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When it comes to looking for the best stretch for upper back pain, there are a number of factors to consider. There are multiple muscles and spinal joints that may be contributing to the pain, as well as potential underlying medical conditions which should be ruled out. (Always consult with your doctor if experiencing severe pain!)
The majority of mid and upper back discomfort can simply be related to musculoskeletal issues, and the following stretches for upper back pain relief may be very helpful.
Let’s learn how to stretch your upper back!
The crossbody shoulder stretch targets the muscles of the upper back right between the shoulder blades, but it also addresses tension in the back side of the shoulder itself.
I would place this at top of my list when it comes to stretches for upper back pain between shoulder blades.
This is an easy stretch for upper back pain that can be done throughout the day, especially if you find yourself hunched over at your desk all day long.
The overhead tricep stretch addresses both the tricep muscles, but also the lat muscles, which run from your upper arm to your lower back.
Tightness in this muscle contributes to rounded shoulders, therefore increasing the amount of strain in your upper mid back muscles.
While performing this stretch, as an extra bonus, you can side bend your torso the OPPOSITE side of the arm you are stretching.
The pec stretch over a foam roller isn’t an upper back stretch, but it will certainly reduce strain on the upper back muscles.
When the pectorals are tight (especially the pec minor), it pulls the shoulder down and forward. This rounding of the shoulders lengthens the rhomboids, mid and lower traps, and spinal extensors.
This puts these muscles at a mechanical disadvantage, making them more prone to fatigue, especially during activities of prolonged computer work, etc. If you get upper back pain when stretching, you’ll likely benefit much more from this approach.
Essentially by stretching the pecs your shoulders are repositioned, and it can give you relief from upper back pain.
Another potential contributor to upper back pain is often lack of mobility in the thoracic spine. The most common issue is lack of extension, leaving the vertebra stuck in a persistent state of flexion.
This flexion position lengthens the spinal extensor muscles, causes the rib cage to internally rotate, and can contribute to non-optimal position of the diaphragm. As a result, sub-optimal breathing patterns can develop and lead to overactivity and fatigue in the mid and upper back muscles.
While not specifically a stretch for upper back pain, one of the best ways to start addressing this situation is by improving mobility of the thoracic spine with the foam roller.
As mentioned above, excess rounding of the thoracic spine (kyphosis) is a potential contributor to tension and feeling the constant need for an upper back stretch.
The abdominal muscles can also have tightness that can limit thoracic extension. Thus, stretching them can reduce upper back tension.
The lat muscles are often short and tight, which leads to both rounding of the shoulders, as well as increased tension down toward the lower back.
Lat stretch for upper back pain is fantastic because they are such long muscles that perform many important functions.
There is no single best stretch for upper back pain relief, but this list is my go-to for addressing the key potential contributors.
The piriformis muscle (included with 5 other muscles) is an external rotator of the hip. It connects the sacrum to the femur bone (thigh) and is often associated with a variety of lower back, sacroiliac, and hip issues.
If during an assessment excessive posterior pelvic tilt, sacroiliac joint region pain, sciatica-type symptoms, IT band issues, or flexibility issues of the hip are found, piriformis massage may be indicated.
Piriformis trigger points are very common and relatively easy to locate. These sensitive points are capable of referring pain down the backside of the leg. Due to this phenomenon, trigger point activity may be mistaken for symptoms of sciatica.
It is important to note, the concept of trigger points and their relationship to pain is a point of high debate. Regardless, it appears helpful to address these sensitive areas with trigger point piriformis release techniques, at least for temporary relief.
Specifically, piriformis trigger point release can be attained by using simple neuromuscular techniques such as positional release technique, ischemic compression, or muscle energy techniques.

When piriformis pain is just too aggravated and sensitive to stretch or exercise, sometimes the best thing to do is simply get into a position of relief.
One of the best ways to do this is by laying face down and placing the affected leg out to the side. This position allows the piriformis muscle to shorten, which can help relieve tension and allow it to calm down.
A small pillow can be placed under the hip to reduce lower back discomfort and allow a better position of rest. Usually 3-5 minutes is sufficient to allow a reduction in excess muscle tone, but it can be done for much longer if desired.

