Upper Back pain relief for athletes

Restore rotation, posture & power for jumping & overhead control

  • Mid-back stiffness, especially after sitting or waking up

  • Pain between the shoulder blades

  • Limited rotation, especially golf, throwing, or cutting

  • Tightness that feeds into the neck or shoulders

  • Discomfort with deep breaths or rib movement

  • Rounded posture that feels stuck

  • Overhead work feels restricted or unstable

  • Thoracic joint stiffness & restricted mobility

  • Upper & mid-back muscle strain from training volume

  • Rib irritation & rib joint dysfunction

  • Scapular control issues tied to thoracic stiffness

  • Overuse pain between the shoulder blades

  • Postural overload from desk work plus training

  • Often triggered by: Powerlifting & weightlifting, CrossFit, running, swimming, golf, baseball & throwing sports, BJJ & combat sports, and field or court sports with contact & rotation

  • Symptoms last longer than 1–2 weeks

  • Mid-back stiffness is limiting training or overhead work

  • Pain keeps returning with lifting or sport

  • Rotation feels blocked or uneven

  • Rib or breathing-related discomfort shows up with movement

  • Neck or shoulder symptoms keep returning & mid-back stiffness is part of the pattern

  • You are modifying workouts or avoiding movements because of it

Mid-Back Pain Treatment for Athletes & Active Adults

The thoracic spine drives rotation, breathing mechanics, posture & overhead control, so when your mid-back gets stiff or painful it can show up as neck tension, shoulder irritation, or low back overload. Athletes often feel it during lifting, running, throwing & contact sports, and it can quietly limit performance long before it becomes obvious pain.
We combine hands-on treatment with mobility work & strength-based retraining to restore thoracic movement & control. The goal is better rotation, better overhead mechanics, and a stronger foundation for training & sport.

Your FREE First Assessment

60min

Your first step is a low-pressure visit to understand your body mechanics, what will resolve it, and explain our approach.

  • Quick intake:
    What’s hurting, what triggers it, and training goals.
  • Movement:
    Mobility, strength, control, and sport-specific patterns.
  • Clear plan:
    Observations, why it’s happening, and the best path forward.

What You’ll Receive

  • A clear clinical direction and root-cause hypothesis
  • Recommended next steps, including a plan and projected timeline
  • Practical guidance on what to do, and what to avoid, in training right now

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What They’re Saying About Us

