Ask a PT Response: "The upper back or thoracic spine is a difficult region to treat as the thoracic vertebrae have limited mobility as a result of their attachment to the ribs. As far as exercises goes, therapists would recommend exercises that would focus on strengthening the muscles in that region ie, thoracic paraspinals, rhomboids, middle/lower traps etc.. Joint mobilization may be performed by the therapist as well. Modalities such as hot packs or cold packs and e-stim can be issued to the patient by the therapist as well. I would suggest when you are able to, to consult with a PT for at least an initial evaluation so that the therapist can determine a home exercise program which would be appropriate for you given the findings from the evaluation. Best of luck to you."