The piriformis muscle lies under the larger, more superficial glute muscles, so it can be challenging to directly reach with deep tissue massage work until those layers are relaxed.
This muscle is responsive to more gentle approaches, and does not need overly aggressive pressure to get results. Piriformis muscle massage is effective even with simple glides with thumbs or the elbow.
The fibers of this muscle connect to the anterior (front) surface of the sacrum bone, so they can challenging to fully address, which is why a combination of deep tissue massage for the piriformis and stretching work is often indicated for best results.
Massage is often indicated for piriformis syndrome, and it can indeed be helpful, but I highly recommend it is done with low pressure.
Since the muscle is already aggravated, excessive intensity when treating this muscle can further increase sensitivity, pain, and guarding.
Piriformis syndrome massage requires a gentle, graded exposure approach in order to achieve the goal of restoring normal health and function to the area.
Since the intensity is generally low, it may be necessary to follow up with exercises and stretches to the get the piriformis muscle release to “stick” after the therapy session.
The piriformis is an external rotator of the hip, but because of its location and hip mechanics, there are 2 different approaches to stretching the muscle. In this first version, the emphasis is on adduction and hip flexion, which allows for release of the more superficial muscles and some of the external hip rotators.
Reciprocal inhibition technique is a very powerful release technique for the piriformis and other external hip rotators because the groin (especially on the left!) is often inhibited and needs to be strengthened.
You can also perform self myofascial release by foam rolling the piriformis, using a lacrosse ball, or a softball.
Any of these tools can be effective, and one may be preferred over the other depending on how sensitive the area is. The foam roller provides a soft surface, and the wider contact area makes it the most tolerable tool to start with.
Using a softball or lacrosse ball for piriformis release massage can be quite uncomfortable due to the more weight you will putting into the area per square inch. This will result in an inability to relax fully against the pressure, trigger guarding, and reduce the effectiveness of the therapy.
This is especially important to consider when self release techniques are included with piriformis syndrome treatment. Gentle, progressive techniques may be preferred in order to avoid aggravating the condition.
Did you reach for something and suddenly feel a sharp spasm in the lower part of your back, slightly to the side of the spine? At the bottom of the ribs, and when you breathe in really deep you can feel it?
You might be dealing with the Serratus Posterior Inferior muscle.
The serratus posterior inferior usually creates a localized pain pattern. It doesn’t generally refer pain around the ribs or down the back.
Since this muscle is an accessory respiratory muscle (it assists with end stage exhalation of the lower ribs when breathing), repetitive patterns that involve rib movement which breathing may be a trigger for spasm or cramp.
Early in my career I would refer to this as the “swimmer cramp” muscle because it appeared common to swimmers.
Due to its location on the lower ribs, serratus posterior inferior pain can be particularly uncomfortable and finding a position of relief is often challenging.
If you suspect a possible serratus posterior tear (likely due to direct trauma), then be sure to get checked out by your doctor before attempting to do anything with this muscle.
Now that you see where this posterior inferior serratus is located, let’s take a look at a simple positional release technique over a swiss ball.
This muscle is difficult to access because of its location. It is influenced by rib movement, so in order to get it to relax, you’ll have to position your body specifically, then use breathing to move the lower ribs and relieve serratus posterior pain.
The swiss ball side bend works great for the positioning. As shown in the video, you will need to turn your upper body slightly forward to get the stretch into the lower ribs. Breathe deeply to affect the Serratus Posterior Inferior. I often times find this stretch to help, but during acute spasm of the muscle, hands-on massage techniques are necessary to get a full release.
This muscle is quite thin, and trying to self-massage it with a foam roller or tennis ball can be too painful. So, one of the best ways to address tension in the serratus posterior inferior muscle is via massage therapy.
Here is a demonstration:
The tensor fascia lata (TFL) is a muscle located on the front of the hip and merges into the iliotibial band (IT band). It is often associated with a variety of movement pattern imbalances and pain in the lower back, pelvis, hips, and knees.
This muscle should be addressed in all of the above issues.
