Your Pain Pattern,
What Aggravates It,
The Underlying Anatomy
How to Get relief,
How People Describe This Pain Pattern
These people complain of pain up and down their sacrum on one side. When I ask where it hurts, they straighten their fingers and place their index and thumb along their sacrum, slightly to one side.
They complain of pain when bending forward. It may be dull or sharp, depending on how long they have let it go and what they have done to remedy it. It hurts when it presses into a chair or when it is touched with light or deep touch. The pain in sacrum is dominant, and they seldom complain about the pain in the leg, even when they are asked directly.
This is a fairly common pattern and varies in its intensity. When it is very involved, it creates the pain that extends into the upper thigh and feels sharp, like something is pulled or injured. I’ve had this myself from time to time, including earlier this year. It can linger when it is ignored but can also be resolved quickly when properly addressed.
How You Activate and Intensify This Pain Pattern
For younger or more athletic clients, this is often caused by a sports injury, slip on the ice or motor vehicle accident that jars the hip.
As clients get older, these muscles are some of the first to atrophy in as clients get into their late 30s and early 40s. They are more prone to this problem from a simpler twist while getting into the car or sleeping in an awkward position. It may also occur during heavy lifting while bending a the waist, instead of squatting to use legs. The back is more fragile at this age and the client is adapting to w stiffer low back with less flexible joints.
The Musculoskeletal Anatomy Behind Your Pain
Anatomy – Throacic Outlet
The anatomy of these structures is important to understand the syndrome. This post walks through the structures one at a time.
Multifidi and rotatores are interspinous muscles that manage tension and balance between vertebrae.
Getting Relief on Your Own
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.
Therapy Notes for Massage and Bodywork
Through Shared Expertise
This post has techniques, tips, treatment routines, and anatomy illustrations to improve the bodyworker’s approach.
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Does Your Shoulder Hurt From the Covid-19 Vaccine?
This post offers quick, lasting relief from the pain in your shoulder that came from the vaccine. You will need an ice cube and about 2 minutes.
Tony Preston has a practice in Atlanta, Georgia, where he sees clients. He has written and taught about anatomy, trigger points, and cranial therapies since the mid-90s.
*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 will include more patterns with better self-care. In the meanwhile, there may be inconsistencies in formatting, content presentation, and readability. Until we get older posts updated, please excuse our mess.