Real Time Analytics

External Internal Oblique Muscles: Abdomen, Groin, Testicular Pain

(Last Updated On: October 3, 2018)

Oblique Muscles Pain Referral:  Pain high in the abdominal area (heartburn like symptoms) low abdominal area including the groin, pelvic area, and painful bands in the upper back and lower back.

External and Internal Oblique Muscles Pain: Signs and Symptoms

  • Pain in the waist area
  • Pain in the groin area
  • Pain in the low abdomen
  • Finger like projections of pain through the abdomen
  • Band of pain across the upper back below shoulder blades
  • Band of pain across the low back just above hips
  • Heartburn and indigestion
  • Testicle pain
  • Bladder pain and incontinence
  • Pain in the pelvis area

Where are the internal and external oblique muscles?

The obliques connect the ribs, top of the hip bone, fascia of the abdominals and lower back. The obliques are often thought of as the waist muscles.

What movements do the obliques muscles control?

  • Bending over
  • Twisting the torso
  • Side bending the torso
  • Tilting the pelvis
  • Assists with breathing

Activities that cause obliques muscle pain and symptoms:

  • Abdominal scars from surgery
  • Constipation
  • Over exercising muscles (twisting and side bending exercises)
  • Rowing
  • Raking leaves
  • Lifting using tools like shovels or pitchforks
  • Chronic coughing
  • Sitting for long periods of time
  • Slouching posture

Interesting facts about the obliques muscles:

  • The oblique muscles can contribute to pain and discomfort in the abdomen and groin area. It can also contribute to burning and discomfort in the urinary tract, bladder and can contribute to incontinence. If you are suffering from any of these symptoms, a medical evaluation should be done to rule out underlying medical conditions.
  • Pain in the back when taking a deep breath can signal that there are trigger points in the obliques and/or the rectus abdominis muscles.
External Oblique Muscle

The external oblique aids in compressing the abdominal wall, supporting your organs, bending the spine and exhaling.

Internal Oblique Muscle

The internal oblique works with the external oblique to compress the abdominal wall and support your organs.

Oblique Muscles Pain and Symptoms Can Be Similar To, Contribute To, and Be Affected By These Medical Diagnosis:

Note: Pain and symptoms of the oblique muscles mimics many acute and chronic conditions, some of which can be life-threatening. It is important that symptoms continue a medical evaluation is conducted to rule out what could be serious medical conditions.

  • Painful rib syndrome
  • Slipped Rib
  • Costochondritis
  • Acid Reflux
  • Heartburn
  • Appendicitis
  • Ulcers
  • Gallbladder Disorder
  • Hiatal Hernia
  • Inguinal Hernia
  • Colic
  • Constipation
  • Urinary Incontinence
  • Urinary Tract Infection and Disease
  • Pancreatitis
  • Diverticulosis
  • Testicle Pain
  • Ovarian Cyst
  • Endometriosis
  • Prostatitis
  • T6 T7 T8 T9 T10 T11 T12 radiculopathy
  • L1 L2 L3 or L4 radiculopathy

Other muscles that should be considered and examined in conjunction with the obliques:

Satellite trigger points associated with the external and internal oblique muscles:

  • Serratus anterior
  • Iliocostalis thoracis
  • Longissimus thoracis
  • Adductor Longus
  • Adductor Brevis
  • Adductor Magnus
  • Pectineus
  • Gracilis

For detailed anatomy information:  Obliques Anatomy

TWD Recommendations To Relieve External and Internal Oblique Muscle Pain

Cold Gel Therapy for Abdominal Oblique Muscle Strain

Biofreeze Pain Relieving Gel is a cold therapy gel that provides pain relieve for new injuries and is great as a maintenance treatment for overuse and repetitive use injuries such as tennis elbow. Cold therapy should be used on new and recent injuries instead of heat as it cools the area much like ice and does not promote swelling. A recent study showed that Biofreeze decreased pain 2 times more than ice and the pain relief lasts 9 – 10 longer. For pain caused by injury or dysfunction of the oblique muscles, rub Biofreeze from just under the breasts down the front of the body to the pubic bone. Also, treat the sides of the ribs from the under the breast area to the hip bone.

Hot Cold Pack For Obliques Pain Relief 

CorPak Soft Comfort Hot & Cold Pack Wrap is a versatile pack that can be used to treat the lower leg, foot / ankle, as well as other areas of the body. This pack works well for the oblique muscles as it large and will treat the entire muscle. Use it 20 minutes for hot or cold treatment draped across the abdomen and down the side that is affected. The pack is filled with pliable gel and has a soft frost free cover that will not irritate your skin. For recent injuries, use it cold to reduce swelling. For older injures or chronic pain use heat to relax the muscles and increase circulation.

Stop Slouching When You Sit!

Many people tend to slouch and slump when sitting, especially when sitting at a desk chair for hours a day. To support your lower back and help to serve as a reminder not to slump I recommend the Vertteo Full Lumbar Black Support.

This support is larger than most on the market and extends up to provide support to the middle back. It can be used in office chairs, vehicles, and home and sofas at home.

Get Relief From Oblique Muscle Pain By Providing Abdominal Support and Compression

The Pro-Choice Back Support is my go to for abdominal support and back brace. This brace has helped me more than any other with low back and low abdominal pain. The lumbar pad provides support without the uncomfortable restriction and poking of metal supports. The band is wide, covering the entire lower back. It has an adjustable Velcro front closure along with adjustable Velcro side panels which can be tightened or loosened to provide support and compression. The brace also reflects your body heat back into the muscles, providing warmth to tight sore muscles. For those with recent injuries or flare-ups, it is comfortable enough wear all night and will not disrupt your sleep.

I have recommended this brace to many clients and friends with chronic low back pain and everyone has commented how much it helps relieve their pain and increase mobility. If you have muscle, tendon or ligament injuries, new or old, I highly recommend that you try this brace.

Sizing: Small and Medium fits waists 22" - 38". Large fits waist 24" - 40". X-large fits waist 41" - 50. XX-large fits waist 51" - 60".

Self Treatment for External and Internal Oblique Abdominal Pain

Do you know that muscle 'knots' or other dysfunction in the oblique muscles can contribute to pain throughout the upper and lower abdomen?  This pain can also add to breathing difficulty and cause heartburn and indigestion.

If this pain pattern sounds familiar I recommend that you purchase Claire Davies The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain ReliefMr. Davies explains the trigger point phenomenon and muscle pain in everyday language. But what makes this book worth its weight in gold are the individual muscle trigger point treatments that Davies has compiled. His diagrams and step by step instructions help you locate which muscles are contributing to your pain, how to find the trigger point and treat it. It takes time and practice to master finding trigger points, but once you learn you have a tool and method to help relieve muscle pain throughout the body. If you suffer from unresolved upper and lower abdominal, or groin / testicular pain I highly recommend this book. It takes time and practice to master finding trigger points, but once you learn you have a tool and method to help relieve muscle pain throughout the body. Relieving oblique trigger points have helped many people resolve their pain issues throughout the abdominal area. This book is a must-have for anyone interested in finding the cause and treating muscle pain.

Leave a Comment