Thoracic Flexion Syndrome

Thoracic Flexion Syndrome:


Thoracic pain that increases with shoulder flexion, lying supine, and with extension after prolonged flexion.  This is due to excessive time sitting in prolonged flexion (sitting slouched at a computer) or excessive strengthening exercises involving the abdominals.  This may be a diagnosis of dowagers hump or kyphosis due to osteoporosis.


  • Improve strength and activity of the thoracic back extensors without overworking the lumbar extensors.
  • Avoid abdominal exercise that shortens the abdominals.
  • Change seated posture to improve positioning to decrease thoracic flexion.
  • Improve mobility of the pecs

These are primarily sourced from work by the great Shirley Sahrmann PhD. I use these pages as a personal reference for this type of information.


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