The Trigger Point Referred Pain Guide Interactive 1

Table of Contents
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 Pain50-53
Plantar Lesser Toe Pain..54-56
Plantar Mid- Foot Pain57-63
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
Anteromedial Knee Pain. 103-108
Lateral Knee Pain. 109-110

Lateral Thigh & Hip Pain..111-119
Posterior Thigh Pain120-124
Lower Torso Overview p. 125-128
Abdominal Pain ...............129-135

Buttock Pain..136-145
Iliosacral Pain ..146-154
Lumbar Pain..155-161
Pelvic Pain162-165
Torso Overview p. 166-167
Low Thoracic Back....168-175

Lumbar Back Pain..176-183
Sacral & Gluteal Pain184- 193
Abdominal Pain..194-201
Anterior Chest Pain202-212
Side of Chest Pain213-217
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 Pain268-279
Anterior Arm Pain280-291
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 Pain318-323
Dorsal Wrist & Hand Pain324-332
Lateral Epicondylar Pain............................................................333-341
Medial Epicondylar Pain..342-348
Olecranon Pain349-352
Radial Forearm Pain353-358
Ulnar Forearm Pain...........................................................359-363
Volar Finger Pain364-373
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
Toothache425-428
Posterior Neck..429-435
Throat & Anterior Neck Pain..436-439
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
Return to Table of Contents
General Symptoms
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
Symptoms: Legs & Feet
Anterior Ankle Pain
Tibialis Anterior
Peroneus Tertius
10
Extensor Digitorum Longus &

Extensor Hallucis Longus
11
Anterior Leg Pain
Tibialis Anterior
13
Adductors Longus & Brevis
14
Dorsal Forefoot Pain
Extensor Hallucis Brevis/ Extensor

Digitorum Brevis
16
Extensor Digitorum Longus/

17
Flexor Hallucis Brevis
18
Interossei of Foot
19
Tibialis Anterior
20
Dorsal Great Toe

Pain
Tibialis Anterior
22
23
Extensor Hallucis Brevis
24
Dorsal Lesser Toe

Pain
Interossei of Foot
26
Extensor Digitorum Longus/

27
Heel Pain
Soleus (TrP1)
29
Quadratus Plantae
30
Abductor Hallucis
31
Tibialis Posterior
32
Lateral Ankle Pain
Peronei Longus, Brevis, Tertius
34
Lateral Leg Pain
Gastrocnemius
36
Gluteus Minimus (anterior section)
37
Peronei Longus & Brevis
38
Vastus Lateralis
39
Medial Ankle Pain
Abductor Hallucis
41
Metatarsal Head
Pain
Flexor Hallucis Brevis
43
Flexor Digitorum Brevis
44
Abductor Hallucis
45
46
Interossei of Foot
47
Abductor Digiti Minimi
48
Tibialis Posterior
49
Plantar Great Toe

Pain
Flexor Hallucis Longus
51
Flexor Hallucis Brevis (Abductor Hallucis)
52
Tibialis Posterior
53
Plantar Lesser Toe

Pain
Flexor Digitorum Longus
55
Tibialis Posterior
56
Plantar Midfoot Pain
Gastrocnemius
58
59
Flexor Hallucis Brevis (Abductor Hallucis)
60
Soleus
61
Interossei of Foot
62
Tibialis Posterior
63
Posterior Ankle Pain
Soleus (TrP1)
65
Tibialis Posterior
66
Posterior Leg Pain
Soleus (TrP1 & TrP2)
68
Gluteus Minimus (Posterior Section)
69
Gastrocnemius
70
Semitendinosus &
Semimembranosus (fig. A)
71
72
Tibialis Posterior
73
Plantaris
74
76
Anterior Knee Pain
Rectus Femoris
78
Vastus Medialis
79
80
Anterior Thigh Pain
82
Iliopsoas
83
Adductor Magnus
84
Vastus Intermedius
85
Pectineus
86
Sartorius
87
Quadratus Lumborum
88
Rectus Femoris
89
Medial Thigh Pain
Pectineus
91
Vastus Medialis
92
Gracilis
93
Adductor Magnus
94
Sartorius
95
Posterior Knee Pain
(TrP1, TrP3, & TrP4)
Gastrocnemius
97
Biceps Femoris (fig. B)
98
Popliteus
99
(Fig. A)
Semitendinosus &
Semimembranosus
100
Soleus
101
Plantaris
102
Anteromedial Knee
Pain
Vastus Medialis
104
Gracilis
105
Rectus Femoris
106
Sartorius (lower TrP)
107
108
Lateral Knee Pain
Vastus Lateralis
110
Lateral Thigh & Hip

