Treating Erector Spinae Trigger Points - Dr. Jonathan Kuttner M.D.
Over 30 million Americans experience lower back pain, and it is one of the most common reasons for missed work and the second most common reason for a doctor’s visit
The Erector Spinae muscle actually consists of three columns of muscles, the Iliocostalis, Longissimus, and Spinalis, each running parallel on either outer side of the vertebra and extending from the lower back of the skull all the way down to the Pelvis.
The Erector Spinae provides the resistance that assists in the control action of bending forward at the waist as well as acting as powerful extensors to promote the return of the back to the erect position.
During full flexion (i.e., when touching fingertips to floor), the Erector Spinae Muscles are relaxed and strain is borne entirely by the ligaments of the back.
On the reversal of the movement, the Erector Spinae in conjunction with the Hamstrings and Gluteus Maximus muscles (buttocks) is primarily responsible for the extension of the back (straightening of the spine) as well as more specific movements such as the extension of the neck and sidewards movement of the head.
Erector Spinae - Typical Trigger Point Sites
Trigger Point Therapy - Erector Spinae
Trigger Points in the erector spinae muscles are commonly associated with lower back pain.
Over 30 million Americans experience lower back pain, and it is one of the most common reasons for missed work and the second most common reason for a doctor’s visit.
Recent studies have shown that shoe insoles, back belts, ergonomic interventions, or education alone had little effect in reducing symptoms, but that exercise (including stretching and strengthening) made a significant difference in almost 50% of cases.
Part of the reason for this is that exercise can help dissipate trigger points, and when combined with trigger point therapy can provide extremely effective relief, both short and long term.
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As a manual therapist or exercise professional, there is only one way to expand your business - education!
Learning more skills increases the services that you offer and provides more opportunity for specialization.
Every NAT course is designed to build on what you already know, to empower you to treat more clients and grow your practice, with a minimal investment in time and money.
About Niel Asher Education
Niel Asher Education is a leading provider of distance learning and continued education courses.
Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.
Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website.
Printed course materials and other products offered on our websites are despatched worldwide from our 3 locations in the UK (London), USA (Pennsylvania) and Australia (Melbourne).
NAMTPT AWARD 2017
We are honored to have received the 2017 "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.
Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.
Award Winning Instructors
Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.
If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification.
In addition to national accreditation for continued education, each course that we offer includes "NAT Learning Credits". By taking and completing courses you can accumulate NAT credits to qualify for NAT certification.
There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications.
NAT courses are accredited for continuing education by over 30 professional associations in North America, United Kingdom, Australia, and European Union countries. These include The National Academy of Sports Medicine, Physical Therapy Board of California, AAFA, National Certification Board for Manual Therapists and Bodyworkers, Sports Therapy Institute, and Myotherapy Australia.
Niel Asher Technique
Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.
The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.
Most of our courses are available as either "Printed" or 'Download" editions. When you purchase a download edition, you receive immediate lifetime access to all course material. Course texts can be downloaded and printed if required.
When you purchase a "Printed" edition, you will also receive free access to the download edition.
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In order to qualify for NAT accreditation, you will need to be licensed to practice as a hands-on therapist, physical therapist, or qualifying healthcare worker or exercise professional. This may include the following professions:
Massage Therapist, Manual Therapist, Sports Massage Therapist, Physical Therapist, PTA, Occupational Therapist, OTA, Chiropractor, Osteopath, Medical Doctor, Athletic Trainer, Reflexologist, Nurse.
This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.
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