with deep breaths or twisting. Pain may feel “deep” rather than surface-level.
Intercostal / mid-back muscle strain
Typically tender to touch and clearly aggravated by specific movements. Often follows a lift, twist, cough, or workout.
Thoracic stiffness + posture overload
Dull ache between shoulder blades that worsens after desk work. If screens are part of your day, also see: Posture & Tech Neck →
What to Do First (48–72 Hours)
- Avoid the one motion that reliably spikes pain (temporarily).
- Take short walks and gentle thoracic mobility (don’t force cracks).
- Use heat 10–15 minutes to calm protective muscle guarding.
- If work or lifting is the trigger, consider a technique reset: Work & Lifting Injuries →
When to Worry
Get urgent medical evaluation for chest pressure, shortness of breath, fever, cough with blood, fainting, severe constant pain, or if you feel significantly unwell.
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Next Step
If your pain is persistent, worsening, or keeps returning, an exam saves time and prevents guesswork.
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