Pain
Gluteus Minimus
112
Vastus Lateralis (TrP1- 5)
113
Piriformis
114
Quadratus Lumborum
115
Tensor Fasciae Latae
116
Vastus Intermedius
117
Gluteus Maximus
118
Rectus Femoris
119
Posterior Thigh Pain
Gluteus Minimus
121
Hamstring Complex: Semitendinosus

Semimembranosus/ Bicep Femoris
122
Piriformis
123
Obturator Internus
124
Dry cough
lower end sternal sternocleidomastoid
Reflux esophagitis
external oblique
Shortness of breath
Menstrual problems or Diarrhea and/or pelvic pain
Low back pain
Rapid/fluttery/irregular heartbeat/heart attack-like pain
Bloating/nausea/abdominal cramps
Appendicitis-like pains
Abdominal cramps, colic
Urine retention
Lax, pendulus abdomen
serratus anterior, diaphragm, other respiratory muscles [abs

(stomach can't rise & fall), pecs]
Coccygeus, Levator ani, obturator internus, high Adductor
magnus, Abdominal obliques, lowwer abdominal quadrant
Quadratus lumborum, thoracolumbar paraspinals,
longissimus, ilicostalis, multifidi, rectis abdominis (2nd
Picture)
sternalis, pectoralis
abdominals, multifidi, iliocostalis, paraxiphoid Rectus
abdominis (2nd picture), Quadratus lumborum, upper
thoracic paraspinals
Iliopsoas, Rectus abdominis (2nd picture), Piriformis,
iliocostalis
periumbilical Rectus abdominis (2nd picture)
upper public, inguinal ligament, lower internal oblique and
lower Rectus abdominis (2nd picture) TrPs
abdominal TrPs, especially in Rectus abdominis (2nd picture)
Symptoms: Chest, Torso,

Abdomen
126
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
Symptoms: Chest, Torso,

Abdomen
127
128
Abdominal Pain
Rectus Abdominis
130
Obliquus Externus Abdominis
131
Iliocostalis Thoracis
132
Multifidi
133
Quadratus Lumborum
134
Pyramidalis
135
Buttock Pain
Gluteus Medius
137
Quadratus Lumborum
138
Gluteus Maximus
139
Iliocostalis Lumborum &

Longissimus Thoracis
140
(Fig. A)
Semitendinosus & Semimembranosus
141
Piriformis
142
Gluteus Minimus
143
Rectus Abdominis
144
Soleus
145
Iliosacral Pain
Levator Ani & Coccygeus
147
Gluteus Medius
148
Quadratus Lumborum
149
Gluteus Maximus
150
Multifidi
151
Iliopsoas
152
Rectus Abdominis
153

154
Lumbar Pain
Gluteus Medius
156
Multifidi
157
Iliopsoas
158

159
Rectus Abdominis
160
161
Pelvic Pain
Coccygeus/ Levator Ani/

Obturator Internis
163
Adductor Magnus
164
Piriformis
165
167
Low Thoracic Back

Pain
169
Multifidi
170
Serratus Posterior Inferior
171
Rectus Abdominis
172
Intercostals
173
Latissimus Dorsi
174
Iliopsoas
175
Lumbar Back Pain
Iliopsoas
177
Gluteus Medius
178
Longissimus Thoracis &

