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point. CTTM practice in these patients in- upper and lower likewise Lom Plai Pattakhat

volves massaging ASP1, ASP2 and ASP5 in disease of CTTM. The BSP1 and BSP3 Lom
the abdomen for pain releaf, decreasing Plai Pattakhat are relevant to lower back pain.

muscle tension, pelvic muscles relaxation and While BSP4 and BSP5 Lom Plai Pattakhat are
[1, 11-12]
increasing blood flow into the pelvis . relavant to upper back pain. There were
The structures correlated with ASP1 and ASP2 several cause of these diseases such as

were the iliohypogastric and ilioinguinal damage through accident, poor physical con-
nerves which innervated internal oblique and ditions, habitual poor posture and poor body

transversus abdominis muscles and received position, emotional stress, overload by work
sensory information from skin over the pelvic and musculoskeletal degeneration that gave
region, mons pubis, labia major and upper rise to reginal or localization pain with re-
[1, 9, 11-12]
medial thigh. Furthermore, ASP5 is located ferred pain . Generally, BSP1 and BSP3
at the bifurcation of AbA and one of those Lom Plai Pattakhat diseases produced lower
bifurcations lead to the internal iliac artery back pain and radiated to the lower extremity
[21]
that supplied the pelvic organs . associated with fatigue, muscle weakness and
For the back area, BLs and SPs were loss of plantar sensation. The nodule of
established to be mostly muscular structures muscle contrac-tion knot could be palpated
[1, 11-12]
with associated their vessels and nerve at the lower back . Moreover, BSP1
branches. There were shown to be similar and BSP3 are localized as the most common

and symmetrical structures in both sides of sites of myofascial trigger points (MTrPs)
the back. which caused a musculoskeletal pain disor-
[22]
Asymmetrical of paravertebral muscle der . Thus, the back was massaged followed
atrophy (ipsilateral or bilateral) atrophy and by the SPs, particularly in BSP1 or BSP3. The
loss of general sensation were shown in Lom pressure application to these points related
[1, 11-12]
Prap disease . Thus, the back region to the mechanics of massage pressure which
was massaged following all of the BLs and pass directly through the key muscles as erec-
SPs for relaxation and increased blood flow. tor spinae and multifidus lumborum, including

According to all of LB and BSPs are located posterior rami of spinal nerves and segmen-
at the emerging points of the posterior rami tal lumbar arteries, respectively as presented
[23]
and segmental arteries that supplied the in this study to increase relaxation and
paravertebral muscle. released tension within muscle fibers and
The back region can be divided into break down the taut knot by endorphin re-