Although most people never think of the spine as being able to harbor tendinosis, it is more common than you might realize. What gives a muscle the potential to develop a tendinopathy? Easy; the simple fact that it has a tendon. All muscles have tendons — it’s what anchors them to the skeleton. And on top of this, many of the muscles of the back, neck, trunk, or torso, are not really just “one” muscle. Let me show you what I mean by using the Spinal Erectors as an example.
The muscles that doctors generically refer to as the “Spinal Erectors” (around here people refer to these as ‘back straps’) are actually made up of several different muscles. And each one of these different muscles has dozens — sometimes hundreds — of parts to it. On top of that, each individual part has its own tendinous attachment points (these are deeper than what you can see in the picture below).
Anywhere there are many muscles, tendons, and fascias together in one place, there is a significant potential for injury. This injury can be acute and traumatic, or it can be postural, repetitive (overuse), and chronic. The great thing is that for my method of treatment to work, it’s not critical that we know exactly which tissue is injured (HERE).