Most often, people complain of pain just under the crest of the hip. However, they sometimes complain of pain that arcs in front of the hip and into the groin. If they are comfortable doing so, they will complain of pain in the groin and genitalia. Infrequently, they complain of pain in the SI joint.
This pain tends to be constant and, at times, intense. Most QL trigger points bother the person when bending forward. Instead, this one hurts more when bending forward and to the side.
This is one of the trigger points that bothered me in my 20s and early 30s. I remember how it would shoot around the hip and into the groin when I would step out of the car onto one foot. It made me think that there was some internal organ problem. I would be so relieved when my massage therapist or chiropractor worked on me, and the whole pattern would disappear.
Less frequently, people complain of pain at the hip joint but touch the outside of the hip. There are other patterns that refer more directly to the hip joint. Like the previous pattern, they also have a stiff low back. Sometimes, along with the hip pain, they indicate soreness at the base of the buttock.
This pain, along with a stiff low-back, commonly occurs just after performing a task that involves teetering front to back and side to side. The client often has trouble naming the activity of onset. Still, when they do, it has an unusual twisting motion like reaching up and back to pain a gutter or a particularly strenuous yoga pose that twists forward when the back is already a bit stiff.
This picture is a classic activity of injury. It has all the right elements. He is slightly bent forward, managing a relatively bulky piece of equipment that will sway and jump over uneven terrain. Dropping the head forward to watch the work makes the low-back joints less stable and more vulnerable.
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.
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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.