Currency

Language

   

Treating Erector Spinae Trigger Points - Dr. Jonathan Kuttner M.D.

 

Erector Spinae Muscle

 

Over 30 million Americans experience lower back pain, and it is one of the most common reasons for missed work and the second most common reason for a doctor’s visit

The Erector Spinae muscle actually consists of three columns of muscles, the Iliocostalis, Longissimus, and Spinalis, each  running parallel on either outer side of the vertebra and extending from the lower back of the skull all the way down to the Pelvis.

The Erector Spinae provides the resistance that assists in the control action of bending forward at the waist as well as acting as powerful extensors to promote the return of the back to the erect position.

During full flexion (i.e., when touching fingertips to floor), the Erector Spinae Muscles are relaxed and strain is borne entirely by the ligaments of the back.

On the reversal of the movement, the Erector Spinae in conjunction with the  Hamstrings and Gluteus Maximus muscles (buttocks) is primarily responsible for the extension of the back (straightening of the spine) as well as more specific movements such as the extension of the neck and sidewards movement of the head.

 

 Erector Spinae Tutorial 

Erector Spinae - Typical Trigger Point Sites

 

Trigger Point Therapy - Erector Spinae

Trigger Points in the erector spinae muscles are commonly associated with lower back pain.

Over 30 million Americans experience lower back pain, and it is one of the most common reasons for missed work and the second most common reason for a doctor’s visit.

Recent studies have shown that shoe insoles, back belts, ergonomic interventions, or education alone had little effect in reducing symptoms, but that exercise (including stretching and strengthening) made a significant difference in almost 50% of cases.

Part of the reason for this is that exercise can help dissipate trigger points, and when combined with trigger point therapy can provide extremely effective relief, both short and long term. 

 

 

 

About Niel Asher Education

Niel Asher Education (NAT Global Campus) is a globally recognised provider of high-quality professional learning for hands-on health and movement practitioners. Through an extensive catalogue of expert-led online courses, NAT delivers continuing education for massage therapists, supporting both newly qualified and highly experienced professionals with practical, clinically relevant training designed for real-world practice.

Beyond massage therapy, Niel Asher Education offers comprehensive continuing education for physical therapists, continuing education for athletic trainers, continuing education for chiropractors, and continuing education for rehabilitation professionals working across a wide range of clinical, sports, and wellness environments. Courses span manual therapy, movement, rehabilitation, pain management, integrative therapies, and practitioner self-care, with content presented by respected educators and clinicians from around the world.

Known for its high production values and practitioner-focused approach, Niel Asher Education emphasises clarity, practical application, and professional integrity. Its online learning model allows practitioners to study at their own pace while earning recognised certificates and maintaining ongoing professional development requirements, making continuing education accessible regardless of location or schedule.

Through partnerships with leading educational platforms and organisations worldwide, Niel Asher Education continues to expand access to trusted, high-quality continuing education for massage therapists, continuing education for physical therapists, continuing education for athletic trainers, continuing education for chiropractors, and continuing education for rehabilitation professionals, supporting lifelong learning and professional excellence across the global therapy community.

share this article by using the icons below
Live CE Webinars

Continuing Professional Education

Looking for Massage Therapy CEUs, PT and ATC continuing education, chiropractic CE, or advanced manual therapy training? Explore our evidence-based online courses designed for hands-on professionals.

CE CPD Accredited Courses Massage Physical Therapy Chiropractic
CE Accredited Courses NAT Global Campus