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Relieving Chronic Back Muscle Pain: The Power of Trigger Point Therapy

Updated: Nov 9

Back muscle pain refers to discomfort, soreness, or aching in the muscles along the spine or across the back. This pain originates from the soft tissues—specifically, the muscles, tendons, and fascia—rather than the bones or nerves within the spinal column itself. Back muscle pain is generally distinct from pain due to spinal issues, such as herniated discs or nerve compression, which often cause sharper, radiating pain or symptoms like numbness and tingling.

Back Muscle Pain

Approximately 80-90% of back pain is classified as muscle-related back pain rather than "spinal" pain, which is more often due to structural or nerve-related issues in the spine.

Back muscle pain can be acute, lasting a few days to weeks, or it can become chronic if unresolved. Chronic back muscle pain often stems from ongoing strain, muscle weakness, or unaddressed tension points. There are a few primary reasons why back muscle pain can transition from an acute issue to a long-lasting, chronic condition:


1. Poor Posture and Repetitive Strain

  • Poor posture, prolonged sitting, or repetitive activities strain the muscles in the back, and over time, this can lead to chronic tension and pain.

  • Continuous strain can lead to "adaptive shortening" of muscles, where muscles remain in a shortened, tense state, leading to chronic discomfort and tightness.

2. Muscle Imbalances and Weakness

  • Weak core and back muscles mean that other muscles have to compensate, leading to overuse and strain. These compensations often cause pain and tightness that, if not corrected, can lead to chronic pain.

  • Without strengthening exercises, weak muscles remain under strain, which can make recovery harder and pain more persistent.

3. Poor Recovery and Lifestyle Factors

  • Inadequate recovery (such as skipping rest, stretching, or proper self-care) after an injury or strain often prevents the muscles from fully healing, leading to recurrent pain.

  • Stress, lack of sleep, and sedentary habits can prevent muscles from recovering effectively, causing tension to build over time and contributing to chronic pain.

4. Central Sensitization and Pain Memory

  • Chronic pain can lead to changes in the nervous system, a phenomenon known as central sensitization, where the brain and nerves become more sensitive to pain.

  • This "pain memory" can cause muscles to remain tense, even when physical causes improve, and make normal activities feel painful due to heightened pain sensitivity.

5. Lack of Early Intervention

  • When back muscle pain is not managed early, it can worsen and linger. Simple interventions—such as correcting posture, engaging in regular stretching, or strengthening key muscle groups—can often prevent chronic pain.


For individuals at risk of chronic back muscle pain, treatment should prioritize strengthening the back and core muscles, improving posture, and addressing lifestyle factors such as stress and inactivity. Regular muscle strengthening, stretching, and good posture practices are essential for preventing chronic back muscle pain. Trigger point massage therapy is often highly recommended by physical therapy professionals to help break the cycle of chronic pain and support healing.


Trigger points, or "knots" within the muscle, are small, painful areas that can limit range of motion and increase sensitivity. Trigger point massage focuses on relieving these areas through direct pressure, which can:

  • Help break down adhesions or scar tissue in the muscle.

  • Release tension and improve circulation in affected muscles.

  • Reduce localized pain and improve range of motion.


Studies show that trigger point massage can effectively relieve back muscle pain by releasing built-up tension and restoring normal function in affected areas. When integrated into a holistic treatment approach, it serves as a valuable tool for long-term pain management. At the end of this article, a list of high-quality references provides research-based insights and clinical findings on the effectiveness of trigger point therapy in reducing muscle tension and pain.


While professional trigger point massage can be costly, especially over the long term, it may be beneficial to start with a few sessions if you’re new to trigger point therapy, experiencing severe or persistent pain, or suspect an underlying issue. A therapist can help identify specific areas to target and provide guidance on using a self-massage tool.

Back Trigger Point Massage

Once you’re familiar with your trigger points and how they respond, a tool like the LittleMum Back Trigger Point Massager is a convenient, cost-effective option for regular use. It’s ideal for managing mild to moderate back tension and suits those who prefer self-care at home.


