Stiffness through the mid-back that makes it hard to turn, reach or take a deep breath. Hands-on mobilisation and targeted exercise restore the movement.

Sharp, catching pain beside the spine or around the ribs, often worse with a deep breath, cough or twist. It usually settles quickly once the joint is freed up.

A dull ache between the shoulder blades that builds over a long day at a desk or behind the wheel. Treatment combines workstation changes with strength work.

Pulled or overloaded muscles across the shoulder blades, common after lifting, a heavy training session or a sudden awkward movement.