These people complain of a broad band of pain across the mid back. So they reach back and trace a band across their mid-back.
At this point, I have them stroke an ice cube over the arch of the ribs in the front. They usually have a look of disbelief but comply. Then, I have them lay back on the table, stretching their abdomen open and letting it close a few times. This could also be released with the yoga poses described in self-care. Again, they seem surprised when the pain is dramatically reduced or completely gone.
This pain across the mid-back is similar to some sensations created by some internal organs, Especially when it is stronger on one side. Notably, chronic kidney disease may produce a similar pattern.
This pattern is usually initiated by some activity that overworks the abdomen. For instance, activities such as crunches, coitus, and kicking a soccer ball. Usually, this is an unusual change in activity.
This trigger point occurs in the upper abdomen. So, the activity usually involves more upper body movement to crunch than the hips. Additionally, the abdominals compress the abdomen during forceful exhalation. Consequently, this can be further aggravated by labored breathing.
Also, this pain across the mid-back happens more easily to people with extra weight around their midsection. A moderate change in activity or a sudden twisting movement can activate this trigger point. Unfortunately, a moderate jerking movement, like almost falling, can cause this.
This post on anatomy contains standard information about the origin, insertion, function, and innervation of muscles. Additionally, it includes information on functional considerations and anomalies.
Anatomy posts have a grid of all related posts. This includes posts on pain patterns, self-care, therapy notes, NMT protocols, cranial techniques, and cases.
Self-Care Posts have common sections to make them easy to follow and understand:
Therapy Notes provide details for cranial, spinal, and local joint work. These notes also link to a traditional neuromuscular protocol.
By treating integrative components first, direct work on the muscle becomes less intense while providing longer-lasting relief.
You will get temporary relief from treating the muscle directly. It does not release the underlying problems in the pelvis. See your bodyworker for lasting relief.
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Tony Preston has a practice in Atlanta, Georgia, where he sees clients. He has written materials and instructed classes since the mid-90s. This includes anatomy, trigger points, cranial, and neuromuscular.
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*This site is undergoing significant changes. We are reformatting and expanding the posts to make them easier to read. The result will also be more accessible and include more patterns with better self-care. Meanwhile, there may be formatting, content presentation, and readability inconsistencies. Until we get older posts updated, please excuse our mess.