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Middle & Upper Back Pain

By SOS PHYSIO Jan 13, 2026 0

Middle
& upper back pain is not as common as low back pain or neck pain, because
the bones in this area of the back don’t flex or move as much as the bones in
your lower back or neck.

Middle & upper back pain occurs
below the neck and above the bottom of the rib cage, in the thoracic spine. The upper and
middle back (called the thoracic spine) has 12
back bones — the T1 to T12 vertebrae. Disks reside between them.

Upper and middle back pain can occur anywhere from the base of your neck to the bottom of your rib cage. There are a number of ways the bones, muscles, ligaments, and disks in the spine can irritate or injure the nerves, causing middle & back pain.

Causes

  • Myofascial pain syndrome
  • Overuse, muscle strain, or injury to the muscle
  • Pinched nerve
  • Poor posture.
  • Fractured vertebra
  • Osteoarthritis 
  • Herniated disc
  • Myofascial pain 
  • Gallbladder issues

Symptoms

Common
symptoms of upper and middle back pain are:

  • Tingling or numbness in your arms, legs, chest, or belly
  • Dull, burning, or sharp pain
  • Weakness in your arms or legs
  • Muscle tightness or stiffness.
  • Losing control of your bladder or bowels

Physical therapy at SOS PHYIO Rehab

 A physical therapist is skilled in
the treatment of the spine will fully understand the anatomy and physiology and
all the functional aspects of the human spine. At SOS PHYSIO Rehab, our
licensed physical therapists receive advanced clinical training in the
treatment and management of patients who are suffering from various spinal
conditions.

There are many physical therapy treatments such as Manual therapy & Active Release Techniques (ART) are found to be very effective in treating this type of disorder.
For more information- Contact your local SOS PHYSIO clinic.

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Matvey Gorzhevsky

Matvey Gorzhevsky is licensed accredited Physical therapist in the state of Florida & in Canada. He graduated from the University of Ottawa in 2003.Throughout his career he has owned and operated several medical and physical therapy centers in both Canada & USA. In 2013, he moved to sunny Florida, where he pursued his career in physical therapy. He then, in 2016, opened the first SOS PHYSIO clinic. He specializes primarily in orthopedics. Over the years he has taken numerous continuing education courses particularly in Manual therapy level 1- 3, TMJ specialization, Shirley Sahrmann, McKenzie, Acupuncture, vestibular rehabilitation and a certification in Active Release Techniques (ART). He uses his hands to evaluate the texture, tightness and movement of a joint, muscle, fascia, tendons, ligaments and nerves. Abnormal tissues are treated by combining precisely directed tension with very specific patient movements. This will speed up patient’s recovery process, minimize treatment length, and maximize patient’s benefits. He treats a Varity of orthopedic and neurological conditions such as : low back pain, rotator cuff injuries , meniscus lesions, sciatica, plantar fasciitis, BBPV, TMJ , poor Posture, balance and coordination deficits ( Parkinson, strokes, Ataxia , Cerebral Palsy), dizziness and headaches.

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ARIF SALLA

My name is Arif Salla and I am a South Florida native who graduated from Wheeling Jesuit University in 2018 with my Doctorate in Physical Therapy. I have always had a passion for fitness, wellness, and education. Ienjoy working with patients of all levels and ages and find great satisfaction in not only helping patients recover from their injuries but also inspiring a healthy lifestyle. My main goal as a therapist is to help people realize and obtain their optimal potentials.

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JOSELY G. MANRIQUE

I am a Venezuelan Physical Therapist who came to Miami tocontinue growing professionally. Currently, I am every day in this amazing center to welcoming, comforting and assisting each patient. My main objective is to help the team of therapists and support each of our patients.

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Shreya Soni

My name is Shreya Soni. I am a Licensed Doctor of Physical Therapy. I completed a Bachelor of Physical Therapy from India. Upon graduating I came to the USA and earned a Master’s degree in exercise science and Doctor of physical therapy from California Baptist University and Loma Linda University, respectively. I have extensive experience in musculoskeletal injuries and post-surgical rehabilitation with a focus on Manual therapy. My strong clinical interest is in treating shoulder injuries and surgeries. My goal for all my patients is to help them return to a fully functional lifestyle after an injury.

