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Mid Back Muscle spasm
Two weeks ago, After my gym workout , when I was sit on chair or lie on the bed , there was a sharp pain in the mid back. Next day , I went to physiotherapist and they diagnosed as muscle spasm which can be cured by ice therapy or they have done IFT and ask me to do ice compression on the pain area . i have followed the same for one week and but still face the sharp pain in mid back . Then again went to phyiso for IFT and after they asked me to give ice compression and it will be cured.But still am facing the pain when I tried to lie on my back in the bed or sit on the chair..Someone please help me on this.
Answers (19)
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Dear pateint, you need proper diagnosis if there is any muscle strain or injury please visit nearest physiotherapist or orthopedic
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Hey there
According to me as there is a muscle sprain after gym you should give 7 days rest to part mean while taking some anti inflammatory medicine as suggested by orthopaedic doctor. And after 7 days start strengthening exercises.
Next Steps
Consult online
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Based on your description, this seems to be a persistent mid-back paraspinal muscle spasm, likely due to a strain, poor posture during exercise, or overload during gym activity.
While IFT and ice compression help reduce acute inflammation and pain, the fact that your pain persists after two weeks suggests that the underlying cause hasn’t been fully addressed.
Next Steps
Stop any heavy gym workouts temporarily, get a detailed assessment done. Switch to Heat Therapy instead of ice since it’s passed 3 days.
Health Tips
- Avoid long static postures like slouching on bed or sofa.
- Always warm up before exercise and follow proper lifting techniques.
- Use lumbar and thoracic support while sitting.
- If pain radiates, causes tingling/numbness, or worsens with breathing – get MRI or spine X-ray to rule out disc or rib joint issues.
- Check on your hydration and magnesium levels.
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As the mechanism of injury have a lot impact on diagnosis for physical examination is required, of it is just muscle injury. It will be recorded verey easily if it is a bone or joint problem you may under going x-ray for proper diagnosis
but till that you can shift to hot pack now as the pain has been chronic
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From your description, it sounds like you initially had a muscle spasm in the mid-back, likely due to a sudden movement or muscle overload during your gym workout.
But since the sharp pain is persisting after two weeks, and especially if it is aggravated by lying down or sitting, other possible reasons should be considered, such as:
Muscle strain (micro-tear) rather than just spasm.
Facet joint irritation in the spine.
Thoracic spine (mid-back) joint stiffness or misalignment.
Rib joint involvement (costovertebral joint strain).
Less commonly, disc-related issues (rare in the mid-back but possible).
Go back to your physiotherapist and request a detailed reassessment, not just passive treatments (IFT and ice).
Next Steps
While ice and IFT (Interferential Therapy) help reduce pain and inflammation initially, they alone are not enough for long-term recovery.
Health Tips
Gentle thoracic mobility exercises, Scapular (shoulder blade) stabilization exercises and Posture correction exercises
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It's not easy to Diagnose What exactly the problem is after Gym exercises for Everyone, it's a different schedule..
So please let us know your availability and come forward for physical assessment so that we can Check thoroughly and explain how to recover with your daily routine workout with any disruption
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Ohh I can feel your pain, but pls consult a Physiotherapists near your location specifying precisely at what situation or action or activitie you first felt pain!?
This (specifics) will help us to visualize exact muscle involved.
As per your expression you've explained causes for the pain but also specify what EASES your pain as well for a clear picture.
Wish you a speedy recovery.
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Hey there are other treatment options too
to release muscle spasm ,kindly consult
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Kindly consult
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Consult me in private chat you can do it by yourself at home, no need to worry about that pain and spasm. It's just a simple technique to relive pain at home.
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Myofascial release by any manual technique and manipulation of corresponding vertebrae may be required
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Dr. Ashlesha Ambre (PT)
Physiotherapist
1 yrs exp
Thane
Hello, so we have to strengthen, release, balance some muscles and only IFT will not help you to relieve the pain as it is a temporary solution.
Health Tips
Try contrast bath technique (hot and cold), try to avid bending in the painful direction
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Dr. Kuldeep Vaishnav (PT)
Physiotherapist
2 yrs exp
Surat
If your pain is just because of spasm then it will go after few days of ice compression and some gentle mobility stretching exercises.
Next Steps
But if the pain is same then pls consult a Physiotherapists near your location or consult online to specifying precisely at what situation or action you feel pain!?
Health Tips
DO SOME GENTLE MOBILITY STRETCHING EXERCISES
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Dr. Udita Garg (PT)
Physiotherapist
5 yrs exp
Bangalore
Hi well its common no need to worry
Apply hot pack over the pain area or over the mid back, 10-15 min at least and repeat this process at least 3 times a day. Avoid heavy weight lifting and forward bending until the pain resolves. Try to sleep on side lying position rather than on back.
Next Steps
Online consultation
Health Tips
Avoid sitting on hard surface
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Dr. Jacob Roshan Mathew (PT)
Physiotherapist
21 yrs exp
Bangalore
There needs to be stabilisation of the thoracolumbar fascia, sports physios could try taping that area...
Avoid extension based exercises for some time, if you have a deep lumbar lordosis
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Ms. Pallavi Mishra (PT)
Physiotherapist
4 yrs exp
New Delhi
Hi, seems like you lifted heavy weight or your form could be incorrect which let to acute sprain in your mid back. if after one week pain still persists then we need to assess and manual therapy will help to get rid of that trigger pain in your muscles.
Next Steps
get online consultation with us to know more.
Health Tips
avoid slouch sitting/ sofa sitting, carrying heavy weight.
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Dr. Shivani Taywade (PT)
Physiotherapist
5 yrs exp
Bangalore
Persistent pain may indicate:
1. Incomplete healing of the muscle or surrounding tissues.
2. Underlying musculoskeletal issue e.g., minor ligament or joint irritation
3. Need for further evaluation if pain is severe, worsening, or associated with other symptoms
Next Steps
1. Continue Gentle Activity-walking 2. Alternate ice (15â20 minutes) and heat packs on the painful area 3. Continue with prescribed physiotherapy exercises 4. Maintain good posture especially when sitting
Health Tips
1. Avoid prolonged bed rest 2. Temporarily avoid heavy lifting, twisting, or strenuous exercise until pain subsides 3. If pain persists beyond a few weeks or if you notice new symptoms, return to your physiotherapist or consult a doctor for further evaluation
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Ms. Shefali Gandotra (PT)
Physiotherapist
20 yrs exp
Jammu
Please consult online so that movements can be checked
Next Steps
Moist heat can be applied
Health Tips
Posture correction
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Dr. Afsa Rafiq (PT)
Physiotherapist
4 yrs exp
Srinagar
Apply ice for 15 minutes, 2–3 times a day for pain.
Next Steps
1. Thoracic Cat-Cow Stretch
Foam Roller – Thoracic Spine Release
3. Seated Thoracic Extension
Breathing with Rib Expansion
For better treatment rest consult online we check online
Health Tips
Heavy lifting or overhead gym work until pain fully resolves.
Prolonged sitting or slouching posture.
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Dr. Avijit Das (PT)
Sports and Musculoskeletal Physiotherapist
4 yrs exp
Kolkata
Hi please take an online consultation for best diagnosis and treatment.
Next Steps
I need to check some clinical movements and some more information.
Health Tips
Take a rest and don't go to the gym now.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.