Table of Contents
• Lateral Knee Pain………. 109-110 • Lateral Thigh & Hip Pain…………..111-119 • Posterior Thigh Pain………120-124
•
Lower Torso Overview p. 125-128
• Abdominal Pain …………...129-135 • Buttock Pain………..136-145 • Iliosacral Pain ………..146-154 • Lumbar Pain………..155-161 • Pelvic Pain………162-165
•
Torso Overview p. 166-167
• Low Thoracic Back………....168-175 • Lumbar Back Pain………..176-183 • Sacral & Gluteal Pain………184- 193 • Abdominal Pain………..194-201 • Anterior Chest Pain………202-212 • Side of Chest Pain………213-217
•
Upper Back, Shoulders, & Arms Overview
p. 218-219
• Upper Thoracic Back Pain…………..220-231 • Posterior Shoulder Pain…………...232-244 • Posterior Arm Pain……….245-256 • Mid-Thoracic Back Pain………..257-267 • Anterior Shoulder Pain………268-279 • Anterior Arm Pain………280-291
2
•
General Symptom p. 4
•
Foot, Ankle, & Leg Overview p. 5-7
• Anterior Ankle Pain………....8-11 • Anterior Leg Pain………..12-14 • Dorsal Forefoot Pain………..15- 20 • Dorsal Great Toe Pain…………...21-24 • Dorsal Lesser Toe Pain…………..25-27 • Heel Pain……….28-32 • Lateral Ankle Pain……….33-34 • Lateral Leg Pain………..35-39 • Medial Ankle Pain………....40-41 • Metatarsal Head Pain…………....42-49 • Plantar Great Toe Pain………50-53 • Plantar Lesser Toe Pain…………..54-56 • Plantar Mid- Foot Pain………57-63 • Posterior Ankle Pain……….64-66 • Posterior Leg Pain………...67-74
•
Hip, Thigh, & Knee Overview p. 75-76
• Anterior Knee Pain……….. …77-80 • Anterior Thigh Pain………. …81-89 • Medial Thigh Pain……….90-95 • Posterior Knee Pain…………...96-102
Table of Contents
•
Forearm & Hand Overview p. 292-294
•
Antecubital Pain………...295-297
•
Thumb & Radial Hand Pain……….298-308
•
Dorsal Finger Pain……….309-317
•
Dorsal Forearm Pain………318-323
•
Dorsal Wrist & Hand Pain………324-332
•
Lateral Epicondylar Pain………...333-341
•
Medial Epicondylar Pain………..342-348
•
Olecranon Pain………349-352
•
Radial Forearm Pain………353-358
•
Ulnar Forearm Pain………...359-363
•
Volar Finger Pain………364-373
•
Volar Wrist & Palmar Pain………..374-382
•
Head & Neck Overview p. 383-386
•
Vertex Pain………...387-389
•
Posterior Head Pain………...390-398
•
Temporal Headaches………...399-405
•
Frontal Headaches………...406-410
•
Ear & TMJ………...411-415
•
Cheek & Jaw………..,………..416-424
•
Toothache………425-428
•
Posterior Neck………..429-435
General Symptoms
Swollen glands Digastric
Morning stiffness multiple TrPs
Fatigue multiple TrPs
Shortness of breath serratus anterior, diaphragm, other respiratory muscles [abs (stomach can't rise & fall), pecs]
Muscle twitching local TrPs
Numbness and tingling nerve entrapment by TrPs
Diffuse swelling vascular entrapment by TrPs
Balance problems/staggering gait sternocleidomastoid, Gluteus minimus Feeling continued movement in car after stopping sternocleidomastoid
Feeling tilted when cornering in car sternocleidomastoid
4
R etu rn t o Ta b le of Co n te n tsR etu rn t o Ta b le of Co n te n ts
Symptoms: Legs & Feet
Weak ankles Peroneus, tibialis
Upper/lower leg cramps Sartorius, Gastrocnemius Tight Achilles tendons Tibialis posterior
