May 16, 2015

Front/Back Relationship

At massage school, the relationship between front and back of the body was emphasized from the beginning.  If you have back pain, pay attention to the front; the abdomen.  If the pain is in the upper back, work on the chest.  It is an amazing concept, and it has been so true.   


When I work on clients, I never forget the front/back relationship and always work on other than painful areas, but I almost forgot to apply it to myself!  Just a few days ago, I threw up in the evening (not food poisoning or stomach flu, thankfully), and I woke up next morning with the pain all over my back (mid-back, ribs, and low back).  First, I thought I slept too long, but if that happens, pain is normally limited to a specific area, not all over my back.  I massaged every possible trigger point in the back with a tennis ball and a Body Back Buddy and used a heat pack.  It got a little bit better for a while, but the pain came back.  I knew I was not doing right.  As a massage therapist, it was frustrating not to know what to do with my own pain.

Then, I remembered that distressed internal organs could cause pain in the back, so my attention shifted from the back to the stomach.  And finally, I remembered the trigger points and referred pain of the abdominal muscle (rectus abdominis), the “six-pack.”  This muscle plays a role in childbirth, vomiting, urination and defecation.
Trigger Points
Referred Pain in the Back
I started massaging the upper trigger points just below the ribcage.  There was definitely a tender spot in the right side.  I also massaged along the muscle side to side and the lower trigger points for low back pain.  Not long after, the pain subsided, and I finally felt comfortable.

This episode is self-anecdotal, but it definitely reinforced the importance of the front/back relationship.