Iliocostalis Lumborum
179
180
Multifidi
181
Rectus Abdominis
182
Rectus Abdominis (cont.)
183
Sacral & Gluteal Pain
Longissimus Thoracis &

Iliocostalis Lumborum
185
Multifidi
186
Quadratus Lumborum
187
Piriformis
188
Gluteus Maximus
189
Gluteus Medius
190
Gluteus Minimus
191
Sphincter Ani/Coccygeus/ Levator Ani/

Obturator Internis
192
Soleus
193
Abdominal Pain
Rectus Abdominis
195
Abdominal Obliques
196
Transverse Abdominis
197
198
Multifidi
199
Pyramidalis
200
Quadratus Lumborum
201
Anterior Chest Pain
Pectoralis Major
203
Pectoralis Major (cont.)
204
Pectoralis Minor
205
Scalenes
206
Sternocleidomastoid
207
Sternalis
208
Intercostals
209
Subclavius
210
External Abdominal Oblique
211
Diaphragm
212
Side of Chest Pain
Serratus Anterior
214
Intercostals
215
Latissimus Dorsi
216
Diaphragm
217
219
Upper Thoracic Back

Pain
Scalenes
221
Levator Scapulae
222
Supraspinatus
223
Trapezius (TrP2 & TrP3)
224
Trapezius (TrP5)
225
Multifidi
226
Rhomboideus
227
Splenius Cervicis (Fig. B)
228
Triceps Brachii
229
Triceps Brachii (cont.)
230
Biceps Brachii
231
Posterior Shoulder
Pain
Deltoid
233
Levator Scapulae
234
Supraspinatus
235
Teres Major
236
Teres Minor
237
Subscapularis
238
Serratus Posterior Superior
239
Latissimus Dorsi
240
Triceps Brachii (TrP1)
241
Trapezius (TrP3 )
242
Trapezius (TrP6 )
243
244
Posterior Arm Pain
Scalenes
246
Triceps Brachii (TrP1 & TrP3)
247
Deltoid
248
Subscapularis
249
Supraspinatus
250
Teres Major
251
Teres Minor
252
Latissimus Dorsi
253
254
Coracobrachialis
255
Scalenus Minimus (Fig. B)
256
Mid-Thoracic Back
Pain
Scalenes
258
Latissimus Dorsi
259
Levator Scapulae
260
261
Multifidi
262
Rhomboideus
263
264
Infraspinatus
265
Trapezius (TrP4 & TrP5 )
266
Serratus Anterior
267
Anterior Shoulder
Pain
Infraspinatus
269
Deltoid
270
Scalenes
271
Supraspinatus
272
Pectoralis Major
273
Pectoralis Minor
274
Biceps Brachii
275
Coracobrachialis
276
Sternalis
277
Subclavius
278
Latissimus Dorsi
279
Anterior Arm Pain
Scalenes
281
Infraspinatus
282
Biceps Brachii
283
Brachialis
284
Triceps Brachii
285
286
Supraspinatus
287
Deltoid
288
Sternalis
289
290
Subclavius
291
Painful weak grip that may let go
infraspinatus, scaleni, hand extensors (2nd picture) ,

brachioradialis
Thumb pain and tingling numbness
Brachialis entrapment of radial nerve, Adductor pollicis
Handwriting difficulties
Adductor pollicis / Opponens pollicis
Problems holding arms up (as when folding sheets)
Subscapularis, infraspinatus, Supraspinatus, upper

trapezius, levator scapulae
Carpal tunnel-like pain in wrist (watchband area)
Subscapularis
Symptoms: Arms & Hands
293
294
Antecubital Pain
Brachialis
296
Biceps Brachii
297
Thumb & Radial

