09/01/2026
In this video, Michael Wirtz PT, DPT, OCS, CDNS explains that above 150 degrees your thoracic extensors assist in shoulder elevation by creating ipsilateral rotation and side bending in the upper thoracic spine. When this combined motion occurs, it will allow the manubrium and clavicle to move in a way that limits deep cervical fascial tension, thus allowing full elevation. If this joint is not moving as well as it should, the functional shoulder girdle may become inhibited, possibly causing pain. Along with pain, you may notice a difference in the elevation ROM compared to the uninvolved side. A manipulation to reset the neurological tone of the joint may provide a window of opportunity to reeducate the upper thoracic spine with exercises. If you have pain reaching overhead, call one of our clinics to have an evaluation completed.
Mike is currently pursuing another certification to add to his incredible skills working towards his Certified Orthopedic Manual Therapist with Aspire OMT. He is treating out of our Reston office. You can schedule a consult with him calling 703-230-1760.