Module 7: Thoracic and Upper Back Syndromes
Releasing the thoracic cage: a myofascial approach to back pain, posture, and breathing
Course Overview
This module dives into the complex myofascial anatomy of the thoracic region and its clinical implications. You'll learn how fascial restrictions in this area can lead to postural distortion, interscapular pain, and even breathing difficulties.
We will explore segmental dysfunction, intercostal neuralgia, scapular imbalances, and postural syndromes such as kyphosis. You’ll also learn how to apply fasciapuncture safely and effectively in the thoracic region.
Learning Objectives
- Identify fascial contributors to thoracic pain and mid-back stiffness.
- Understand the anatomy and biomechanics of thoracic fascia and joints.
- Assess costovertebral joint restrictions linked to breathing and rib pain.
- Release paraspinal fascial tension and intercostal neuralgia zones.
- Restore scapular mobility through thoracic fascial rebalancing.
- Apply fasciapuncture techniques to the thoracic cage with anatomical precision.
7.1 Thoracic Joint-Fascia Pain / 胸椎小关节与筋膜痛
Examine the anatomy of the thoracic spine and its fascial layers. Understand common patterns of segmental dysfunction and myofascial pain presenting as interscapular stiffness or axial back pain.
7.2 Costovertebral Fascial Restrictions / 肋椎筋膜张力障碍
Explore fascial tightness at costovertebral and costotransverse joints. Learn how to recognize breathing-related pain and apply manual or needle-based decompression strategies.
7.3 Intercostal Neuralgia & Paraspinal Dysfunction / 肋间神经痛与脊柱旁紧张
Study the fascial entrapment of intercostal nerves and its referral patterns. Learn how to release paraspinal fascia (especially T4–T8) to relieve flank and chest wall pain.
7.4 Scapular Mobility & Myofascial Chains / 肩胛活动受限与筋膜链关系
Analyze fascial connections between the scapula and thoracic spine. Identify how posterior chain tension affects scapular rhythm and shoulder mechanics.
7.5 Thoracic Postural Syndromes / 胸椎体态异常综合征
Understand the fascial impact of chronic kyphosis, Dowager’s hump, and rounded shoulders. Learn to identify deep adhesions and correct structural overload with targeted treatment.
7.6 Fasciapuncture in the Thoracic Region / 胸椎区域的筋膜针疗
Review safe needling zones in the thoracic region, with attention to pleural anatomy. Apply layer-specific decompression techniques for stiffness, breathing restriction, or intercostal pain.
7.7 Thoracic Fascial Dysfunction and Visceral Symptoms / 胸背筋膜功能障碍与内脏症状
Explores how thoracic fascial restrictions can lead to symptoms like chest tightness, palpitations, or pseudo-angina. It also discusses the overlap with somato-visceral reflexes.
How to Learn
Follow video sessions with anatomical diagrams to understand the fascial and neural relationships. Practice on thoracic models or partners to identify stiffness, segmental pain zones, and movement restrictions.
How to Get Started
- Start with 7.1 to review thoracic fascial anatomy and common dysfunctions.
- Watch the clinical demonstrations and follow along with scapular and rib assessments.
- Pay close attention to posture-related restrictions in 7.5 before applying needling techniques in 7.6.
- Get ready for Module 8, which covers lumbar fascia and disc-related syndromes.
Course Highlights
- Fascia-Based Diagnostics: Explore segmental and posture-related thoracic pain.
- Integrated Function: Connect scapular rhythm to thoracic fascial strain.
- Breath & Back: Link breathing mechanics to thoracic tightness and pain.
- Safe Decompression: Apply layer-by-layer thoracic needling with precision.