Thoracic postural syndrome is a common condition caused by poor posture, especially when sitting or standing with a rounded upper back and forward head position. Over time, this position puts strain on the joints, muscles, and ligaments in the thoracic spine (the upper and mid-back), leading to ache, stiffness, and fatigue.

An analogy…

Think of your upper back like a coat hanger. If it’s holding weight evenly, everything stays balanced. But if it’s bent forward all the time, it starts to sag and strain. That’s what happens when we slouch, the muscles and joints get overworked and tired, and pain sets in.

What are other names that thoracic postural syndrome can be referred to?

Postural Dysfunction

What causes thoracic postural syndrome?

The condition is caused by sustained forward head posture, which puts extra stress on the upper cervical spine, lower neck joints, and surrounding muscles. This position often results in overworked neck and upper back muscles, tightness in the chest and front of the neck, and weakness in the deep neck flexors and upper back muscles. It can also cause joint stiffness in the mid and upper spine. Over time, these imbalances create discomfort, reduced movement, and a higher risk of ongoing neck pain.

What are the signs and symptoms of thoracic postural syndrome?

• Dull, aching pain in the mid to upper back
• Feeling of tightness or stiffness across the shoulders
• Tired or burning sensation in the upper back after sitting
• Forward head posture and rounded shoulders
• Relief with movement or stretching
• Pain may feel worse at the end of the day or after long periods sitting

What tests are used to diagnose thoracic postural syndrome?

Postural assessment: The practitioner looks at how your spine, head, and shoulders are aligned.

Range of motion testing: To check for stiffness or discomfort when moving the thoracic spine.

Palpation: Feeling the muscles and joints to identify tension or joint restriction.

How long does thoracic postural syndrome take to heal?

With the right treatment and consistent posture correction, symptoms can begin improving in just a few days to a few weeks. Full recovery may take longer if the problem has developed over months or years. Ongoing strength and mobility work is key to long-term results.

How does thoracic postural syndrome happen?

• Long hours sitting or slouching
• Poor ergonomic setup (e.g. low laptop screen)
• Weak core and upper back muscles
• Lack of regular movement or exercise
• Stress or fatigue
• Repetitive forward-bending movements

What treatment can help thoracic postural syndrome?

• Hands-on therapy to release tight muscles and mobilise stiff joints
• Postural education and ergonomic advice
• Stretching for the chest and shoulders
• Strengthening exercises for the upper back
• Clinical Pilates or core stability training

What exercises or stretches can I do for thoracic postural syndrome?

• Wall Angels
• Thoracic Extensions
• Pec Stretches
• Shoulder Blade Squeezes
• Foam Roller Stretching
• Chin Tucks

What products can help with thoracic postural syndrome?

• Trigger Ball
• KT Pilates Band Pack