Rectus Abdominis Trigger Points - Dr. Jonathan Kuttner
Latin rectus, straight; abdominis, of the belly/stomach
The rectus abdominis is divided by tendinous bands into three or four bellies, each sheathed in aponeurotic fibers from the lateral abdominal muscles.
These fibers converge centrally to form the linea alba. Situated anterior to the lower part of the rectus abdominis is a frequently absent muscle called the pyramidalis, which arises from the pubic crest and inserts into the linea alba. It tenses the linea alba, for reasons unknown.
Rectus Abdominis Trigger Points
Pubic crest and symphysis pubis (front of pubic bone).
Anterior surface of xiphoid process. 5th, 6th, and 7th costal cartilages.
Flexes lumbar spine. Depresses rib cage. Stabilizes pelvis during walking.
Antagonist: erector spinae.
Ventral rami of thoracic nerves, T5–T12.
Basic Functional Movement
Points for dysmenorrhoea
Example: initiating getting out of a low chair.
Referred Pain Patterns
Upper fibers: horizontal mid-back pain; heartburn and indigestion. Lower fibers: pain between pubis and umbilicus, causing dysmenorrhea.
Lateral fibers: pseudoappendicitis; McBurney’s point.
Heartburn, colic, dysmenorrhea, nausea, vomiting, sense of being full, horizontal back pain, lower crossed pattern, rib pain, testicular pain, diaphragm and breathing issues.
Direct trauma, postural, visceroptosis (commonly from overexertion during sports), poor sit-up technique, prolonged cross- legged sitting, coughing, emotional stress, may be related to back pain, post-surgical (abdominal).
Visceral pathology including: renal, hepatic, pancreatic, diverticular disease, colitis, appendicitis, hiatus hernia, peritoneal disease—pelvic in ammatory disease, ovarian, bladder. Appendicitis. Gynecological disease. Umbilical/incisional— hernia. Latissimus dorsi.
Transversus abdominis, internal oblique, external oblique, pyramidalis.
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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).
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.
Most of our courses are accredited for CE/CPD/CPE. A full list of CE accreditations can be found by clicking on the link below.
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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Our courses are modular, and designed to build on what you already know. For more information, please visit our "Where to Start?" page.
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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