The tensor fascia lata can be released with hands-on massage techniques, self massage techniques (SMFR) such as foam rolling, or with neuromuscular techniques such as muscle energy. In this blog you’ll find demonstration videos for all these options.
The TFL is a very common compensatory muscle. Its often over-active as an internal hip rotator, especially when the pelvis is positioned in excessive anterior pelvic tilt. When the opposing muscles are weak, this muscle will become dominant and become facilitated. Therefore, a TFL muscle stretch may be warranted.
Pain in the TFL can either be sharp (usually during single leg standing or when lifting your leg in front of you), or a dull ache when walking up or down stairs. If the muscle is short and tight, it can also be a contributor to sacroiliac and/or lower back region pain.
Reducing the effect of an overactive tensor fascia lata involves two parts:
While release techniques can provide relatively rapid results including pain relief, exercise work should be the primary focus over the long term. TFL muscles can be effectively stretched as part of a full range of motion exercise strategy as well.
The Ober Test and Thomas Test both reveal reduced range of motion in the hips that is related to TFL and IT band tightness.
Since the IT band is not a contractile tissue, it does not become tight, and thus there is no true IT band release techniques. There are, however, muscles that attach to the band, including the tensor fascia lata (TFL) and the gluteals. In addition, the band lays over a commonly tight muscle, which is the vastus lateralis (a quadricep muscle), which is usually the source of the tenderness which is often felt during IT band massage therapy or foam rolling.
Foam rolling is a version of IT band self massage, and can be helpful for addressing the muscle that lies beneath the IT band, which is the vastus lateralis. It’s important to understand that releasing the IT band itself is not possible.
TFL trigger points are routinely found, and can often refer sensation down the lateral aspect of the thigh. This referred sensation location can be familiar to those dealing with pain in this area.
They are often quite tender, and light to moderate pressure is usually all that is necessary to diminish sensitivity.

Addressing the tensor fascia lata muscle in the seated position is an easy way to locate the muscle and get enough leverage to work it.
In this position, the TFL is shortened, which means its not an ideal position to attempt to stretch it, but regardless, it can reduce tissue strain and also allow you to self-treat without too much difficulty.
Word on caution here: Be nice to your thumbs!
With IT band massage, we are really addressing the lateral quadricep, called the vastus lateralis, which lies under the iliotibial band.
Since the TFL merges into the IT band superiorly, we should address that too in the same massage session.
In the video below, I’ll show you step-by-step how to massage the IT band along with the tensor fascia latae and vastus lateralis.
The Theracane is a great tool for self-treating the TFL in the standing position. The key is proper placement of the tool, as well as shifting your bodyweight to the other leg.
Foam rolling the IT band is a great general technique to address the outside quadricep muscle, the IT band, as well as a small portion of the TFL muscle. Because of where the TFL is located, along with the size of the roller, you won’t be able to sufficiently access most of the muscle. You will need to use a lacrosse ball or select another technique or position to adequately address it.
After foam rolling, I would recommend a tensor fascia lata stretch for further improve the effectiveness of the work.
Tensor fascia lata stretches are essentially the same as some psoas stretch techniques, which some subtle differences found HERE.
The hamstring muscle group consists of 3 muscles: Biceps Femoris, Semitendinosus, and Semitendinosus.
The most common finding in assessment to determine the need for hamstring stretching is inability to touch the toes, or the presence of posterior pelvic tilt in the standing position.
If these are found to be positive, then these hamstring release techniques may be utilized.
The supine hamstring stretch is an excellent option for applying the muscle energy technique called reciprocal inhibition. This technique works by activating the opposite muscle/s of the one you want to stretch. Specifically in this example, you will activate your quadricep muscles to inhibit your hamstrings.
This will allow for a greater stretch through neurological inhibition of the hamstrings!
Post-isometric relaxation is another form of muscle energy technique that allows for achieving a greater range of motion than just stretching can accomplish alone.
By moving the hamstrings toward the stretch position, contracting them with a low level effort for 8-10 seconds, followed by a short rest (2-5 seconds), you will be able to move your hamstrings to a greater degree into the stretch.
