Trigger points in serratus posterior inferior may cause an uncommon local ache radiating over and around the muscle
Serratus Posterior Inferior is an often overlooked cause of lower back pain
This muscle may be primarily a muscle of proprioception but it's important to remember that it also acts as a supporting structure for the lower back, stabilizing the four lower ribs and assisting in pulling them down and back.
The importance of the serratus posterior inferior is often forgotten and tightness and trigger points tend to be overlooked.
The serratus posterior inferior works in conjunction with the iloicostalis, longissimus thoracis, and quadratus lumborum.
It may also work with the serratus posterior superior as a spinal stretch receptor system or kinesiological monitor (Vilensky et al. 2001).
Serratus Posterior Inferior - trigger points and tightness in this muscle tend to be overlooked
Trigger points in the serratus posterior inferior may cause an uncommon local ache radiating over and around the muscle.
This may extend across the back and over the lower ribs, even continuing through the chest to the front of the body.
This discomfort is typically described by clients as a nagging ache.
In many cases this pain will remains after other trigger points have been inactivated.
This should be a good indicator for the therapist to recheck the serratus posterior inferior for undiscovered trigger points.
Indicators and Perpetuating Factors
These Trigger points are usually initiated by acute back strain in conjunction with the strain of other muscles in the region.
Perpetuating factors include paradoxical breathing, sagging and unsupportive mattresses (e.g. sleeping on a sofa or water bed), chairs with insufficient lumbar support, body asymmetry, and herpes zoster infections.
General Advice for Patients
Control perpetuating factors: Have the trigger points addressed by a therapist. The use of pressure tools such as the Backnobber are terrific for myofascial release self-help. Stretching and muscle energy techniques (see below).
Cross your forearms just above the wrist, at about chest height.
Inhale deeply as you slowly raise them up until the area where the arms cross is level with your forehead.
Now lower the arms as you exhale.
Do this once or twice, allowing for a brief rest (a few breaths) before repeating. Do this exercise set several times a day.
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.
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 "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.
Most of our courses are available as either "Printed" or 'Download" editions, wherever you live. Internet connection is required to access online and downloadable material.
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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Where to Start?
We offer a range of over 50 courses, presented by some of the worlds leading manual therapists. All courses are reviewed annually, and new courses are regularly added.
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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