Referred Pain Pattern
Trigger points in the tibialis anterior are often found in
the proximal part of the muscle next to the tibia. Active
trigger points will refer pain down the medial side of the
calf with concentrated areas of pain in the medial ankle
and the big toe.
Trigger points in the tibialis anterior may be an aggravating
factor in shin splints.
While pressing into the trigger point with your thumb,
dorsiflex your client’s ankle and invert their foot. Find the
position where there is no pain in the trigger point. 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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