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Trigger Point Therapy - External Oblique Muscles

Posted by Team NAT on

 

 Abdominal Pain and Trigger Points

 

External Oblique Muscles

Similarly to the other abdominal muscles, external oblique myofascial trigger points can refer pain anywhere locally throughout the abdominal region.

This pain is often exacerbated during the menstrual cycle. Pain can refer down into the groin and sometimes to the testicles.

 

External Oblique Muscles Trigger Point Therapy

 

 

Anatomy

The posterior fibers of the external oblique are usually overlapped by the latissimus dorsi, but in some cases there is a space between the two, known as the lumbar triangle, situated just above the iliac crest.

The lumbar triangle is a weak point in the abdominal wall.

 

External Oblique Trigger Points

External Oblique Muscle - Common Trigger Point Sites

 

Origin

Lower eight ribs.

Insertion

Anterior half of iliac crest, and into an abdominal aponeurosis that terminates in the linea alba (a tendinous band extending downward from the sternum).

Action

Compresses abdomen, helping to support abdominal viscera against pull of gravity. Contraction of one side alone bends trunk laterally to that side and rotates it to opposite side.

Nerve

Ventral rami of thoracic nerves, T5–T12.

Basic Functional Movement

Example: digging with a shovel.

Trigger Point Referred Pain Patterns

Viscerosomatic.
Costal margin: abdominal pain to chest.
Lower lateral: testicular pain. Local pain.
Pubic rim: bladder pain. Frequency/ retention (urine). Groin.

 

 

"Pain can refer down into the groin and sometimes to the testicles"

 

Indications

Abdominal pain and tenderness, groin pain, testicular pain, bladder pain, nausea, colic, dysmenorrhea, diarrhea, viscerosomatic pain, irritable bowel syndrome, lower crossed pattern, bedwetting in children.

Common Causes

Direct trauma (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).

Differential Diagnosis

Visceral pathology including: renal, hepatic, pancreatic, diverticular disease, colitis, appendicitis, hiatus hernia, peritoneal disease—pelvic inflammatory disease, ovarian, bladder.

Connections

Transversus abdominis, internal oblique, rectus abdominis, pyramidalis.

 

External Oblique Trigger Point Pain

External Oblique Trigger Points - Typical Referred Pain Pattern (Lower Fibers)

 

 

External Oblique Muscles Trigger Points

External Oblique Trigger Points - Typical Referred Pain Pattern (Lateral view, upper and lower fibers)

 

Links

Find a Trigger Point Professional in your area

Treating Abdominal Pain

Abdominal Muscle Strain

Dry Needling for Trigger Points

NAT Professional Courses

Certify as a Trigger Point Therapist

Trigger Point Workbooks 

 

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.

Help Desk

  

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

 

NAMTPT AWARD 2017

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

 

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.

Read More

 

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.

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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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