Taping for Lower Back Pain

Posted by Stuart Hinds on

 

Stuart Hinds demonstrates the taping technique for erector spinae trigger points

 

Erector Spinae Muscles

  • Iliocostalis. Iliocostalis cervicis. Iliocostalis thoracis. Iliocostalis lumborum.
  • Longissimus. Longissimus capitis. Longissimus cervicis. Longissimus thoracis.
  • Spinalis. Spinalis capitis. Spinalis cervicis. Spinalis thoracis.

The erector spinae, also called the sacrospinalis, comprises of three sets of muscles organized in parallel columns. From lateral to medial, they are: iliocostalis, longissimus, and spinalis.

 

Erector Spinae Trigger Points

Erector Spinae Trigger Points

 

Origin

Slips of muscle arising from the sacrum. Iliac crest. Spinous and transverse processes of vertebrae. Ribs.

Insertion

Ribs. Transverse and spinous processes of vertebrae. Occipital bone.

Action

Extends and laterally exes vertebral column (i.e. bending backward
and sideways). Helps maintain correct curvature of spine in the erect and sitting positions. Steadies the vertebral column on the pelvis during walking.

Antagonist: rectus abdominis.

Nerve

Dorsal rami of cervical, thoracic, and lumbar spinal nerves.

Basic Functional Movement

Keeps back straight (with correct curvatures), therefore maintains posture.

 

Erector Spinae Trigger Point Pain Map

 

Iliocostalis Lumborum Trigger Points

 

Longissimus Thoracis Trigger Points

 

Referred Pain

Thoracic spine—iliocostalis: medially toward the spine, and anteriorly toward the abdomen.

Lumbar spine—iliocostalis: mid buttock.

Thoracic spine—iliocostalis: buttock and sacroiliac area.

Indications

Low back pain (especially after lifting), reduced range of motion in the spine, low back pain (from sitting/standing/climbing stairs), low grade back ache worsening toward the end of the day.

Common Causes

Poor posture, playing musical instruments, lying on front with head propped up, poor glasses, upper crossed pattern, kyphosis, scoliosis, wear and tear, cold drafts/ air conditioning, vertebral alignment issues, certain sports (e.g. archery), tight shirt/tie, depression.

Differential Diagnosis

Angina. Visceral pain. Radiculopathy. Ligamentous, discogenic, sacroiliac. Piriformis. Pathological: aortic aneurysm. Visceral pathology. Space-occupying lesion. Pelvic in ammatory disease.

Connections

Pectoralis major.

Common Techniques

Spray and Stretch YES
Dry Needling YES
Deep Stroking Massage YES
Compression YES
Muscle Energy YES
Positional Release YES
Wet Needling YES
Taping YES

 

Related Courses

 Taping for Trigger Points NAT Foundation Course

Trigger Point Foundation Course

Trigger Point Theory Master Course Collection

 

About the author

Stuart Hinds is one of Australia’s leading soft tissue therapists, with over 27 years of experience as a practitioner, working with elite sports athletes, supporting Olympic teams, educating and mentoring others as well as running a highly successful clinic in Geelong.

Stuart has a strong following of practitioners across Australia and globally who tap into his expertise as a soft-tissue specialist. He delivers a range of highly sought after seminars across Australia, supported by online videos, webinars and one-on-one mentoring to help support his colleagues to build successful businesses.

In 2016, Stuart was awarded a lifetime membership to Massage & Myotherapy Australia for his significant support and contribution to the industry.

 

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. 

Related Posts


Share this post



← Older Post Newer Post →


Leave a comment

Please note, comments must be approved before they are published.