Percussion massage tools (<- affiliate link) are becoming more popular and for good reason. They can assist with improving results with massage therapy work, as well as self-myofascial release.
This technique combines reciprocal inhibition of the hamstrings (through quadricep activation) with percussion to the hamstrings to assist with relaxation.
Self-massage for the hamstrings is easily do-able with a standard foam roller. The goal is to roll with a light-moderate level of discomfort that allows you to comfortably work on the tissues.
When you find areas that are particularly tender, hold those points for 10-15 seconds, then move to another area.
Continue this process until you treat the areas that you can access effectively.
Most people are quite familiar with the larger, more superficial chest muscles, called the pectoralis major, however, underneath this muscle is another, called the pec minor. The pec minor release techniques later in this article will be specific to this muscle.
This muscle is very important to address, since it’s responsible for pulling the shoulder blade forward and down onto the ribs. (contributing to the rounded shoulders appearance).
If during an evaluation there is an upper cross syndrome with rounded shoulders and excessive forward head positioning, this muscle should be addressed.
For the most part, in any upper body impairment the pec minor is likely to be strongly involved.
The pectoralis minor can be addressed with a tennis ball. This is one of my favorite self pec minor releases. Now, one thing to mention here is that you will NOT be making contact directly with the muscle.
Since the pectoralis major lays over the top, you’ll be influencing the pec minor indirectly with this technique. You will need to play with ball positioning to find the most tender spots.
Addressing the pec minor with massage release techniques can be very powerful and useful. My favorite position for this is side lying, as it allows for gravity assistance in moving the pec major out of the way.
However, some therapists prefer to do this supine (client laying on their back). The preference will ultimately depend on the anatomy of the individual, and the therapist’s ability to feel the muscle.
The pec minor can be challenging to stretch due to how deep the muscle is and it’s function.
It’s not uncommon to feel either a stretch OR some discomfort on the front of the shoulder when attempting to stretch the pec minor. Therefore, take your time when setting up this stretch and avoid being too aggressive.
Post-isometric relaxation is very effective for the pec minor muscles.
A therapist is needed for this technique.
Lay on your back with arms down at sides. The therapist will guide the shoulder slightly up away from the nipple as well as down toward the table. You do NOT need to go far with this stretch.
Hold for 8-10 seconds, take a deep breathe in, and exhale as you attempt to relax further into the stretch. Next, while maintaining a light stretch, gently push the shoulder into the hand of the therapist with about a 10-15% percent effort.
Hold for 10 seconds, then take a deep breath and relax fully, allowing the therapist to take up the slack and see if the stretch can be taken a bit further. Repeat 2-3 more times or until no additional range of motion is achieved.
Thanks for checking out my recommended best pec minor release techniques.
As always, no muscle should be seen as the sole contributor to any given problem. No muscle works in isolation.
It’s always best to approach muscular imbalances with a systemic approach to get the best results. That is why I developed my Posture Hacking System.
The quadricep muscle group contains 4 muscles: vastus lateralis, vastus medialis, rectus femoris, and vastus intermedius.
Excess tension in these muscles can contribute to stress in the knees, hips, and lower back.
So how do you know if your quadriceps are actually tight?
The easiest way to tell is to assess the quads in the same position as we test the hip flexors in, which is called the Thomas Test.
We need to differentiate tightness between the tightness of the rectus femoris (part of the quadriceps that flexes the hip) and the rest of the quadricep muscles.
The quadriceps are often quite sensitive to soft-tissue techniques, so massage therapy isn’t my first choice to address tight quads, but pin and stretch techniques (such as Active Release Technique) can help.
The emphasis doesn’t necessarily need to be a high amount of pressure, but rather a moderate sustained pressure for a longer period of time (for example 2 minutes). I always recommend following up with stretching as a home assignment to lock-in the results.
In this video, John Gibbons demonstrates this technique:
The kneeling hip flexor stretch is by far the most versatile quadriceps release stretching technique.
It allows you to maintain your balance and emphasize the pelvic tilt aspect of the stretch. The primary emphasis of this stretch is going to be the rectus femoris.
As the stretch gets easier, the back foot can be elevated slightly to add more tension to the quadriceps.
