The tibialis posterior trigger point is a sneaky-little-booger of a trigger point that few people know about. It lies deep in the calf musculature and causes intense pain and burning in the Achilles tendon region. The pain will also frequently spread to the calf, the heel, and over the entire surface of the sole of the foot (including the bottom of the toes).
The tibialis anterior trigger point causes pain in the front of the ankle and on the big toe. This trigger point also weakens the tibialis anterior muscle which is responsible for raising (and lowering) the foot at the ankle as you walk. So when someone with this trigger point tries to take a normal step, their foot kind of drags behind and then slaps down after their heel strikes the ground. This is called foot drop and foot slap, respectively.
Would you believe me if I told you that the monthly scourge that disrupts the lives of women everywhere could be easily beaten back with a simple trigger point therapy technique? If you are a woman, probably not. (If you are a man, well your opinion just doesn’t matter in this situation, ha ha.)
The soleus is the wide, flat muscle that covers and shapes the calf region of the lower leg. The “claim to fame” of one of the trigger points in this muscle is the heel pain that many joggers and runners experience during and after exercise. It (along with the tibialis posterior trigger point) can also produce pain the Achilles tendon region as well. Other trigger points in the soleus produce pain and tenderness in the calf region and rarely even way up in the sacroiliac joint of the low back region.
Clinically speaking, the pectoralis minor muscle is the little brother of the pectoralis major muscle. Like all little brothers, the pectoralis minor wants to do everything that big brother does, so it’s no surprise that trigger points in these two muscles have almost identical referred pain patterns.
These pain patterns start in the front of shoulder and can extend down the inside of the arm, elbow, forearm, palm of the hand, and into the pinky, ring, and middle fingers.
Not to be outdone by big brother, a tense pectoralis minor muscle can also entrap nerves in the armpit region that cause pain, numbness, and tingling to travel down the arm and into the hand.