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large chest causes back pain
© Photo: Getty/ JLco - Julia Amaral large breasts cause back pain
MSN journalist Hannah Schneider tackled the topic of what you can do if your large chest causes back pain, and she reached out to me for my opinion as a Doctor of Physical Therapy. Here is a brief synopsis of the article, along with a link to the full article below.

Heather Jeffcoat, DPT

If Your Large Chest Causes Back Pain, Here Are Some Tips

Physical therapist-approved, including from our own Heather Jeffcoat

For most women with large breasts, the relationship between cup size, back pain, and posture problems is unsurprising. You might often have neck and shoulder aches to prove it. However, it might be validating to know you’re not alone (because you’re totally not).

A 2020 study published in Women’s Health London surveyed 269 women with varying bra band and cup sizes. They found that participants were more likely to report breast-related back pain with every increased cup size. This means that as they climbed from A to B to DD and beyond, respondents were 13 percent more likely to experience pain.

This is because larger breasts can shift your center of gravity forward, leading to a more slouched posture and placing more stress on the neck and upper back, Jessica McManus, PT, FAAOMPT, physical therapist, functional medicine health coach, owner of Full Circle Wellness PT says.

This then has a domino effect on the back muscles. These rhomboid and middle trapezius muscles stabilize the shoulder blades against the thoracic spine. “With the increased strain on the middle of the spine (thoracic), increased tension travels up to the neck (cervical spine), causing tight and fatigued upper trapezius muscles,” says Kristen Gasnick, PT, DPT, board-certified doctor of physical therapy at Holy Name Medical Center.

All of this helps explain why your large breasts cause back pain and why you might experience aches and pains in your shoulders, neck, and even the lower back. To ease these pain symptoms, there are a handful of strategies to incorporate into your daily life.

1. Make sure you’re wearing the right bra for your body

Wearing the right bra is super important when it comes to reducing breast-related back pain, according to McManus. Some general tips include getting measured and fitted for your size by a professional once every year or every two years, as breast size frequently changes. Additionally, you shouldn’t have red marks on your skin from your straps digging in your shoulders, which means that the bra is too tight and pulls down on your breasts, McManus adds.

You should be able to easily fit a finger under the straps and they shouldn’t slip off your shoulders, says Heather Jeffcoat, DPT, doctor of physical therapy and pelvic floor therapist and founder of Femina PT. Bands on your bras should have at least three hooks in the back, as this is a huge factor in their level of support, she adds.

If your large breasts cause back pain during exercise, the most important thing you should do is have a supportive sports bra, Gasnick says. She recommends having one that has enough compression to support the breasts' weight and two separate adjustable straps that allow the bra to elevate the breasts without pulling down on the upper back and neck too much. Racerback bras concentrate a lot of weight along the spine and on the inner shoulders near the neck, which causes more pain.

Depending on the type of workout you are doing, it is also important for a sports bra to hold your breast-high and close to your body, according to McManus. This becomes more important for high-impact workouts like running than something like yoga.

For more tips if your large chest causes back pain, continue to the full article at MSN here.

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Femina PT (née Fusion Wellness & Physical Therapy) has honestly changed my life. Before receiving treatment at Femina, I was going doctor to doctor to try and find the answer to my pelvic pain. It has taken me YEARS to find someone that can help fix this. It wasn't until my gynecologist recommended your clinic that I finally felt relief. My pelvic pain is almost gone, and granted I still have a lot more to work on with Laureen (my PT), my original problem is nearly cured. I am so grateful to her.

What is even better is she gave me practical exercises to do at home that were not tedious and provided instant (and lasting) relief. Although I mainly work with Laureen, my interaction with the owner (Heather) has been great. She is very generous, kind, and committed to her business.

It hurts to know there are women out there suffering who will never know or have the opportunity to work with women like Laureen and Heather because this issue is hardly talked about and this field is so rare. I hope more doctors and physical therapists see the value in this work and can relieve more woman of their pain.

-- Julie T., 12/4/16 via Yelp!

Testimonial by A.M.

Months after giving birth, it was difficult for me to go from a sitting or lying position up to a full standing position without feeling that I had to remain hunched over until a bit of time had passed to get fully upright. However, after taking Heather’s course, I learned exercises to get my body back to normal. She also showed me correct ways to lift and carry my son as well as put him in/take him out of the carseat and stroller. This class was really beneficial and Heather is a wonderful teacher who made me feel very comfortable.

-- A.M.

Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

Read more: Testimonial by R.M., Age 40

Testimonial by Julie T.

Femina PT (née Fusion Wellness & Physical Therapy) has honestly changed my life. Before receiving treatment at Femina, I was going doctor to doctor to try and find the answer to my pelvic pain. It has taken me YEARS to find someone that can help fix this. It wasn't until my gynecologist recommended your clinic that I finally felt relief. My pelvic pain is almost gone, and granted I still have a lot more to work on with Laureen (my PT), my original problem is nearly cured. I am so grateful to her.

What is even better is she gave me practical exercises to do at home that were not tedious and provided instant (and lasting) relief. Although I mainly work with Laureen, my interaction with the owner (Heather) has been great. She is very generous, kind, and committed to her business.

It hurts to know there are women out there suffering who will never know or have the opportunity to work with women like Laureen and Heather because this issue is hardly talked about and this field is so rare. I hope more doctors and physical therapists see the value in this work and can relieve more woman of their pain.

-- Julie T., 12/4/16 via Yelp!

Testimonial by Ann V.

I wish i could give this place 10 stars!! 
I have been suffering from vaginismus for 5 years and never found the cure to it. I had seen an ob/gyn and he diagnosed me with vaginismus and told me i needed a surgery to cure my condition, which i refused to do. He also referred me to a PT that he works with, i had given them multiple calls and they never responded back to me, so i started searching yelp for another PT. I am SO HAPPY I found Heather's office! I was working with Laureen, and with her guidance and techniques i was able to be cured from vaginismus in only 2 1/2 short months!!! I couldn't believe how quickly their program worked for me! I am forever grateful and thankful from Heather, and Laureen! They are the absolute best at what they do!

Read more: Testimonial by Ann V.

Testimonial by R.M., Age 40

I can’t speak highly enough of the theapists at Femina Physical Therapy and how much they have helped me grow, discover, and love my body. I had had painful sex for my entire life, and didn’t know that there was anything that could be done about it. It was at the point where my husband and I were not having sex for MONTHs, because it was just too frustrating, and I hated feeling like I was the ONLY woman out there who had this problem, especially at my age. I finally brought it up to my doctor because I was turning 40 and my husband and I were barely having enough sex to conceive. And she brought up pelvic floor, PT. I didn’t even know this was a “thing”.

Read more: Testimonial by R.M., Age 40

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