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IEVA SCIUKAUSKAITE

IEVA SCIUKAUSKAITE has been a licensed Physical Therapist since 2012. She received her bachelor’s degree in Physical Therapy from Lithuanian Sports University in Europe, Lithuania. After obtaining her degree, she practiced as a geriatric and a sport rehabilitation physical therapist for a while. Later Ieva continued her studies in Chicago IL, and became a licensed physical therapist in the US. She participated in various seminars on manual therapy techniques, rehabilitation methods and specific exercises for injuries. Her strong clinical interests are sports injuries and post-surgical treatment. Ieva was a part of the national Lithuanian track and field team as a javelin thrower. On her free time she loves to play tennis and beach volleyball. Ieva is very enthusiastic, receptive to innovations, loves to help patients to recover faster, and always seeking for the maximum results.

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JACKI RENTA

Jacki has been with SOS PHYSIO since it opened in 2016. Jacki has been working in the medical field for over 20 years she has experience in all aspects of Medical office management from front desk to billing. Jacki works closely with the patients and therapists to make sure patients have a clear understanding of their treatment plans and insurance coverage.

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Carlos A Castillo

My name is Carlos A Castillo; I grew up as the smaller of two brothers in the west side of Cuba. When I was growing up, I would watch every soccer game on TV, before going outside and toss the soccer ball around. I’ve loved it ever since. I’ve always love to help people that needed my assistance, reason why when I came to America in 2013, I decided to join the healthcare field following the steps of my wife. Once I decided for Physical Therapy, I worked as a PT aide for two years while I was getting my degree. Now, I have the opportunity to apply all my knowledge to my patients, and help them with no less than one hundred percent of love and professionalism. I want patients to look and me and say “thanks to you, I am now feeling better”.

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Jorge Bazante

My name is Jorge Bazante, I am a physical therapist assistant. I decided to become a PTA because I want to help people get healthy and live better. I am comfort working one on one with patients and I love help them achieve their goals..

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Isnel Hernandez

Isnel Hernandez has been with SOS PHYSIO team for over a year now. I love to be part of a team that’s full of energy and ready to help others recover from pain, trauma, or surgery anywhere in the body. I always knew I wanted to involved in the health field because I love helping others, I became a Physical Therapist Assistant with a passion continue studying and become a doctor of physical therapy one day.

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KARLA SANABRIA

Karla has a degree in Physical Therapist Assistant, Graduated from Miami Dade College since July 27, 2011, remarkable knowledge of physical therapy principles, theory, methods and their application in a home health and clinical environment. She has the ability to understand the role of therapy in the context of the patient’s age, total needs perspective and environment . Uncommon ability to recognize when standard patient protocols or treatment plans need modification to meet individual patient needs.

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STEVEN ABOSAID

My name is Steven Abosaid and I am from South Florida. I graduated from the Praxis institute PTA program in 2021. I have always had a passion for sports and working out. I first began my interest with Physical Therapy when I was involved with football and also being involved with fitness. I love to help others to live a better life style

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DEREK JEREZ​

I play guitar, I love Marvel movies, and I get to be part of something amazing: helping people get better. I chose physical therapy because I’ve seen the impact it has on people’s lives. My own grandma went from an injured knee back to hardening thanks to the hard work put in through Physical Therapy. I wanted to be part of that life changing process and help others. I’m new in the field but I’ve learned so much and I want to use that knowledge to help people get back to feeling great and living their best life.

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Nicole Duque

Hi my name is Nicole Duque I have been in the health care field for more 5 years. I love helping people. My goal at SOS PHYSIO is to make you feel happy and at home. I am here to answer any questions you may have.

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REYNA URIARTE

HI, MY NAME IS REYNA IM A RECEPCIONIST AT SOS PHYSIO AND IT’S BEEN A PLEASURE WORKING WITH THIS COMPANY THAT IS VERY ENGANGED TO HELP YOU. IM HERE TO GIVE MY BEST TO YOU AND MAKE SURE YOU FEEL AT HOME. I’LL ENJOY HELPING YOU WITH YOUR NEEDS AT THE FRONT DESK WITH ANY QUESTIONS OR SCHEDULING CONCERNS.

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Angela Rodriguez

Angela Rodriguez has 11 years of experience as a medical assistant as well as customer service. I love to help patients and be a part of their healing journey.

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Kristy Serrano

Kristy Serrano has 15 passionate years of helping others. As a registered nurse, she has been able to combine this passion with her desire to make a difference. Kristy obtained her RN certification after completing a 3 year nursing program at FIU. She went on to specialize in Cardiology, and she has a natural when it comes to taking care of those in need. Kristy loves getting to know her patients and taking part in the development and health of each individual. When not at work, Kristy enjoys spending time with her 2 kids & husband & her two rescue dogs!

