Menu
Cart 0

Trigger Point Therapy - Diaphragm and Breathing

Posted by Team NAT on

 

How To Assess and Influence Your Breathing 

 

Abnormal breathing mechanics may be one of the key factors in the development of chronic myofascial trigger points throughout the body

Trigger point therapy can be a useful tool in releasing the musculoskeletal component of respiratory dysfunction and is especially useful when combined with other modalities, such as yoga, Feldenkrais, meditation, the Buteyko method and “breath therapy.”

Nothing in the body happens in isolation, and an exploration of breathing mechanics exemplifies this. 

 

Diaphragm and Breathing Trigger Points

 

Breathing involves many sequences of coordinated muscular and visceral co-contractions.

Trigger points can often be palpated along the anterior inferior costochondral margin.

These trigger points should be contextualized with other relationships such as:

  • Submandibular inferior margin (often on the opposite side to the diaphragm trigger points)

  • Abdominal visceral fascia (greater and lesser omenta)

  • Spinal muscles (especially mid lumbar)

  • Abdominal muscles (especially transversus and rectus abdominus)

  • Pelvic floor muscles (pelvic diaphragm)

  • Thoracic spine and rib mobility

  • Intercostal muscles

  • Serratus musculature

  • 1st rib mechanics

  • Scalenes, levator scapulae, and upper trapezius

 

 

Breathing patterns are often abnormal. Hyperventilation syndrome, panic attacks, and postural habit are increasingly diagnosed.

If untreated, these syndromes also have ongoing physiological consequences, such as respiratory alkalosis (too much carbon dioxide is exhaled by over-breathing).

Paradoxically, this situation is one of the key factors in the development of chronic myofascial trigger points throughout the body.

It may be interesting to note here that cranial osteopaths talk about eight diaphragms which all coordinate together in breathing: the diaphragma sellae, under the pituitary gland; the submandibular myofascial raphe, bilaterally; the thoracic inlet/outlet, bilaterally; the abdominal diaphragm; and the pelvic floor, bilaterally.

 

Diaphragm Trigger Points

 

Abnormal breathing and trigger point formation

Garland (1994) suggested a sequence of musculoskeletal changes that may develop over time as a result of chronic upper chest respiration:

  •  Restriction in thoracic spine mobility (secondary to aberrant rib mechanics)
  •  Trigger point formation in scalenes group, upper trapezius, and levator scapulae
  •  Tight and stiff cervical spine
  •  Changes in tone of abdominal diaphragm and transversus abdominis (Hodges et al. 2001;  McGill et al. 1995)
  •  Imbalance between weakened abdominal muscles and hypertonic erector spinae
  •  Pelvic floor weakness

 

 

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. 

 

   

  

 

 

 

 

 

 

  

 

 

 

  

   

Related Posts

Treating Trigger Points for Back Pain - Multifidi
Treating Trigger Points for Back Pain - Multifidi
  Treating Trigger Points in Multifidi - Dr. Jonathan Kuttner M.D.   These trigger points can be troublesome to loca...
Read More
The Deltoids
The Deltoids
 Treating Trigger Points in the Deltoid Muscles   Deltoid pain is most often mistaken for bursitis or rotator c...
Read More
Peripheral neuropathies of the upper extremities in sport - A soft tissue perspective
Peripheral neuropathies of the upper extremities in sport - A soft tissue perspective
Stuart Hinds demonstrates some first stage assessment tools for identifying peripheral nerve entrapments of the upper...
Read More
Trigger Point Therapy - Tensor Fasciae Latae (TFL)
Trigger Point Therapy - Tensor Fasciae Latae (TFL)
  Treating TFL Trigger Points - Stuart Hinds       TFL Trigger Points - Pain can refer midway down the lat...
Read More
Treating Horses - Hip Pain and Dysfunction
Treating Horses - Hip Pain and Dysfunction
  Trigger Point Therapy for Horses - Assessing and Treating Hip Restrictions    About Andy Eckley Andy Eckley is a...
Read More
Trigger Point Therapy - Treating Shin Pain
Trigger Point Therapy - Treating Shin Pain
  Shin Splint Overview - Stuart Hinds   Shin splints are especially common amongst runners and other athletes who ha...
Read More
Trigger Point Therapy - Non-Specific Lower Back Pain
Trigger Point Therapy - Non-Specific Lower Back Pain
  Trigger Points in the Quadratus Lumborum are a frequent cause of acute lower back pain   Most episodes of LBP are s...
Read More
Trigger Point Therapy - Treating the Scalenes
Trigger Point Therapy - Treating the Scalenes
  Treating Scalenes Trigger Points - Dr. Jonathan Kuttner   Treating scalenes trigger points can bring fast relief ...
Read More
Trigger Point Therapy - Popliteus and Knee Pain
Trigger Point Therapy - Popliteus and Knee Pain
    Popliteus - an often overlooked muscle that takes a lot of abuse   Treating Runner's Knee (PFPS)  Getting Started...
Read More
Trigger Point Therapy - Serratus Posterior Inferior
Trigger Point Therapy - Serratus Posterior Inferior
   Trigger points in serratus posterior inferior may cause an uncommon local ache radiating over and around the mus...
Read More

Share this post



← Older Post Newer Post →


  • Great post. useful for everyone

    Saloni on

Leave a comment

Please note, comments must be approved before they are published.

Words from our students

Sale

Unavailable

Sold Out