Upper back pain is one of the most common complaints among desk workers, students, and anyone who spends long hours sitting. A major cause? Tight pectoral muscles combined with shoulders that round forward. This posture creates prolonged tension in the upper back muscles, leading to pain and trigger points. To stop upper back pain, you need to address both the tightness in the front and the weakness in the back.
The good news is you can reverse this pattern. When you stretch the front of your chest and open the shoulders, you take pressure off your upper back. But to fully stop upper back pain, it’s just as important to reactivate the muscles that have been on stretch and irritated. These three easy exercises will help you stretch what’s tight and strengthen what’s weak—exactly what your back needs.
Pec Stretch (Doorway Stretch)
Tight pec muscles pull your shoulders forward and strain the muscles in your upper back. Stretching the pecs is the first step to reset your posture and reduce pain.
How to do it:
- Stand in a doorway with one arm bent at 90 degrees, forearm on the frame.
- Step forward with the opposite foot until you feel a stretch across your chest.
- Hold for 30 seconds. Switch sides.
- Repeat 2–3 times per side, especially after long periods of sitting.
This stretch is simple but powerful. It opens the chest, reduces the pull on the upper back, and starts the process to stop upper back pain before it worsens.
Prone T
Prone T’s help you strengthen the shoulder blade muscles that support better posture and strength in the upper back.
You don’t need to lie on a fancy table like this video shows. You can do this lying on your bed or on the floor.
This may be the most challenging of the 3 foundational exercises. The key is to focus on opening up your chest as much as possible. Don’t try to just push your elbows back as far as they can go..
Hold for 5 seconds at the top and then return to the start position. Start with 2 sets of 10 every other day and work up to 3 sets of 10.
When these muscles are strong, they support your upper back and make it easier to sit tall. That support is critical if you want to truly stop upper back pain for the long haul.
Tall Kneeling Trunk Rotation
This dynamic movement encourages a more mobile spine and trains your body to maintain better posture throughout the day. It’s a smart way to support your goals and stop upper back pain from starting.
It can help to get your upper back moving again as well as turn on some of the upper back muscles that shut off when you sit for awhile.
To do this exercise correctly, keep your hips pushed forward and your chest opened up the entire time you are turning your trunk.
You should feel this working in your butt muscles and upper back.
Turn as far as you can and hold that position for 5 seconds, then repeat to the opposite side. Do 10-15 reps to each side.
Start Today to Stop Upper Back Pain
These three exercises take just a few minutes a day but deliver long-lasting results. By stretching tight pecs, strengthening your mid-back, and improving spinal mobility, you’ll feel better and move more easily.
Most importantly, you’ll start to stop upper back pain where it begins—by fixing posture, restoring balance, and activating the right muscles. Add these to your daily routine and give your upper back the support it’s been missing.
None of the exercises above should make you hurt more.
If you’ve tried these and you’re still hurting, we can help you!
At Solutions Physical Therapy & Sports Medicine, our physical therapists are experts at treating neck pain and will develop a plan to help you stop it.
Call us at 703-299-3111, or click here to request and appointment.
A member of our team will schedule you an appointment with one of our expert physical therapists.
What happens if you don’t have a plan to stop upper back pain?
- You don’t enjoy spending time with friends because your back hurts
- You wake up at night because your in pain
- You get out of shape and are more likely to get other diseases and injuries
But WITH a plan to escape neck pain you can:
- Be social with your friends again
- Have more energy for working out and exercising
- Live the active life you want!
The exercises above are a great way to get started. They don’t require a lot of time and are pretty easy to do correctly.
But if you want an expert to listen to your unique problems and guide you to success, a Solutions Physical Therapy & Sports Medicine physical therapist in Arlington, Alexandria, or Springfield, VA will create a plan specifically for you.
You’ll feel confident that you have the knowledge and ability to escape neck pain and do all the things you want.
Call us at 703-299-3111, or click here to schedule your appointment and start your path to healing.
Working to keep you living your best life,
The Solutions Physical Therapy & Sports Medicine Team




