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Lower Back Pain - An Overview of the Key Muscles Involved

Posted by Jane Ziegler on

  Treating QL Trigger Points - Dr. Jonathan Kuttner MD    Most cases of lower back pain are associated with myofascial trigger points Lower Back Pain is often attributed to “structural” factors such as pinched nerves, herniated disks, and arthritic degeneration.  In reality, these kinds of problems are often just minor factors in back pain. In fact, most acute and chronic back pain may be associated with trigger points. The body tends to shut down around pain to avoid further noxious stimuli. Part of the way it does this is by using trigger points. Depending on how long the symptoms have persisted, we see certain “classic” trigger...

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Trigger Point Therapy - Treating Spondylolisthesis

Posted by Jane Ziegler on

  Trigger Point Therapy Treatment for Spondylolisthesis    Spondylolisthesis is a fracture and slippage of a spinal vertebra (usually lower lumbar). It can develop for a range of reasons and can vary in severity. The majority fall into one of two categories - Traumatic or Degenerative. Whatever the underlying reason, the result is that the vertebrae literally slip either forward on the one below (Anterolysthesis) or backwards (Retrolysthesis). This can sometimes be felt as a palpable ‘step’ as you run your fingers down the patient's spine. Degenerative Spondylolisthesis Usually due to aging, a degenerative spondylolisthesis happens where the spine’s support system...

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Trigger Point Therapy - Rectus Abdomini

Posted by Jane Ziegler on

Trigger Point Overview - Rectus Abdomini   Trigger points in the rectus abdomini are often associated with lower back pain The rectus abdominis flexes the lumbar spine, depresses the rib cage and stabilizes pelvis during walking.  This is the muscle which is activated while doing so-called "crunches" because it pulls the ribs and the pelvis in, and curves the back.     Rectus Abdominis - Trigger Point Referred Pain Maps   These muscles are also used when a child is delivered, during bowel movements, and coughing.  When this muscle is exercised and layers of fat disappear from the abdomen, the...

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Trigger Point Therapy - Treating Quadratus Lumborum

Posted by Jane Ziegler on

Video extract from "Treating Low Back Pain" NAT Course - Presented by Dr. Jonathan Kuttner M.D.    Lower Back Pain (LBP) and especially chronic LBP is often associated with trigger points in the Quadratus Lumborum (QL) muscles. The QL is small muscle that punches way above its weight. The QL laterally flexes the vertebral column; fixes the 12th rib during deep respiration (e.g. helps stabilize diaphragm for singers exercising voice control); and helps extend the lumbar part of the vertebral column, and provide it with lateral stability. Being such an active muscle, trigger points form in the QL for a...

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What is Appendicular Sciatica?

Posted by Jane Ziegler on

  Appendicular Sciatica Explained     With "Appendicular Sciatica", both the root cause and our approach to treatment are different than would be the case with "Axial Sciatica" This is because in Appendicular sciatica, it is usually soft tissue that traps the sciatic nerve. This form of sciatica can be just as painful as axial sciatica, but it will typically respond to soft-tissue work. Axial Sciatica Axial sciatica can be associated with spinal instability (which may well be made worse if we go powering in with indiscriminate deep work), so in treatment of Axial sciatica our aim is simply to...

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