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Oscar Hernandez

I’m a skilled and compassionate physical therapist who is dedicated to helping patients recover and regain their mobility. I love my career and helping patients is my reward.
In the personal aspect, I enjoy reading books, working out and riding motorcycle.

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Alexander Carillo

Alexander is a licensed PT in Florida. He graduated from the University of St. Augustine for Health Sciences in 2020. He is passionate about sports and orthopedics. He performs instrument assisted soft tissue mobilization, KT taping, manual therapy techniques including mobilizations and thrusts. He is licensed in dry needling which is a treatment that uses Dry Needling needles to target specific structures. This intervention is performed with or without electricity. Alex has experience working with a variety of populations, diagnosis, and age groups.

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Melissa Duran

Melissa Duran is a dedicated Doctor of Physical Therapy who graduated from the University of St. Augustine for Health Sciences in 2022. With a passion for promoting health and wellness, she believes in the fundamental principle that “motion is lotion”—that our bodies are designed to move and thrive through physical activity. In 2024, Melissa enhanced her skills by obtaining certification in dry needling, a technique that complements her holistic approach to physical therapy. Her mission is to empower patients to achieve their optimal health through tailored treatment plans that emphasize movement and rehabilitation. Driven by a commitment to continuous improvement, Melissa strives to be better each day, both personally and professionally. She is dedicated to fostering a supportive environment where her patients feel motivated and equipped to reach their health goals.

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Marilyn Eustache

Marilyn Eustache, MS, OTR/L is a licensed Occupational Therapist dedicated to helping patients restore function, independence, and confidence through personalized, evidence-based care. She specializes in treating injuries, post-surgical conditions, and functional limitations that impact daily living.

Marilyn Eustache, MS, OTR/L, is a licensed Occupational Therapist with over a decade of experience across pediatrics, outpatient care, neural orthopedics, geriatrics, and acute hospital settings. A graduate of Florida International University, where she earned her Master of Science in Occupational Therapy, Marilyn blends evidence-based practice with a holistic, inclusive approach that empowers clients to achieve meaningful functional outcomes. Her expertise spans clinical leadership, sensory integration, orthopedic rehabilitation, and family-centered care. As a certified yoga instructor, she integrates mind-body techniques to support balance, mobility, and overall wellness.

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Alex Peskoe

I enjoy and love this team, which has full energy. I enjoy making sure patients are taken care of and recover from any and all injuries. I became a PTA after training clients in the gym to impact patients in a more fulfilling way.

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Alejandro Reyes

I am deeply passionate about my career, and providing the greatest level of patient care. I love animals, coffee, outdoor sports, exercise, and spending time with family. I also love food… I am willing to try anything once. I specialize in exercise and massage therapy, and believe in empowering my patients to achieve their maximum potential.

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Derk Jerez

I play guitar, I love Marvel movies, and I get to be part of something amazing: helping people get better. I chose physical therapy because I’ve seen the impact it has on people’s lives. My own grandma went from an injured knee back to hardening thanks to the hard work put in through Physical Therapy. I wanted to be part of that life changing process and help others. I’m new in the field but I’ve learned so much and I want to use that knowledge to help people get back to feeling great and living their best life.

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Pablina Barberena

She is  friendly, organized, and customer-focused professional with strong communication skills. She has decades of experience in customer service and administrative support. Her goal is to ease patients clerically in their healing.

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Roxangel Mota

Hello, my name is Roxangel Mota, but everyone calls me Roxy. I’ve been working in the healthcare field for almost 4 years, and I have over 7 years of experience in customer service. I love helping people. My goal at SOS PHYSIO is to provide the best possible help and assistance, and I’m here to answer any questions you may have.

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Dana Davila

Dana has been a Physical Therapist Assistant since 2020. Growing up playing sports, she learned early on how important movement and proper recovery are. She is excited to be part of a team that is focused on improving patients’ lives, helping them heal, regain strength, and return to the activities they love.

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Dayanna Zeas

Dayanna is a warm and reassuring first point of contact at the clinic. She greets patients with kindness and enjoys making everyone feel welcomed and cared for from the moment they walk in. Her goal is to provide everyone with top quality customer service and to make their journey with physical therapy a positive experience.

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