Graston-type IASTM (instrument assisted soft tissue mobilization) tools can be helpful for reducing quadriceps muscle tone and improving range of motion.
Some techniques can be self-applied, but this is a good reason to see a professional therapist.
Self-massage for the quadriceps is easily do-able with a standard foam roller. The goal is to roll with a light-moderate level of discomfort that allows you to comfortably work on the tissues.
When you find areas that are particularly tender, hold those points for 10-15 seconds, then move to another area.
Continue this process until you treat the areas that you can access effectively.
Thanks for checking out these quadricep release techniques. Keep in mind that any techniques presented here need to be applied in the context of an overall corrective strategy aimed at addressing the root cause of the issue, whether that is chronic pain, tension, or reduced performance.
To learn more, see my services page, or my online system, the Posture Hacking System.
The back extensor muscle group contains the Longissimus, Iliocostalis, and Spinalis.
If during an assessment excessive anterior pelvic tilt, excessive lumbar spine lordosis, back or sacroiliac joint pain is found, these muscles should be addressed.
The back extensor muscles are easily accessed because they are superficial muscles. They run from the sacrum all the way up to the back of the skull.
Due to the length of the muscles, its easiest to treat them in smaller chunks. Elbow glides are most commonly used by massage therapists, but after the warm up, thumb-based techniques can address the spinal extensor muscles with more precision.
Since most people do not feel a stretch in thoracic region of the extensors (due to excess rounding of the back called kyphosis), we focus on lengthening the erectors of the lumbar spine.
The knees to chest stretch is a simple way to accomplish this goal, but don’t worry if you do not feel a stretch. Not everyone does!
The Cat stretch works very well for lengthening the spinal extensors, but the emphasis needs to be on pelvic tilting to affect the lower aspect of the muscles.
Its important to note that the lumbar spine doesn’t flex very far, so only a little pelvic tilting is necessary. Its not uncommon for some people to feel slight discomfort at the L-5/S-1 level, so only go as far as comfortable.
Post-isometric relaxation works very well for the back extensor muscles.
Correct positioning over the end of the table is essential during this one, and if any discomfort is felt in the lower lumbar spine, reduce intensity and/or consult with your physician for guidance.
Be sure to contract at a low intensity for 8-10 seconds prior to relaxing fully into the new stretch position for another 8-10 seconds.
The calf muscle group involves 2 primary muscles: the gastrocnemius and the soleus. Both of these muscle merge into the achilles tendon.
The most common reasons for working on the calves include plantar fasciitis pain, and the inability to achieve optimal depth in the squat.
How do you know if your calves are actually tight?
They can be tested with a goniometer passively (with a therapist), or actively with a knee reach test. Both of these tests can also include testing ankle mobility.
Watch the video below to learn more about calf flexibility testing.
The calves are generally very responsive to massage therapy work, but can often be very tender. They appear to respond well to medium pressure and many repetitions. Over time, as tolerance improves, the pressure can be progressively increased.
The standing calf stretch is the most common way to improve calf flexibility. In particular, this standing version emphasizes the more superficial calf muscle, called the gastrocnemius, because the knee is straight.
It’s a common error for the heel to rise during this stretch, which can make it difficult to access the muscle, so always make sure to follow the steps to maximize the stretch.
The standing calf stretch can not only target the larger gastrocnemius, but also the deeper soleus muscle.
The difference between these stretches is simple: In order to access the soleus, the knee must be bent. Many people find it difficult to really feel the soleus muscle stretching, usually feeling more ankle restriction than stretch.
If this is the case, you may find the kneeling ankle mobilization to be more useful.
Percussion tools can be helpful for freeing up tight calf muscles. The easiest position in which to apply this technique is the half-kneeling.
This is additionally a good way to improve ankle mobility and squat depth.
Graston-type IASTM (instrument assisted soft tissue mobilization) tools can be helpful for improving calf flexibility and improving recovery.
These tools are mostly used by professional therapists, but the techniques can be safely implemented at home.
Self-massage for the calves is easily do-able with a standard foam roller. The goal is to roll with a light-moderate level of discomfort that allows you to comfortably work on the tissues.