Sciatica thoracolumbar paraspinals, Gluteus minimus, Hamstrings, Piriformis, Iliopsoas
Buckling knee Vastus medialis, quadriceps, Adductor longus Problems climbing stairs Sartorius, quadriceps femoris, Vastus medialis Problems going down stairs Popliteus
Shin splint-type pain Peroneus, tibialis
Heel pain Soleus, Quadratus plantae, Abductor hallucis, Tibialis posterior
Tight hamstrings: hamstring complex Adductor magnus, quadriceps femoris, Iliopsoas, , Gastrocnemius
numbness/tingling on the outer thigh (meralgia paresthetica)
quadriceps femoris, Vastus lateralis, Sartorius, Tensor fasciae latae entrapment
Balance problems/staggering gait sternocleidomastoid, Gluteus minimus Restless leg syndrome Gastrocnemius, Soleus
First steps in the morning feel as if walking on nails long flexors of toes, Tibialis posterior
6
R etu rn t o Ta b le of Co n te n ts7
R etu rn t o Ta b le of Co n te n tsAnterior Ankle Pain
R etu rn t o Ta b le of Co n te n tsTibialis Anterior
9
R etu rn t o Ta b le of Co n te n tsPeroneus Tertius
10
R etu rn t o Ta b le of Co n te n tsExtensor Digitorum Longus &
Extensor Hallucis Longus
11
R etu rn t o Ta b le of Co n te n tsAnterior Leg Pain
R etu rn t o Ta b le of Co n te n tsTibialis Anterior
13
R etu rn t o Ta b le of Co n te n tsAdductors Longus & Brevis
14
R etu rn t o Ta b le of Co n te n tsDorsal Forefoot Pain
R etu rn t o Ta b le of Co n te n tsExtensor Hallucis Brevis/ Extensor
Digitorum Brevis
16
R etu rn t o Ta b le of Co n te n tsExtensor Digitorum Longus/
Extensor Hallucis Longus
17
R etu rn t o Ta b le of Co n te n tsFlexor Hallucis Brevis
18
R etu rn t o Ta b le of Co n te n tsInterossei of Foot
19
R etu rn t o Ta b le of Co n te n tsTibialis Anterior
20
R etu rn t o Ta b le of Co n te n tsDorsal Great Toe
Pain
R etu rn t o Ta b le of Co n te n tsTibialis Anterior
22
R etu rn t o Ta b le of Co n te n tsExtensor Hallucis Longus
23
R etu rn t o Ta b le of Co n te n tsExtensor Hallucis Brevis
24
R etu rn t o Ta b le of Co n te n tsDorsal Lesser Toe
Pain
R etu rn t o Ta b le of Co n te n tsInterossei of Foot
26
R etu rn t o Ta b le of Co n te n tsExtensor Digitorum Longus/
Extensor Hallucis Longus
27
R etu rn t o Ta b le of Co n te n tsHeel Pain
R etu rn t o Ta b le of Co n te n tsSoleus (TrP1)
29
R etu rn t o Ta b le of Co n te n tsQuadratus Plantae
30
R etu rn t o Ta b le of Co n te n tsAbductor Hallucis
31
R etu rn t o Ta b le of Co n te n tsTibialis Posterior
32
R etu rn t o Ta b le of Co n te n tsLateral Ankle Pain
R etu rn t o Ta b le of Co n te n tsPeronei Longus, Brevis, Tertius
34
R etu rn t o Ta b le of Co n te n tsLateral Leg Pain
R etu rn t o Ta b le of Co n te n tsGastrocnemius
36
R etu rn t o Ta b le of Co n te n tsGluteus Minimus
(anterior section)
37
R etu rn t o Ta b le of Co n te n tsPeronei Longus & Brevis
38
R etu rn t o Ta b le of Co n te n tsVastus Lateralis
39
R etu rn t o Ta b le of Co n te n tsMedial Ankle Pain
R etu rn t o Ta b le of Co n te n tsAbductor Hallucis
41
R etu rn t o Ta b le of Co n te n tsMetatarsal Head
Pain
R etu rn t o Ta b le of Co n te n tsFlexor Hallucis Brevis