Hand Pain
Supinator
299
Scalenes
300
Brachialis
301
Infraspinatus
302
Extensor Carpi Radialis Longus (Fig. C)
303
Brachioradialis
304
Opponens Pollicis & Adductor

Pollicis
305
Subclavius
306
First Dorsal Interosseus
307
Flexor Pollicis Longus
308
Dorsal Finger Pain
Extensor Digitorum
310
Interossei
311
Scalenes
312
Abductor Digiti Minimi (Fig. B)
313
Pectoralis Major
314
Pectoralis Minor
315
Latissimus Dorsi
316
Subclavius
317
Dorsal Forearm Pain
Triceps Brachii
319
320
Teres Major
321
Extensor Carpi Radialis Longus &

Brevis
322
323
Dorsal Wrist & Hand

Pain
Extensor Carpi Radialis Longus &

Brevis (Fig. B & C)
325
Extensor Digitorum & Indicis
326
Extensor Carpi Ulnaris (Fig. A)
327
Subscapularis
328
329
Latissimus Dorsi
330
331
First Dorsal Interosseus
332
Lateral Epicondylar
Pain
Supinator
334
Brachioradialis
335
Extensor Carpi Radialis Longus (Fig. C)
336
Triceps Brachii
337
338
Supraspinatus
339
4th & 5th Finger Extensors
340
Anconeus
341
Medial Epicondylar
Pain
Triceps Brachii
343
344
Pectoralis Major
345
Pectoralis Minor
346
Serratus Anterior
347
348
Olecranon Pain
Triceps Brachii
350
351
352
Radial Forearm Pain
Infraspinatus
354
Scalenes
355
Brachioradialis
356
Supraspinatus
357
Subclavius
358
Ulnar Forearm Pain
Latissimus Dorsi
360
Pectoralis Major
361
Pectoralis Minor
362
363
Volar Finger Pain
Flexores Digitorum
Superficialis & Profundus
365
Interossei
366
Latissimus Dorsi
367
Serratus Anterior
368
Abductor Digiti Minimi (Fig. B)
369
Palmaris Longus
370
Pronator Teres (Fig. D)
371
Triceps Brachii
372
373
Volar Wrist & Palmar

Pain
Flexor Carpi Radialis & Ulnaris
375
Opponens Pollicis (Fig. B)
376
Pectoralis Major
377
Pectoralis Minor
378
Latissimus Dorsi
379
Palmaris Longus
380
Pronator Teres (Fig. D)
381
Serratus Anterior
382
Traveling" nocturnal sinus stuffiness
pterygoid (Lateral,Medial), sternocleidomastoid, posterior

Digastric
Post nasal drip
pterygoid (Lateral,Medial), sternocleidomastoid
TMJ symptoms
Masseter , trapezius, temporalis, pterygoid

(Lateral,Medial)
Dizziness when turning head or changing field of view
sternocleidomastoid
Runny nose
sternocleidomastoid, pterygoid (Lateral,Medial)
Sore throat
sternocleidomastoid, Digastric, pterygoid (Lateral,Medial)
Stiff neck
levator scapulae
Reflux esophagitis
external oblique
Drooling in sleep
internal Medial pterygoid
Swollen glands
Digastric
Difficulty swallowing
Digastric, pterygoid (Lateral,Medial)
Headaches/migraines
trapezius, sternocleidomastoid, temporalis, splenii,

suboccipital, semispinalis capitis, frontalis, zygomaticus
major, cutaneous facial, posterior cervical
Visual perception problems
sternocleidomastoid
Symptoms: Head, Neck, & Shoulders
384
Tearing/reddening of eye, drooping of eyelid
upper sternal sternocleidomastoid
Double/blurry/changing vision: internal eye muscles
temporalis, sternocleidomastoid, trapezius, cutaneous

