Muscles
Longissimus thoracis
Erector spinae extending the thoracic and lumbar spine.
Overview
Erector spinae extending the thoracic and lumbar spine. Trigger points here are common in everyday and athletic populations and frequently contribute to the referred pain patterns described below.
Trigger point locations
Medial to iliocostalis along the thoracic and lumbar paraspinals.
Referred pain pattern
Buttock and lateral lower back pain, mimicking 'sciatica' but staying above the knee.
Palpation & testing
Palpate the muscle belly along its accessible course. Reproduction of the patient's familiar pain on palpation supports involvement.
Common causes
Prolonged seated posture, repetitive bending.
Self-care & clinical treatment
Hip hinge retraining, mobility. Clinically: needling.
Symptoms commonly linked
References
- • Travell & Simons — Myofascial Pain and Dysfunction