![]() ![]() If you’ve read the whole Perfect Spot series, you might notice that Spot 12 is rather close to this one. It may take surprisingly firm pressure to trigger the feeling that makes you want to say, “Oh yeah, that’s it, right there!” If firm pressure causes strong and unpleasant pain, back off, of course: it’s not a perfect spot for you, and it’s even possible that your system is protecting itself from disturbance of a structural abnormality. For many people, mild and moderate pressure will not scratch the itch. This is a sturdy part of any back, assuming it’s not in some kind of serious trouble. One of the reasons that I’ve nominated this trigger point to be a Perfect Spot is that, properly located and treated, it so reliably feels like scratching an itch - one of the best examples of that feeling to be found anywhere in the body. That is, pressure “reproduces” the quality of pain of many a back ache. In most people with back pain, pressure on this spot feels like a deep, deep, deep dull ache that closely resembles any back pain or stiffness that you may have in the area. 1 Perhaps not coincidentally, Spot #13 is right smack dab in the bottom tip of it, where it is sturdiest and “anchors” to the pelvis and lowest part of the spine. show This structure may get thickened and stiff in people with back pain. There’s a diamond-shape layer of tough connective tissue across the entire low back, the thoracolumbar fascia. A more anatomical way to think of the location It might also be found slightly higher, or slightly lower in the thinner tissue over the sacrum. 13 is usually right beside the dimple, in the lowest thick segment of the paraspinals. Go any lower and the muscle feels thinner as it peters out and starts to turn into tendon and gristle over the surface of the sacrum. If you press on the meaty column of muscle found on either side of the spine - the lumbar paraspinal muscles or the erector spinae muscle group - and follow it downwards, you will find that the last place where it feels thick and meaty is between the low back dimple and the spine. 13 is at the geographic center of the possibilities, right between the back dimples. “Low back pain” is felt anywhere from the sides of the hips to the tips of the lower ribs. It is the lowest possible spot next to the spine that can still be called the back. Think of the “pit” of your low back: the bottom of the back, as far down as you can go, right next to the spine, without actually crossing over into the pelvis. ![]()
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