Want to skip ahead?
Here’s a link to my post about
getting relief on your own.
How People Describe This Pain Pattern
These people complain of sharp pain in the low back that feels like it will “go out,” as well as pain in the sacroiliac joint. This pattern is a combination of trigger points in two different muscles that become activate together. On the one hand, multifidi create an intense, fragile feeling in the vertebrae. On the other hand, the quadratus lumborum creates an unstable back with hip pain.
Sometimes, the stiff low back bothers them more, and the SI joint is achy. At times, the low back problem is sharp and debilitating. In other cases, the low back is stiff, and the SI joint is more bothersome. For example, this person will tend to squat or reach to one side to pick up something off of a coffee table or chair instead of bending forward at the waist.
Morning Back Pain
It usually bothers people more intensely in the morning and can make going to the bathroom at night a real problem. In severe cases, these people have trouble getting out of bed in the morning and may crawl to the bathroom. Likewise, staying seated or for a while, such as long car trips or a conference, is a common complaint.
How You Activate and Intensify This Pain Pattern
Teetering
This condition commonly occurs just after performing a task that involves teetering forward at the waist, including:
- cutting grass
- washing dishes
- raking leaves
- vacuuming
- scrubbing a floor.
It can also come from bending forward and reaching out awkwardly as when someone stacks dishes in the back of a low cabinet, especially when they twist while reaching out.
Immobility
Also, once aggravated, sitting in a slumped position at a desk or in a car aggravates this condition. As well, people often wake with debilitating pain, especially when they sleep in the fetal position.
The Musculoskeletal Anatomy Behind Your Pain
Musculoskeletal Anatomy
This post on anatomy contains standard information about the origin, insertion, function, and innervation of muscles. It also includes information on functional considerations and anomalies.
Find Related Posts
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.
Musculoskeletal Anatomy
This post on anatomy contains standard information about the origin, insertion, function, and innervation of muscles. It also includes information on functional considerations and anomalies.
Find Related Posts
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.
Getting Relief on Your Own
Clinically Proven
Self-Care Strategies
This post has strategies for getting relief on your own. Explore how to change your activities, stretch, and other strategies that relieve the pain associated with this trigger point.
This trigger point is in the center of the low back, just above the crest of the hip. Focus your icing and twists in that area. Often, it’s a little stiffer in the muscle along that side of the spine. Notably, It often releases with a little click.
Therapy Notes for Massage and Bodywork
Better Bodywork
Through Shared Expertise
This post has techniques, tips, treatment routines, and anatomy illustrations to improve the bodyworker’s approach.
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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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