14. Internal Oblique
Origin: Inguinal ligament, iliac crest, and lumbodorsal fascia
Insertion: Linea alba, pectineal line of the pubis, and ribs 10-12
Action:
- Bilaterally compresses abdominal content
- Unilaterally produces ipsilateral trunk rotation
Innervation: Thoracoabdominal nerves (T7-11), subcostal nerve (T12), iliohypogastric nerve (L1) and ilioinguinal nerve (L1)

Needling
Position: Supine
Palpation: Palpate along the iliac crest
Technique: Needle along the iliac crest using it as a bony backdrop
Caution: High – abdominal contents lie directly below and medial to this muscle

Video 3.14 Needling of internal obliques, original video by Nadine Crocker, CC BY-NC 4.0.