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Low Back Pain - Erector Spinae Muscles

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 Taping for Low Back Pain - Erector Spinae Trigger Points


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Erector Spinae Muscles

  • Iliocostalis. Iliocostalis cervicis. Iliocostalis thoracis. Iliocostalis lumborum.
  • Longissimus. Longissimus capitis. Longissimus cervicis. Longissimus thoracis.
  • Spinalis. Spinalis capitis. Spinalis cervicis. Spinalis thoracis.

The erector spinae, also called the sacrospinalis, comprise three sets of muscles organized in parallel columns. From lateral to medial, they are: iliocostalis, longissimus, and spinalis.


Erector Spinae Trigger Points

Erector Spinae Trigger Points



Slips of muscle arising from the sacrum. Iliac crest. Spinous and transverse processes of vertebrae. Ribs.


Ribs. Transverse and spinous processes of vertebrae. Occipital bone.


Extends and laterally exes vertebral column (i.e. bending backward
and sideways). Helps maintain correct curvature of spine in the erect and sitting positions. Steadies the vertebral column on the pelvis during walking.

Antagonist: rectus abdominis.


Dorsal rami of cervical, thoracic, and lumbar spinal nerves.

Basic Functional Movement

Keeps back straight (with correct curvatures), therefore maintains posture.


Erector Spinae Trigger Point Pain Map


Iliocostalis Lumborum Trigger Points


Longissimus Thoracis Trigger Points


Referred Pain

Thoracic spine—iliocostalis: medially toward the spine, and anteriorly toward the abdomen.

Lumbar spine—iliocostalis: mid buttock.

Thoracic spine—iliocostalis: buttock and sacroiliac area.


Low back pain (especially after lifting), reduced range of motion in the spine, low back pain (from sitting/standing/climbing stairs), low grade back ache worsening toward the end of the day.

Common Causes

Poor posture, playing musical instruments, lying on front with head propped up, poor glasses, upper crossed pattern, kyphosis, scoliosis, wear and tear, cold drafts/ air conditioning, vertebral alignment issues, certain sports (e.g. archery), tight shirt/tie, depression.

Differential Diagnosis

Angina. Visceral pain. Radiculopathy. Ligamentous, discogenic, sacroiliac. Piriformis. Pathological: aortic aneurysm. Visceral pathology. Space-occupying lesion. Pelvic in ammatory disease.


Pectoralis major.

Common Techniques

Spray and Stretch YES
Dry Needling YES
Deep Stroking Massage YES
Compression YES
Muscle Energy YES
Positional Release YES
Wet Needling YES
Taping YES



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About NAT Courses

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.

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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).

More About Us



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.

Read Full Article 


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.

Meet the Instructors


NAT Certification

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.

About NAT Certification



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.

See Full List


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.

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International Students

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.

We ship Worldwide from locations in the USA, UK, and Australia. Most items are despatched within 24 hours and shipping is FREE for all orders over US$50.












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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