02/16/2026
"Stop chasing pain!"
This may be (or should be) one of the most influential messages I've sent!
Most people walk into our office and complaining about the mid back or shoulder blades. It feels tight, sore, and never quite settles.
But here’s the part that's misunderstood. A lot of the time, the mid back is not the starting point. It is the reaction.
The front of the rib cage, especially the sternum, is often the driver.
This is why I spend so much time massaging and mobilizing the chest wall, the subclavius, the costal cartilage, and why I’ll even hit specific points with the Dolphin units in that region. The goal is not just “loosen the pecs.” The goal is to get lymph moving and promote expansion of the entire rib cage.
And Dr. Perry Nickelston has been one of the people who helped me think this way.
If you know his work, you know he is big on the idea that you cannot treat the body like it is made of separate rooms. One hallway gets clogged and the whole house starts acting weird. His holistic approach is simple in concept but deep in application.
Stop chasing pain. Start clearing the traffic.
Stick with me and let’s connect the dots!
Lymph is your clean up crew. It is fluid movement, immune traffic, and waste management. It moves because of pressure changes, breathing, muscle contraction, and movement.
High pressure flows toward low pressure.
The lowest pressure drain point for lymph is at the collarbone area where the ducts empty back into the bloodstream. So if the drain is at the collarbone, the highest pressure tends to show up furthest away. Think hands, feet, legs, head.
This is why Dr. Perry and others emphasize clearing the main junctions first. He calls them the “Big Six.”
1) Collarbone region
2) Top of the neck behind the angle of the jaw
3) Armpit area
4) Abdomen
5) Crease of the groin
6) Back of the knee
The sternum, T5, and why your mid back gets smoked
Here is where most people miss the mark. They treat mid back stiffness like it is purely a joint or muscle problem.
But the sternum is the front anchor of the rib cage. The ribs attach through cartilage. The thoracic spine is the back anchor. Your rib cage is the bridge between them.
So when the sternum and anterior chest wall are stiff, tender, puffy, guarded, or just not moving well, the thoracic spine is forced to take extra load.
If you press on the sternum, people are often shocked by how tender it is, even though they never complained of pain there.
Then where do they usually feel symptoms? Right through the mid back. T5 to be specific
That spot becomes the “sweet spot” of irritation. Not because it is weak, but because it is stuck in the middle of a system that cannot expand and rotate like it should.
And once T5 gets irritated, it rarely stays isolated.
Segments “broadcast.” T4, T3 above it. T6, T7, T8 below it. Suddenly the person has pain here, tightness there, weird symptoms over there, and they are chasing the pain everywhere.
Meanwhile the front of the rib cage never got addressed (unless you come see me ;))
The sympathetic chain lives right where this problem lives
Now bring in the nervous system.
The sympathetic chain runs along the thoracic region, near the spine and ribs. That is the relay station for fight or flight output to a huge amount of the body.
So if you have chronic irritation in the mid thoracic spine, and the anterior rib cage is stiff and guarded, you are basically poking the bear.
You are feeding a region that is already loaded with sympathetic wiring. This plays a way bigger role in why some people feel like they cant ever truly rest.
They stretch more. They roll more. They crack more. They try to posture their way out of it.
How this ties into “organ issues” without getting weird about it
This is the part I want to handle carefully!
I am not saying your sternum causes every gut problem. I am not saying lymph work cures disease.
What I am saying is this...
The thoracic spine segments influence the autonomic output to organs. The mid thoracic region has major relationships with visceral function through sympathetic pathways.
So if someone has an irritated thoracic spine, a compressed rib cage, shallow breathing patterns, and a nervous system living in fight or flight, it is not surprising when they also report things like:
-Digestive sensitivity
-Reflux or bloating patterns that come and go
-“Pressure” feelings in the chest and upper abdomen
-Trouble sleeping
-More reactivity to stress
Could be a hundred reasons. But it is a pattern worth respecting!!
In practice, I see this all the time.
We calm the rib cage. We restore expansion. We reduce sternum guarding. We improve thoracic motion. We get the system to exhale again.
And the person feels like their body finally took the foot off the gas!
What we actually do with this at Charge
This is why I do the combination of:
-Chest wall and sternum work
-Costal cartilage mobility
-Subclavius and first rib attention
-Dolphin microcurrent points in that region when appropriate
-Then immediate movement to lock in the change
Because if you open the front of the rib cage and then you teach the body how to use it, the thoracic spine stops having to yell.
This is also why I am not impressed by “just cracking the mid back” as the whole plan.
It is a tool to create movement, but it cant alone address the system.
So if you are the person who has been living in mid back tightness, shallow breathing, and constant tension that keeps coming back, book an Rebuild visit and let me help you find better tools that address it all!
Dr Dom + Team
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