Deep vs Superfical Paraspinals

low back pain psoas

The chronic low back pain multifidi and longissimus cause can be severe. Of the seven primary muscle groups that refer pain into the low back these are the only two of them live in the lumbar spine.

Note that the pain of trigger points in the multifidi remain as localized ‘spots’. You may have just one, or there may be several trigger points in different multifidi at different points along the spine. Trigger points in longissimus usually refers pain into the glutes, sometimes, high enough to feel something like low back pain.

The truth is, much of the soft tissue surrounding the lumbar spine is connective tissue anyway. Most of the muscles that influence this area are located elsewhere in the body. And, in just one study, of 283 patients referred for chronic intractable lumbar pain, 96% had trigger points (Rosomoff, Fishbain, Goldberg – 1990).

Superficial Paraspinals