The Multifidi are the deepest of the spinal muscles and span from 1:1 to 1:3 spinal joints. Their intimate relationship with the transverse and spinous processes and their postural type II fibers make them ideal candidates to manifest trigger points. A great deal of back pain originates from Multifidi trigger points. Spinal segment dysfunctions also manifest local Multifidi taut bands and trigger points. The pain maps mostly referred locally but occasionally they may be felt anteriorly, in the abdomen.
It is always worth looking at the anterior abdominal wall for trigger points if you suspect them in the multifidi. The rectus abdominis and erector spinae act as antagonists. Most practitioners now acknowledge that certain ‘core’ muscles operate in tandem to support the spine and abdominal viscera; the multifidi are a crucial part of this chain. Dysfunction in one may result in antagonist dysfunction
How do you treat trigger these trigger points? We’d be delighted if you want to share your own best practice.