Pain between the shoulder blades — exercises and why it happens

Pain between the shoulder blades

A burning pain in the middle of the back, typically after long sitting. Those muscles are not weak — they are overstretched. That difference matters.

How it shows up

Burning or pressure between the shoulder blades that announces itself after a few hours of sitting and eases with movement. Sometimes it speaks up on a deep breath or when twisting the torso. The urge to stretch backwards is strong — and it helps for a few minutes.

Where it usually comes from

The thoracic spine is the least mobile part of the spine; the ribs hold it. Sitting hunched leaves it bent, and the muscles between the shoulder blades spend the whole day stretched — holding the chest so it does not fall further forward.

That is why strengthening usually does not help. A muscle that is overstretched and tired from holding does not relax because you add load. The position it works in has to change first.

How spiral stabilisation approaches it

The chest needs to open first; only then does engaging the muscles make sense. Spiral stabilisation uses a diagonal downward arm pull: the shoulder blades draw together and down, the thoracic spine lengthens, and the muscles between the blades finally get a position in which they can let go.

Breathing into the back is part of the exercise, not an extra — a breath into the area between the shoulder blades opens that part of the chest from the inside.

Related exercises

Exercises done for pain between the shoulder blades. You can read about them here; the full instructions and video are in the Spiralista app.

Circles – Circles back standing

B11 Circles

Circles back standing

Crawl – Crawl back standing

L12 Crawl

Crawl back standing

Windshield Wipers – Windshield Wipers back standing

B15 Windshield Wipers

Windshield Wipers back standing

Circles – Circles back leg on a mat

F11 Circles

Circles back leg on a mat

Crawl – Crawl back leg on a mat

F12 Crawl

Crawl back leg on a mat

Windshield Wipers – Windshield Wipers back leg on a mat

F15 Windshield Wipers

Windshield Wipers back leg on a mat

Surface – Surface sideways leg on a mat

F16 Surface

Surface sideways leg on a mat

Book – Book front spine stretching

I1 Book

Book front spine stretching

When to see a doctor first

Immediately, not after exercising: a gripping pain that radiates into the arm or jaw, together with breathlessness, sweating or nausea. That does not belong on an exercise mat.

Also pain that started after an injury, wakes you at night, or comes with fever and weight loss.

What to do about it

A guide in the Spiralista app takes you through the exercises for this condition day by day — from the first exercise to the full sequence.

  • At homeAn elastic cord and a bit of wall space are enough.
  • ShortA few minutes a day, not an hour in the gym.
  • Day by dayThe guide shows what comes next today.

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