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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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Trigger Point Therapy - Treating the Gluteus Maximus

Posted by Jane Ziegler on

   Treating Gluteus Maximus Trigger Points - Dr. Jonathan Kuttner   Ischemic Compression Technique     Gluteus Maximus The gluteus maximus is the most coarsely fibered and heaviest muscle in the body, forming the bulk of the buttock. The upper fibers laterally rotate the hip joint and may also assist in abduction of that joint. The lower fibers extend and laterally rotate the hip joint (ex. forceful extension, as in running or rising from sitting).  Through its insertion into the IT tract, the gluteus maximus also helps to stabilize the knee in extension.      Gluteus Maximus - Common Trigger Point...

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Postural Trigger Points - Back, Shoulder and Neck Pain

Posted by Jane Ziegler on

  Upper Crossed Syndrome Explained      Postural muscles tend to have a greater percentage of Type 1 fibers. This characteristic may lead to a more resistant type of trigger point. The majority of your clients may have occupations that involve prolonged sitting, often at a computer screen, and increased use of mobile devices and tablets. Ergonomics is a booming industry, focusing on the interactions of people and their working environments; however, not all workplaces can afford to implement proper ergonomic interventions. Long and monotonous days spent in front of a computer screen often lead to chronic and maladapted postures, which in turn...

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Pelvic Pain and Levator Ani Syndrome Explained

Posted by Jane Ziegler on

  Chronic Pelvic Pain and Trigger Points - Dr. Jonathan Kuttner     If you have pelvic pain, chances are you have trigger points somewhere within or adjacent to your pelvic floor muscles The levator ani consists of the pubococcygeus and the iliococcygeus muscles. Together with the coccygeus muscle, these muscles form the pelvic diaphragm (the muscular floor of the pelvis). We find that trigger points in the levator ani muscle are often implicated in low back pain, Levator Ani Syndrome, and a wide range of chronic pelvic pain syndromes. Pelvic Disorders Whilst trigger points may be the primary cause of pelvic...

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