logo banner
Common conditions
Our staffs
Contact us
Common conditions



Middle back pain

middle back painMiddle back pain normally is easy to handle, two major causes are facet joint dysfunction and muscle strain.

1 facet joint dysfunction,

Signs and symptoms

  • Acute onset middle back, sometimes related with deep breath and cough
  • Pain with twisting, normally more severe with one direction
  • Local muscle tightness


  • Joint mobilisation and manipulation, is easy to position back to normal, but it is also easy “pop out” again
  • STM, acupuncture and stretch
  • Strengthen exercise

2 muscle strain:

Signs and symptoms:

  • History of heavy lifting and twisting
  • Sharp onset after injury
  • Unilateral muscle tenderness
  • Pain with resistance movement

Treatments: same as normal soft tissue injury, DTM, acupuncture, stretch and strengthen exercise.

Our staff
Contact us

Copyright® Combohealthphysiotherapy 2010 Email us