Chronic neck pain is more than just discomfort—it can have a broader impact on overall health, including breathing efficiency. A 2014 study titled “The Effect of Thoracic Joint Mobilization and Self-Stretching Exercise on Pulmonary Function of Patients with Chronic Neck Pain” explored the link between neck pain, thoracic mobility, and respiratory function. The research highlights a strong correlation between chronic neck pain and restricted thoracic spine mobility.
The thoracic spine is made up of 12 vertebrae (T1–T12), and each rib attaches to a thoracic vertebra. This creates a supportive rib cage which plays a crucial role in chest expansion and efficient lung function. Every breath you take expands and moves your rib cage, which relies on a healthy and mobile thoracic spine. When this region becomes stiff—often due to poor posture, muscle imbalances, or long-standing neck issues—it can impair breathing mechanics. The study found that participants with chronic neck pain also had reduced pulmonary function, suggesting that thoracic stiffness might be contributing to limited respiratory capacity.
After applying a combination of thoracic joint mobilization and self-stretching exercises, participants in the study experienced significant improvements in lung function. These interventions helped increase thoracic spine mobility, promote better posture, and enhance the movement of the rib cage during respiration. For patients with neck pain, incorporating these techniques into a physical therapy routine could support not only pain relief but also better breathing and overall physical performance. At Accel Physical Therapy, we emphasize whole-body care—and this study reinforces the value of treating the spine as an interconnected system.
https://pmc.ncbi.nlm.nih.gov/articles/PMC4242955/