43
R etu rn t o Ta b le of Co n te n tsFlexor Digitorum Brevis
44
R etu rn t o Ta b le of Co n te n tsAbductor Hallucis
45
R etu rn t o Ta b le of Co n te n tsExtensor Hallucis Longus
46
R etu rn t o Ta b le of Co n te n tsInterossei of Foot
47
R etu rn t o Ta b le of Co n te n tsAbductor Digiti Minimi
48
R etu rn t o Ta b le of Co n te n tsTibialis Posterior
49
R etu rn t o Ta b le of Co n te n tsPlantar Great Toe
Pain
R etu rn t o Ta b le of Co n te n tsFlexor Hallucis Longus
51
R etu rn t o Ta b le of Co n te n tsFlexor Hallucis Brevis
(Abductor Hallucis)
52
R etu rn t o Ta b le of Co n te n tsTibialis Posterior
53
R etu rn t o Ta b le of Co n te n tsPlantar Lesser Toe
Pain
R etu rn t o Ta b le of Co n te n tsFlexor Digitorum Longus
55
R etu rn t o Ta b le of Co n te n tsTibialis Posterior
56
R etu rn t o Ta b le of Co n te n tsPlantar Midfoot Pain
R etu rn t o Ta b le of Co n te n tsGastrocnemius
58
R etu rn t o Ta b le of Co n te n tsFlexor Digitorum Longus
59
R etu rn t o Ta b le of Co n te n tsFlexor Hallucis Brevis
(Abductor Hallucis)
60
R etu rn t o Ta b le of Co n te n tsSoleus
61
R etu rn t o Ta b le of Co n te n tsInterossei of Foot
62
R etu rn t o Ta b le of Co n te n tsTibialis Posterior
63
R etu rn t o Ta b le of Co n te n tsPosterior Ankle Pain
R etu rn t o Ta b le of Co n te n tsSoleus (TrP1)
65
R etu rn t o Ta b le of Co n te n tsTibialis Posterior
66
R etu rn t o Ta b le of Co n te n tsPosterior Leg Pain
R etu rn t o Ta b le of Co n te n tsSoleus (TrP1 & TrP2)
68
R etu rn t o Ta b le of Co n te n tsGluteus Minimus
(Posterior Section)
69
R etu rn t o Ta b le of Co n te n tsGastrocnemius
70
R etu rn t o Ta b le of Co n te n tsSemitendinosus &
Semimembranosus
(fig. A)
71
R etu rn t o Ta b le of Co n te n tsFlexor Digitorum Longus
72
R etu rn t o Ta b le of Co n te n tsTibialis Posterior
73
R etu rn t o Ta b le of Co n te n tsPlantaris
74
R etu rn t o Ta b le of Co n te n tsR etu rn t o Ta b le of Co n te n ts
76
R etu rn t o Ta b le of Co n te n tsAnterior Knee Pain
R etu rn t o Ta b le of Co n te n tsRectus Femoris
78
R etu rn t o Ta b le of Co n te n tsVastus Medialis
79
R etu rn t o Ta b le of Co n te n tsAdductors Longus & Brevis
80
R etu rn t o Ta b le of Co n te n tsAnterior Thigh Pain
R etu rn t o Ta b le of Co n te n tsAdductors Longus & Brevis
82
R etu rn t o Ta b le of Co n te n tsIliopsoas
83
R etu rn t o Ta b le of Co n te n tsAdductor Magnus
84
R etu rn t o Ta b le of Co n te n tsVastus Intermedius
85
R etu rn t o Ta b le of Co n te n tsPectineus
86
R etu rn t o Ta b le of Co n te n tsSartorius
87
R etu rn t o Ta b le of Co n te n tsQuadratus Lumborum
88
R etu rn t o Ta b le of Co n te n tsRectus Femoris
89
R etu rn t o Ta b le of Co n te n tsMedial Thigh Pain
R etu rn t o Ta b le of Co n te n tsPectineus
91
R etu rn t o Ta b le of Co n te n tsVastus Medialis
92
R etu rn t o Ta b le of Co n te n tsGracilis
93
R etu rn t o Ta b le of Co n te n tsAdductor Magnus
94
R etu rn t o Ta b le of Co n te n tsSartorius
95