Shyaan Ezzati profile picture
Shyaan Ezzati
3 months ago
I’ve known Dr. Alex Mac personally for years, and I can’t recommend him and Olympus Sports Therapy highly enough. After suffering a neck injury that left my hand and arm numb, I went to see Alex for treatment. After just one session, the numbness was reduced by about 75%. His knowledge, skill, and ability to diagnose and treat the root cause of the problem are truly remarkable. He’s a genuine miracle worker who takes the time to understand what’s going on and provides effective, personalized care. If you’re dealing with pain, an injury, or mobility issues, I highly recommend Dr. Alex Mac and the team at Olympus Sports Therapy.
Emily Chen profile picture
Emily Chen
3 months ago
Dr. Alex is a one-of-a-kind chiropractor who is knowledgeable, attentive, kind, and 100% driven to help his clients succeed in their goals, whether it's healing or strengthening or fine-tuning how their bodies work. I'm so impressed by his energy and drive to keep learning. His is passion for helping people is obvious from the first time you meet him. He has seen almost everyone in my family, from kids to adults. His approach is completely different from other chiros we've seen in the past, where each appt is a 15-min session with the same neck/back adjustments every time. Dr. Alex focuses on the whole body, and he is fantastic at explaining how everything connects and finding ways to work on the source of the issue. Highly recommend Dr. Alex. Excited for him and his new facility in Los Alamitos.
Lizette Pedroza profile picture
Lizette Pedroza
3 months ago
I had a lateral meniscus injury last fall and went to a couple Physical Therapists before working with Olympus Sports Therapy. I was told to rest, stretch, and ice. Flare up after flare up made me start to feel like the only option was surgery to be able to return to some level of active lifestyle again. Olympus sports therapy completely changed that for me. Dr. Alex Mak is very knowledgeable and skilled at simplifying complex information to make it easy for his client to understand. His passion for helping his clients is clear in how supported you feel every step of the way. Working with Alex helped me understand my injury, learn proper body mechanics, lift heavy weights pain free, and rebuild confidence in loading my injured leg. I have gained so much knowledge and hope in being able to move forward with my injury towards an active lifestyle. Save yourself the trouble and money of working with providers who will not offer the same type of individualized care that you’ll find here.
Russell Allsbrook profile picture
Russell Allsbrook
3 months ago
Dr. Mak is hands down the best option to turn too if you want to get down to the root cause of whatever pain you may be experiencing. Personally I suffered a back injury in the military that went misdiagnosed. Working with Dr. Mak, not only corrected imbalances, learning new patterns, and becoming a better athlete. Dr. Mak’s thoroughness led us to uncovering that there was indeed a structural issue. Like you I wanted to avoid surgery at all costs, but it had to happen. Again without Dr Mak I would have continued to suffer and would have never gotten a second opinion outside VA medical. MOST IMPORTANTLY everything I learned working with Dr. Mak has helped my recovery post op ten fold. Ive never left a review this long, and if you read it entirely you should probably call Dr. Mak, you won’t regret it that I can guarantee.
Yoon Yoon profile picture
Yoon Yoon
3 months ago
I can't recommend Alex highly enough! My daughter had been dealing with pain in both knees for over a year. X-rays and an MRI showed tendinitis and Osgood-Schlatter disease. The pain had gotten so bad that it affected not only her ability to play sports but even to sit comfortably for long periods. We saw a doctor and tried physical therapy, but unfortunately nothing seemed to help. I'll admit, I have trust issues when it comes to healthcare providers, so during our consultation I intentionally didn't mention the X-rays, MRI results, or her specific diagnoses. I wanted to see what Alex would find on his own. To my surprise, he identified the problem areas right away and accurately explained what was going on without knowing her imaging results. That gave me a lot of confidence in his knowledge and experience. A friend recommended Alex, and we're so grateful they did. After just a few sessions, my daughter started saying that her knees felt better. For the first time in a long while, she was motivated to do her exercises at home because she could actually feel the difference. Now she's back to playing softball after taking a break, and the swelling in her knees has noticeably gone down. Seeing her active and confident again has been amazing. Alex is knowledgeable, caring, and truly made a difference in her recovery. I would absolutely recommend Alex to anyone dealing with knee pain or sports-related injuries!
Stephanie Cuevas profile picture
Stephanie Cuevas
9 months ago
Dr. Alex Mak developed an excellent program to improve my mobility and stay on track to improved health. After starting a work from home job, I lost sight of maintaining a balanced lifestyle. I pushed myself too hard after living a sedentary lifestyle. What was meant to be a short walk resulted in an injury that resulted in months worth of hip pain. Dr. Mak’s experience in athletics was a game changer to helping me get back on track. Growing up as an athlete and swimming division 1, my instinct is to push myself hard to get back into shape. Dr. Mak helped me realize the importance of measured goals to achieve better outcomes. Knowing my history as a swimmer, he pointed out ways in which my body developed that I should keep an eye out for when lifting weights, running and more. He developed a recovery and strength training plan that considered my work travel schedule and preferred methods of exercise. Dr. Mak has a keen eye for identifying small details that can make a big difference in achieving recovery. I would recommend his services to anyone seeking support after an injury.
Mordox Sar profile picture
Mordox Sar
10 months ago
As a former competitive swimmer during highschool. I had a chance to work with Dr. Alex Mak and he helped a lot. My flexibility was very bad and that hindered my swimming. Alex was able to give me routine that helped my flexibility ultimately helping my swimming. Pretty much he knows his stuff and I highly recommend.
Nelson Portillo profile picture
Nelson Portillo
11 months ago
Don’t think of this as a typical review written for business—think it as a genuine testimony! As a self-proclaimed athlete with a background in soccer and track (though you DONT have to be an athlete), this experience was truly a self investment in body mobility, agility, performance, endurance, strength, and—most importantly—optimal function. And if you think you’re already fine in these areas, you probably aren’t if you’re reading this. Dr. Alex Mak will quickly humble you and help you realize that many of our injuries stem from imbalances, mechanics, and not functioning optimally. As I mentioned, this is a true investment in yourself. You have to put in the work to see results—my pain didn’t disappear instantly or overnight. Through a constant desire to grow, feel better (with little to no pain), and consistent training both in and out of the his gym and office real progress happens. Dr. Alex Mak is young, easygoing, polite, and extremely professional and informative, which makes the entire process more comfortable which felt amazing! You never feel alone during the rehabilitation journey. Having someone on your side who truly understands what you’re feeling—at your worst pain and at every stage of recovery—is incredibly reassuring. He explains what you should be feeling throughout recovery, so you know you’re not only healing but progressing. I stubbornly learned that pain doesn’t go away overnight—it’s a process. The body works as one complete unit, and everything must be kept in check and aligned. After completing my sessions, I can confidently say I came out pain-free, stronger, and far more knowledgeable—allowing me to live a more optimal life. If you’re experiencing pain, don’t hesitate to work with Dr. Alex Mak. He genuinely helps you understand your body, your injuries, and how to overcome them!
Polina Dou profile picture
Polina Dou
11 months ago
Dr. Mak is truly exceptional. His expertise goes far beyond simply addressing pain—he takes the time to deeply understand the unique challenges of each patient. In my case, he carefully assessed the long‑term impact of my back injury and multiple surgeries, dedicating quality time to listen, evaluate, and design a treatment plan tailored specifically to my needs. What impressed me most was his holistic approach: he didn’t just focus on temporary relief, but created a structured program of strengthening exercises and supportive routines to help rebuild my stability and resilience. Through his guidance, I not only regained physical strength but also developed the confidence to continue working out independently, something I never thought possible given my history of trauma. Beyond his professional skill, Dr. Mak brings an approachable, down‑to‑earth energy that makes every session feel encouraging and motivating. He’s knowledgeable, compassionate, and genuinely invested in his patients’ progress. Simply put, he’s not only knows his craft inside and out—he’s also a genuine person to be around.
Fernando B-Rios profile picture
Fernando B-Rios
1 year ago
After my medical doctor referred me to Physical Therapy, I thought my back pain and sciatica pains would eventually heal. After months, I finally “came to gribs” about my situation. My pain was becoming disabling and I needed help. I started searching my area,and what I wanted from physical therapy. Strength and mobility needed to be important to my therapy. My pain needed to be gone or at less become more manageable from therapy. After finding a few practices I started looking through their respective social media accounts. I found and followed Dr.Alexmax on instagram. I found the account informative and helpful. To my surprise, a Direct message from the account was sent to me and they invited me to have a consultation. Long story short, I signed up and after a few sessions I started feeling real relief from sciatica pains. I’m about to have my 15th session and I can confidently state I’ve been giving a foundation to continue a more hopeful and healthy life with less pain and more energy. Highly recommend this practice with anyone who need help with physical therapy