The LittleMum Back Trigger Point Massager is not an electric device, yet it has garnered excellent feedback on Amazon for effectively relieving back and hip pain. Below, we’ll explain how it works and guide you on how to use it.

 

The LittleMum Back Trigger Point Massager is designed to target hard-to-reach back and hip muscles, such as the Latissimus Dorsi, Quadratus Lumborum (QL), and Gluteus muscles, helping to relieve back pain. While other massage tools on the market focus only on surface muscles, the LittleMum Back Trigger Point Massager is made from dense yet resilient silicone, allowing it to exert sufficient pressure to effectively release trigger points in deeper muscle layers, providing a sensation similar to a therapist’s massage. Simply lie down with the massager positioned on the tense muscles and let your body weight do the work. The rounded bottom allows you to gently rock and adjust the pressure to your comfort.

Back Muscle Pain Relief

It comes with a 15-year warranty and is FSA or HSA eligible when purchased through Amazon by clicking the link below.

If you prefer a deep tissue massage similar to the pressure applied by a therapist's elbow, or if you're experiencing middle back pain from a rhomboid muscle strain or trigger points, then LittleMum Back Deep Tissue Massager is an excellent tool for targeted relief. Its unique design mimics the elbow technique of professional therapists, allowing for a deep tissue or trigger point massage without placing pressure directly on the spine.

The massager can be used on the floor or against the back of a chair. Additionally, it also functions as a back stretcher, helping to align the lumbar spine when used on the opposite side. It is crafted from an aluminum alloy frame with silicone padding, offering both sturdiness and comfort. Despite its durability, it remains lightweight and portable, making it ideal for travel.

Back Muscle Pain Relief

The massager comes with a 15-year warranty and is eligible for FSA or HSA reimbursement when purchased through Amazon using the link below. However, if you are sensitive to intense massage pressure, we recommend choosing the fully silicone version of the LittleMum Back Trigger Point Massager mentioned above for a gentler experience.


References:

  1. Simons, D. G., Travell, J. G., & Simons, L. S. (1999). Myofascial Pain and Dysfunction: The Trigger Point Manual. 2nd ed., Vol. 1. Baltimore, MD: Lippincott Williams & Wilkins.

    This foundational work is widely cited in the field of myofascial pain and offers comprehensive insights into the identification and treatment of trigger points, particularly for back muscle pain.

  2. Cummings, T. M., & White, A. R. (2001). "Needling therapies in the management of myofascial trigger point pain: a systematic review." Archives of Physical Medicine and Rehabilitation, 82(7), 986-992.

    This systematic review examines the use of needling and manual trigger point therapy techniques in relieving myofascial pain, including back muscle pain, with positive findings for muscle tension relief.

  3. Hong, C. Z. (1994). "Lidocaine injection versus dry needling to myofascial trigger point: The importance of the local twitch response." American Journal of Physical Medicine & Rehabilitation, 73(4), 256-263.

    This study discusses the role of trigger point therapy in reducing muscle pain, emphasizing the importance of localized treatment techniques and their effects on muscle pain, especially in the back.

  4. Shah, J. P., & Gilliams, E. A. (2008). "Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: An application of muscle pain concepts to myofascial pain syndrome." Journal of Bodywork and Movement Therapies, 12(4), 371-384.

    This research explores the biochemical aspects of trigger points, supporting the idea that trigger point therapy can effectively reduce muscle pain by releasing tension points.

  5. Gerwin, R. D. (2005). "A review of myofascial pain and fibromyalgia—factors that promote their persistence." Acupuncture in Medicine, 23(3), 121-134.

    This review article delves into chronic myofascial pain mechanisms, showing how targeted trigger point therapy can be beneficial for patients with persistent back muscle pain.

  6. Borg-Stein, J., & Simons, D. G. (2002). "Focused review: Myofascial pain." Archives of Physical Medicine and Rehabilitation, 83, S40-S47.

    This focused review provides a concise overview of myofascial pain, including back pain, and discusses how trigger point therapy can help alleviate muscular pain symptoms.

 


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