R etu rn t o Ta b le of Co n te n tsPosterior Knee Pain
R etu rn t o Ta b le of Co n te n tsGastrocnemius
(TrP1, TrP3, & TrP4)
97
R etu rn t o Ta b le of Co n te n tsBiceps Femoris
(fig. B)
98
R etu rn t o Ta b le of Co n te n tsPopliteus
99
R etu rn t o Ta b le of Co n te n tsSemitendinosus &
Semimembranosus
(Fig. A)
100
R etu rn t o Ta b le of Co n te n tsSoleus
101
R etu rn t o Ta b le of Co n te n tsPlantaris
102
R etu rn t o Ta b le of Co n te n tsAnteromedial Knee
Pain
R etu rn t o Ta b le of Co n te n tsVastus Medialis
104
R etu rn t o Ta b le of Co n te n tsGracilis
105
R etu rn t o Ta b le of Co n te n tsRectus Femoris
106
R etu rn t o Ta b le of Co n te n tsSartorius (lower TrP)
107
R etu rn t o Ta b le of Co n te n tsAdductors Longus & Brevis
108
R etu rn t o Ta b le of Co n te n tsLateral Knee Pain
R etu rn t o Ta b le of Co n te n tsVastus Lateralis
110
R etu rn t o Ta b le of Co n te n tsLateral Thigh & Hip
Pain
R etu rn t o Ta b le of Co n te n tsGluteus Minimus
112
R etu rn t o Ta b le of Co n te n tsVastus Lateralis
(TrP1- 5)
113
R etu rn t o Ta b le of Co n te n tsPiriformis
114
R etu rn t o Ta b le of Co n te n tsQuadratus Lumborum
115
R etu rn t o Ta b le of Co n te n tsTensor Fasciae Latae
116
R etu rn t o Ta b le of Co n te n tsVastus Intermedius
117
R etu rn t o Ta b le of Co n te n tsGluteus Maximus
118
R etu rn t o Ta b le of Co n te n tsRectus Femoris
119
R etu rn t o Ta b le of Co n te n tsPosterior Thigh Pain
R etu rn t o Ta b le of Co n te n tsGluteus Minimus
121
R etu rn t o Ta b le of Co n te n tsHamstring Complex: Semitendinosus
Semimembranosus/ Bicep Femoris
122
R etu rn t o Ta b le of Co n te n tsPiriformis
123
R etu rn t o Ta b le of Co n te n tsObturator Internus
124
R etu rn t o Ta b le of Co n te n tsR etu rn t o Ta b le of Co n te n ts
Symptoms: Chest, Torso,
Abdomen
Dry cough lower end sternal sternocleidomastoid
Reflux esophagitis external oblique
Shortness of breath serratus anterior, diaphragm, other respiratory muscles [abs (stomach can't rise & fall), pecs]
Menstrual problems or Diarrhea and/or pelvic pain Coccygeus, Levator ani, obturator internus, high Adductor magnus, Abdominal obliques, lowwer abdominal quadrant Low back pain
Quadratus lumborum, thoracolumbar paraspinals, longissimus, ilicostalis, multifidi, rectis abdominis (2nd Picture)
Rapid/fluttery/irregular heartbeat/heart attack-like pain sternalis, pectoralis Bloating/nausea/abdominal cramps
abdominals, multifidi, iliocostalis, paraxiphoid Rectus abdominis (2nd picture), Quadratus lumborum, upper thoracic paraspinals
Appendicitis-like pains Iliopsoas, Rectus abdominis (2nd picture), Piriformis, iliocostalis
Abdominal cramps, colic periumbilical Rectus abdominis (2nd picture)
Urine retention upper public, inguinal ligament, lower internal oblique and lower Rectus abdominis (2nd picture) TrPs
Lax, pendulus abdomen abdominal TrPs, especially in Rectus abdominis (2nd picture)
126
R etu rn t o Ta b le of Co n te n tsSymptoms: Chest, Torso,
Abdomen
Groin pain Adductors longus & brevis , Iliopsoas
