25/08/2022
🔈 SERRATUS POSTERIOR INFERIOR - OVERLOOKED CAUSE OF LOWER BACK PAIN
You have a client who tells you this:
'I reached for something and suddenly I felt a sharp spasm in the lower part of my back, slightly to the side of the spine, at the bottom of the ribs, and when I breathe in really deep I can feel it'.
Based on the above description you should suspect that you might be dealing with the Serratus Posterior Inferior muscle.
💡 Where is the Serratus Posterior Inferior muscle?
The Serratus Posterior Inferior muscle connects the lower 4 ribs to four vertebrae (T11, T12, L1, L2) in the low back.
💡 What movements does the Serratus Posterior Inferior muscle control?
✔️ Forced expiration (breathing out when breathing hard)
✔️ Assists with twisting at the waist
✔️ Assists with straightening the trunk (standing up straight)
💡 Activities that cause Serratus Posterior Inferior pain and symptoms:
✔️ Twisting the body when lifting
✔️ Overreaching overhead or to the side of the body
✔️ Lifting something heavy using the back muscles instead of leg muscles
✔️ Sleeping on a sagging or too soft mattress
ℹ️ Trigger Points
Trigger points in the Serratus Posterior Inferior may cause an uncommon local ache radiating over and around the muscle.
This may extend across the back and over the lower ribs, even continuing through the chest to the front of the body.
This discomfort is typically described by clients as a nagging ache.
In many cases this pain remains after other trigger points have been inactivated. This should be a good indicator for the therapist to recheck the Serratus Posterior Inferior for undiscovered trigger points.
👩🔬 Stretching for self-release of the Serratus Posterior Inferior
Cross your forearms just above the wrist, at about chest height. Inhale deeply as you slowly raise them up until the area where the arms cross is level with your forehead. Now lower the arms as you exhale.
Do this once or twice, allowing for a brief rest (a few breaths) before repeating. Do this exercise set several times a day.