Quick Questions

Upper back pain can originate from muscles, joints, ribs, connective tissues, or nerves. Muscle strains often cause localized soreness and tightness, while joint or rib dysfunction may create stiffness and pain with movement. Nerve irritation can produce burning, tingling, numbness, or symptoms that travel into the chest, shoulder, or arm. A thorough assessment can help determine the source of your symptoms.

Pain from the upper back can sometimes spread into nearby areas due to muscle tension, joint irritation, rib dysfunction, or nerve involvement. Because several structures can contribute to referred pain patterns, a proper evaluation is important to identify the underlying cause.

Yes. Restrictions and tension in the upper back and thoracic spine can affect posture, neck mechanics, and muscle function. In some cases, this may contribute to neck discomfort, muscle tension, and certain types of headaches.

Not necessarily. Many athletes can continue training with modifications. The goal is to avoid movements that significantly aggravate symptoms while maintaining appropriate activity levels and gradually rebuilding strength, mobility, and function.

Symptoms may worsen with prolonged sitting, poor posture, repetitive lifting, overhead activities, rotational movements, heavy pulling exercises, deep breathing, or remaining in one position for extended periods. The exact triggers depend on the underlying condition.

The number of visits varies based on the severity of symptoms, how long the problem has been present, training demands, and individual recovery goals. Some athletes improve within a few sessions, while more persistent or complex conditions may require a longer rehabilitation plan.

Yes. Treatment may help reduce pain, improve mobility, restore normal movement patterns, decrease muscle tension, and support recovery from sports-related upper back injuries, impact-related discomfort, and overuse conditions.

Immediate medical evaluation may be necessary if upper back pain is accompanied by significant weakness, loss of coordination, difficulty breathing, chest pain, unexplained weight loss, fever, recent major trauma, severe neurological symptoms, or rapidly worsening pain.

Treatment typically considers the entire kinetic chain. The neck, shoulders, ribs, thoracic spine, breathing mechanics, core stability, posture, and movement patterns can all influence upper back function and recovery. Addressing contributing factors throughout the body often leads to better long-term outcomes.

Short-term changes often include reducing aggravating lifts, improving workstation setup, limiting prolonged static positions, maintaining good posture, taking regular movement breaks, and performing simple mobility and control exercises that match your presentation and current tolerance.

Dr. Alex Mak, DC, CCSP, CSCS, QME

I was the kid who was told to quit after years of sports and constant injuries, so I became the provider I never had, earning a kinesiology degree at SDSU, graduating chiropractic school summa cum laude, and doubling my clinical hours to obsessively master human movement. Olympus Sports Therapy is built on identifying the root cause, building a real progression plan, and guiding athletes from pain and setbacks back to stronger performance.

Seek medical attention immediately if you experience:

Severe or worsening pain that doesn’t improve with rest Numbness or tingling spreading down both legs Loss of strength in your leg or foot Difficulty controlling bladder or bowel function Pain following a fall, accident, or trauma

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