Irritable bowel pelvic TrPs, multifidi, high Adductor magnus, Abdominal obliques
Urinary frequency cutaneous and myofascial lower abdominal TrPs
Impotence Piriformis pudendal nerve entrapment
Stress incontinence, anal/genital/perineal pain pelvic floor TrPs, high Adductor magnus, Piriformis, paraspinals
Painful intercourse vaginal TrPs, pelvic floor TrPs, Piriformis
Hypersensitive nipples/breast pain Pectoralis minor, Pectoralis major (2nd picture) Fibrocystic breasts possible ductile entrapments by TrPs
Problems holding arms up (as when folding sheets) Subscapularis, infraspinatus, Supraspinatus, upper trapezius, levator scapulae
Dysmenorrhea lower rectus abdominis
Nausea & vomiting upper rectus abdominis
127
R etu rn t o Ta b le of Co n te n ts
128
R etu rn t o Ta b le of Co n te n tsAbdominal Pain
R etu rn t o Ta b le of Co n te n tsRectus Abdominis
130
R etu rn t o Ta b le of Co n te n tsObliquus Externus Abdominis
131
R etu rn t o Ta b le of Co n te n tsIliocostalis Thoracis
132
R etu rn t o Ta b le of Co n te n tsMultifidi
133
R etu rn t o Ta b le of Co n te n tsQuadratus Lumborum
134
R etu rn t o Ta b le of Co n te n tsPyramidalis
135
R etu rn t o Ta b le of Co n te n tsButtock Pain
R etu rn t o Ta b le of Co n te n tsGluteus Medius
137
R etu rn t o Ta b le of Co n te n tsQuadratus Lumborum
138
R etu rn t o Ta b le of Co n te n tsGluteus Maximus
139
R etu rn t o Ta b le of Co n te n tsIliocostalis Lumborum &
Longissimus Thoracis
140
R etu rn t o Ta b le of Co n te n tsSemitendinosus & Semimembranosus
(Fig. A)141
R etu rn t o Ta b le of Co n te n tsPiriformis
142
R etu rn t o Ta b le of Co n te n tsGluteus Minimus
143
R etu rn t o Ta b le of Co n te n tsRectus Abdominis
144
R etu rn t o Ta b le of Co n te n tsSoleus
145
R etu rn t o Ta b le of Co n te n tsIliosacral Pain
R etu rn t o Ta b le of Co n te n tsLevator Ani & Coccygeus
147
R etu rn t o Ta b le of Co n te n tsGluteus Medius
148
R etu rn t o Ta b le of Co n te n tsQuadratus Lumborum
149
R etu rn t o Ta b le of Co n te n tsGluteus Maximus
150
R etu rn t o Ta b le of Co n te n tsMultifidi
151
R etu rn t o Ta b le of Co n te n tsIliopsoas
152
R etu rn t o Ta b le of Co n te n tsRectus Abdominis
153
R etu rn t o Ta b le of Co n te n tsIliocostalis Lumborum &
Longissimus Thoracis
154
R etu rn t o Ta b le of Co n te n tsLumbar Pain
R etu rn t o Ta b le of Co n te n tsGluteus Medius
156
R etu rn t o Ta b le of Co n te n tsMultifidi
157
R etu rn t o Ta b le of Co n te n tsIliopsoas
158
R etu rn t o Ta b le of Co n te n tsIliocostalis Lumborum &
Longissimus Thoracis
159
R etu rn t o Ta b le of Co n te n tsRectus Abdominis
160
R etu rn t o Ta b le of Co n te n tsIliocostalis Thoracis
161
R etu rn t o Ta b le of Co n te n tsPelvic Pain
R etu rn t o Ta b le of Co n te n tsCoccygeus/ Levator Ani/
Obturator Internis
163
R etu rn t o Ta b le of Co n te n tsAdductor Magnus
164
R etu rn t o Ta b le of Co n te n tsPiriformis
165
R etu rn t o Ta b le of Co n te n tsR etu rn t o Ta b le of Co n te n ts
