Скачать или смотреть Trigger Points and Back Pain

Trigger points in the rectus abdominis—the long, segmented muscle that runs vertically along the front of the abdomen—are an often overlooked source of pain and dysfunction. These trigger points can be surprisingly intense and are commonly associated with abdominal discomfort that may mimic gastrointestinal issues, menstrual cramping, or even cardiac pain when located in the upper sections of the muscle. The pain is typically dull and aching in character, though it can become sharp or intense with movement or palpation. Referred pain patterns from rectus abdominis trigger points can wrap around to the lower back or flank, and in some cases radiate into the pelvis, making diagnosis particularly tricky without a clear understanding of myofascial anatomy.

Trigger points in the rectus abdominis tend to develop due to chronic postural imbalances, prolonged sitting or slumping, abdominal surgeries (like C-sections or hernia repairs), or direct trauma. They may also emerge as a result of repetitive strain from core exercises, especially when performed with poor form. Palpation of these trigger points can be challenging due to the location and sensitivity of the abdominal wall, but skilled manual therapists can usually identify taut bands and reproduce the referred pain during assessment. Treatment typically includes gentle manual compression, myofascial release techniques, stretching, and re-education of postural habits. Addressing these trigger points not only alleviates local and referred pain but can also improve core function and reduce strain on surrounding muscles such as the psoas and obliques.