‘How can you self-treat a trigger point if it’s unreachable? I have a pain, which feels like a bad bone bruise under my lower left rib. I know it is under the rib because when I press lightly on the rib it doesn’t hurt. I feel pain when I twist to the right coming from the underlying muscle. How can I treat it though if it is under my rib?’
there are two layers of muscles in between each set of ribs. These are called the intercostal muscles. In the front of your body the abdominal muscles attach into the lower edge of your lowest rib. These abdominal muscles are in three layers all running in different directions.
In the back, the quadratus lumborum and the ileocostalis muscles attach to the lower ribs.
The muscles attach via very short tendons. There are many layers of muscles, and some of them run quite deep. So, your discomfort may be coming from the insertion of the tendon into the ribs.
Or, the problem could come from a trigger point in the deep muscles. You need to search in a band about 2 inches below where you feel your ache, and might find triggers there. These muscles can refer pain up under the ribs. If you find triggers here, use the principles of ischemic pressure to switch them off. Followed by gentle heat.
If the pain comes from a tendon, then acupuncture or a cortisone injection can be helpful.
This is general information. Because I can’t examine you, as always, you need to see a qualified health professional for a specific diagnosis.
JonathanTrigger Points around the Ribs by Jonathan