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Referred Pain Pattern

Trigger points in the gastrocnemius may be found on the medial or lateral sides of the muscle. Active trigger points in the gastrocnemius may refer pain down the calf and sometimes to the bottom of the foot. Active trigger points that are closer to the knee may radiate pain to the back of the knee.

While pressing into the trigger point with your thumb, flex your client’s knee and plantarflex their ankle. Find the position where your client does not feel any pain in the trigger point. If the point is in the soleus, nothing you do with knee flexion will make a difference. Hold for 30 - 90 seconds, or until you feel a release, then bring your client back to a neutral position while continuing to hold the trigger point, and ask your client how it feels.

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