Right-sided upper back pain, treatment: Focus Physical✓

• Muscle spasms
• Strain or injury
• Intercostal muscle issues
• Spinal issues

The causes of pain on the right side of the back are most commonly associated with mechanical dysfunction, postural stress, and muscle imbalance due to asymmetric use of the arms. Factors such as carrying a bag on the right shoulder, improper placement of the right arm on the desk, or weakness in the muscles stabilizing the right scapula directly contribute to the development of unilateral pain. Although symptoms are felt in the back, the underlying cause often lies in poor mechanics of the right shoulder or neck.

The main causes of upper back pain on the right side include:

• Myofascial syndrome of the right rhomboid is caused by constant muscle stretching due to a slouched posture.
• Costovertebral blockage on the right side, a problem at the junction of the ribs and vertebrae, which causes sharp localized pain.
• Right-sided thoracic scoliosis or spinal deviation, which leads to uneven distribution of pressure along the spine.
• Facet joint dysfunction, where the small joints between the vertebrae on the right side lose their normal mobility.
• Right shoulder issues (e.g., impingement), where limited shoulder movement leads to compensatory pain in the back.

Accurately determining whether the pain is primarily musculoskeletal or related to the bones allows for the creation of an individualized treatment plan. Each of these causes requires a specific rehabilitation approach to achieve lasting pain relief and restore balance to the upper body.

The treatment of upper back pain on the right side at Fizikalna terapija Focus is focused on reducing asymmetry, eliminating muscle spasms, and relieving joint pressure using advanced methods. The therapeutic protocol combines deep tissue regeneration technology with manual techniques for mobilizing the spine and scapula. Successful rehabilitation involves pain elimination and strengthening the muscles that stabilize the right shoulder in its proper alignment.

The modern rehabilitation approach includes the following stages:

• Detailed functional assessment of the shoulder girdle, testing muscle symmetry, and mobility of the right thoracic region.
• Application of physical procedures such as TECAR therapy, high-power laser, and shockwave therapy (Shockwave) for fast inflammation reduction.
• Manual therapy and mobilization of the spine and ribs to release blocked segments on the right side.
• Kinesiotherapy, with an emphasis on specific exercises to strengthen the muscles between the scapulae and stretch the right chest muscles.
• Education on ergonomic positioning of the right hand during work, proper load distribution, and use of kinesiology tape for support.

Ongoing adherence to the recommended exercise program is crucial for maintaining results and preventing the recurrence of unilateral stiffness. This comprehensive treatment restores full stability to the right side of the back and allows for a return to everyday activities without restrictions.