Abdominopelvic Relief and Trigger Points

Both genders can suffer from trigger points (TrPs) in the abdominal and/or pelvic muscles.    

Causes of abdominal trigger points

 Overexertion on the job or in athletic activity can promote trigger points in the abdominal muscles. Sitting in a twisted position, sitting too much, a chronic cough, and emotional stress can all provoke trigger points in the abdominal muscles.

Too much worry and too much sitting do more to predispose you to developing abdominal trigger points than almost anything else. Overexertion in athletic activity comes a close second (Davies 2004, pg.149).


Medical Issues

There's no way to know whether these symptoms originate in myofascial trigger points or something more serious until any active trigger points have been deactivated. Diagnosis becomes more accurate and treatment of abdominal symptoms becomes more effective when the physician knows about trigger points and can treat them and take them out of the equation (Davies 2004, pg.147).

Of course there are medical issues (disease) that will manifest with similar or identical symptoms (e.g. gallbladder issues, stomach cancer, peptic ulcers). Therefore, your Trigger Point Bodyworker must always obtain a thorough client history and if there is any doubt as to whether TrPs are causal, you should be advised to seek advice from your primary health practitioner. If your symptoms disappear after TrP treatment(s), (and you have not already sought medical consultation) it would still be prudent to consult your medical professional for any advice or tests that may be needed.


Autonomic Phenomena in the abdomen and pelvic areas

Active trigger points in the abdominal obliques and rectus abdominis can be causal for many issues that are typically manifested or misdiagnosed as: 

Irritable bowel syndrome (IBS), colitis, hiatal hernia, projectile vomiting, nausea, anorexia*, dysmenorrhea (painful menstruation), endometriosis, heartburn, acid reflux, chronic diarrhea, bloating, and gas. Painful Menstrual Cramps
Bladder control issues that include; urgency, frequency, painful spasms, bed-wetting in older children, accidental/unexpected wetting (adults) and difficulty with urination.

Other issues in the abdomen and pelvic areas that may have abdominal trigger point origins are;  Groin pain/ache, and genital pain (ovaries, vagina, penis and testicles).

*Anorexia: loss of appetite, especially when prolonged. 
Not to be confused with anorexia nervosa.: a serious disorder in eating behavior primarily of young women in their teens and early twenties that is characterized especially by a pathological fear of weight gain leading to faulty eating patterns, malnutrition, and usually excessive weight loss.

Intrapelvic muscles

Trigger points in the intrapelvic muscles (pelvic floor muscles) are known to refer pain to the bladder, low back, rectum, tailbone, genitals, urethra, perineum, and the very upper posterior thigh. The vagina is commonly affected and these TrPs can contribute to menstrual pain. Men might experience prostate and impotence issues when active intrapelvic TrPs are present. Both genders might experience painful bowel movements from these intrapelvic trigger points.

Access to these trigger points is through the rectum or vagina. Keep in mind that all 'external' options should be exhausted, prior to considering internal palpation and treatment. Even then, it should be left to a extensively experienced Trigger Point expert to carry out the treatments.


Possible symptoms caused by active abdominal TrPs

  • Irritable bowel syndrome (IBS)                    
  • Colitis 
  • Hiatal hernia (misdiagnosis)
  • Projectile vomiting 
  • Nausea 
  • Anorexia*
  • Dysmenorrhea (painful menstruation)
  • Endometriosis 
  • Heartburn 
  • Acid reflux 
  • Chronic diarrhea 
  • Bloating and excess gas
  • Groin pain/ache
  • Genital pain that includes the vagina,  penis, ovaries, and testicles



Urinary Bladder Symptoms / Nocturia

Bladder control issues that include
  • Urgency 
  • Frequency 
  • Painful spasms 
  • Bed-wetting in older children
  • Accidental/unexpected wetting (adults) 
  • Difficulty with urination

Our office is closed on weekends and holidays. To book your appointment for treatment, or for more workshop information:
Phone: 250.714.6056                                                           Email: info@triggerpoint.ca             1455 Townsite Rd. Nanaimo, BC V9S 1M9
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