When you find areas that are particularly tender, hold those points for 10-15 seconds, then move to another area.
Continue this process until you treat the areas that you can access effectively.
Power and flexibility often go hand in hand.
To maximize pectoral muscle strength techniques, it’s important to have the right level of mobility. Not only will this help you perfect new techniques, but it’s also going to help stave off injuries.
When it comes to strengthening the pectorals, these six pec stretch release techniques can unlock even more potential.
The pectoral muscle group consists of 2 muscles: the pec major and the pec minor.
These muscles can often become tight, leading to excessively rounded shoulders, shoulder or neck pain, and breathing imbalance. Pec stretch release techniques can help alleviate these pains, restoring greater mobility and allowing the patient to focus on their pectoral muscle strength technique.
As well as helping with shoulder and neck problems, the pec stretch release techniques shown below can be effective for improving many issues.
Your pecs are important muscles in your body, so it’s important to maintain flexibility in this area, particularly if you’re working on pectoral muscle strength techniques.
However, there are some tell-tale signs that you might need pectoral muscle release:
Movement is an important part of recovery, and in these cases, the right pec stretches can help alleviate pain and return mobility to the affected area.
The pectoralis major is the most superficial and easy to access chest muscle. It starts at the sternum and inserts into the upper arm. There are a variety of glides that can be used as demonstrated in the video, and even simple compression of the muscle can be used to assist with reducing tender areas.
The pectoralis minor, however, is a bit more challenging to access because it lies underneath the larger pec fibers. It needs to be treated from the side, or side-lying position.
With treatment from an experienced professional and the right stretching routine, it is possible to release the pectorals, allowing people to get back to the workouts they love.
Stretching out the pecs is an important part of working on your pectoral muscle strength technique. The more mobility you have in this area, the better quality workouts you can do, leading to more effective and healthy muscle growth.
One of the easiest and most familiar ways to get a pectoralis major stretch is with a doorway stretch. Place your arm so that your elbow is slightly higher than your shoulder and step forward a bit while simultaneously turning your body away from the arm.
One thing to note, if the anterior shoulder capsule is sensitive for any number of reasons (underlying shoulder pathology) you may feel discomfort instead of the intended effect which is to stretch pectoralis major. In this case you may need to opt for a self-massage style technique, or seek additional help to address the shoulder issue prior to doing these stretches.
The swiss ball pectoral stretch is a good alternative to the doorway stretch, especially if you have a hard time getting a good stretch.
Make sure you use a ball that is large enough, and that you allow your shoulder blades to move toward each other to simulate stepping forward through the doorway as discussed in the previous stretch.
Post-isometric relaxation works well for the pectoral muscles.
This is accomplished by moving toward the end of a massage table (or bench) and allow your arm to hang as if you were doing a stretch with gravity assistance. If you are doing this by yourself, lift up your arm (using your chest muscles) just enough to activate the muscle.
Hold for 8-10 seconds, take a deep breathe in, and exhale as you attempt to relax further into the stretch. Hold for 10 seconds, then repeat 2-3 more times or until no additional range of motion is achieved.
Massage therapy works very well for the pec minor muscle.
Correct positioning as well and low-moderate pressure is ideal for addressing this muscle. You don’t need to push too hard! In addition, it’s important to be cautious of nerves in the area of the pec minor.
Self-massage for the pectoral muscles is possible with the use of a tennis or lacrosse ball. Place the ball into the desired area and lean into a wall or doorway.
You may wish to move your arm slightly back behind your body to lengthen the pectorals as you compress the tissues with the ball. You can move your body to scroll through the tissues, and isolate any areas that are particularly tender. Hold those points for 10-15 seconds, then move to another area.
Continue this process until you treat the areas that you can access effectively.
Stretching should be an essential part of your pectoral muscle strength technique. If you’re suffering from pain in your neck and shoulders, then it’s going to hold back your workout, and it could be due to your pectorals.
With the right treatment, and some pec release techniques, you can alleviate pain and make your workouts even more effective.
Mobility is key and pectoral muscle release could be exactly what you need.