OH My Aching Back, Why Do I Hurt #1
As a Nationally certified Neuromuscular Therapist, I can tell you that I see people with various aches and pains ranging from regions like the jaw to the very common neck, shoulder and low back areas. I am frequently asked “how did I get that knot?” In fact, I am asked that so often that I decided to write up a series of response articles.
First, allow me to explain a crucial and often overlooked element. When a back goes out, it was not the result of bending over to pick up something like a cup of yogurt that had fallen out of the grocery bag. I used that example because I had that happen to me many years ago. Who knew that that little eight ounce cup of Breyer’s low fat yogurt could cause days of agonizing pain and limited ability to move – even to the bathroom?
The real culprit there was the muscular dysfunction that had built up over time from repetitive use and improper body posturing, emotional stress, trauma, etc such as marching for years carrying a snare drum and slinging an extraordinary heavy book bag over my left shoulder instead of evenly distributing it over both. What can I say besides the fact that I loved the drumline. It also wasn’t cool to wear the backpack – no matter how heavy – over both shoulders. Muscular dysfunction limits not only our range of motion in the affected muscle, but also leads to it spreading to neighboring muscles and even muscles with opposing functions, otherwise known as antagonists.
What’s worse is by the time that muscle pain is actually felt without being palpated, trigger points are usually involved and possibly accompanied by nerve entrapment. A trigger point is a knotted, contracted section of muscle tissue that refers pain in that region or even another region of the body. For example trigger points in the gluteals muscles can refer into the low back area. These knots can often be felt when touched, but quite frequently they are deep; they are perhaps even several layers of muscular tissue beneath the skin.
Palpation of these knots is difficult and requires working through the upper or superficial layers of tissue. It is not unusual for it to take many sessions of neuromuscular treatment to finally reach the “mother knot” or the primary knot that is the root cause of other knots, dysfunction and pain. Myofascial stretching techniques incorporated into the massage aids in unwinding the connective tissue and is also very effective in bringing the deep painful knot up to the surface. This greatly speeds up the therapeutic process which reduces the number of sessions needed for pain relief, saving the client time and money.
As a reminder, just like a strong immune system defends while a weak one falls prey to such things like the common cold, as it is with muscular health. If I hadn’t already had muscular dysfunction to begin with, that little cup of yogurt wouldn’t have dealt my back such an excruciating blow.
About the author: Tonya M. Tronco, NMT, LMT, NCTMB
Hi, I am a nationally certified massage therapist and former instructor licensed in GA. I hold certifications in Swedish Massage, Chair Massage,l Neuromuscular Therapy, Medical Massage and Bowen Body Reset Levels I and II. I also do basic reflexology and energetic work. I am currently working out of Kennesaw Massage Envy. The contact number for appointments is 678-213-3689.


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