facial, splenius cervicis
Earaches/ringing/itch
SCM, Masseter , pterygoid (Lateral,Medial)
Unexplained toothaches
temporalis, Masseter , Digastric
Feeling continued movement in car after stopping
sternocleidomastoid
Feeling tilted when cornering in car
sternocleidomastoid
Pressure of eyeglasses or headbands is painful
head, neck, and shoulder TrPs
Bruxism (teeth grinding)
Digastric, Masseter , Soleus
Symptoms: Head, Neck, & Shoulders
385
386
Vertex Pain
Sternocleidomastoid (sternal)
388
Splenius Capitis
389
Posterior Head Pain
Trapezius (TrP1 )
391
Sternocleidomastoid
392
Semispinalis Capitis
393
394
Suboccipital Group
395
Occipitalis
396
Digastric
397
Temporalis (TrP4 or Fig. D)
398
Temporal Headache
Trapezius (TrP1 )
400
Sternocleidomastoid (sternal)
401
Temporalis (TrP1- TrP3 or Fig. A- C)
402
403
Suboccipital Group
404
405
Frontal Headache
Sternocleidomastoid
407
408
Frontalis (Fig. A)
409
Zygomaticus Major
410
Ear & TMJ
Lateral Pterygoid
412
Medial Pterygoid
413
Masseter (deep)
414
Sternocleidomastoid (Fig. B)
415
Cheek & Jaw Pain
Sternocleidomastoid (Fig. A)
417
Masseter (superficial)
418
Digastric
419
Medial Pterygoid
420
Buccinator
421
Platysma
422
Orbicularis Oculi
423
Zygomaticus Major
424
Toothache
Temporalis (TrP1- TrP3 or Fig. A- C)
426
Masseter (superficial)
427
Digastric (Anterior)
428
Posterior Neck Pain
Trapezius (TrP1)
430
Trapezius (TrP2 & TrP3)
431
Multifidi
432
Levator Scapulae
433
434
Infraspinatus
435
Throat & Anterior

Neck Pain
Sternocleidomastoid (Fig. A)
437
Digastric (Anterior)
438
Medial Pterygoid
439

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Table of Contents

Anterior Ankle Pain....8-11

Hip, Thigh, & Knee Overview p. 75-76

Anterior Knee Pain.. 77-80

Lateral Knee Pain. 109-110

Lower Torso Overview p. 125-128

Abdominal Pain ...............129-135

Torso Overview p. 166-167

Low Thoracic Back....168-175

Upper Back, Shoulders, & Arms Overview

Upper Thoracic Back Pain..220-231

Head & Neck Overview p. 383-386

serratus anterior, diaphragm, other respiratory muscles

Numbness and tingling

nerve entrapment by TrPs

vascular entrapment by TrPs

Balance problems/staggering gait

sternocleidomastoid, Gluteus minimus

Feeling continued movement in car after stopping

Feeling tilted when cornering in car

Return to Table of Contents

Return to Table of Contents

Upper/lower leg cramps

Tight Achilles tendons

thoracolumbar paraspinals, Gluteus minimus, Hamstrings,

Vastus medialis, quadriceps, Adductor longus

Problems climbing stairs

Sartorius, quadriceps femoris, Vastus medialis

Problems going down stairs

Shin splint-type pain

Soleus, Quadratus plantae, Abductor hallucis, Tibialis

Tight hamstrings: hamstring complex

Adductor magnus, quadriceps femoris, Iliopsoas, ,

numbness/tingling on the outer thigh (meralgia

quadriceps femoris, Vastus lateralis, Sartorius, Tensor

Balance problems/staggering gait

sternocleidomastoid, Gluteus minimus

Restless leg syndrome

First steps in the morning feel as if walking on nails

long flexors of toes, Tibialis posterior

Return to Table of Contents

Symptoms: Legs & Feet

Return to Table of Contents

Return to Table of Contents

Anterior Ankle Pain

Return to Table of Contents

Return to Table of Contents

Return to Table of Contents

Extensor Digitorum Longus &

Return to Table of Contents

Anterior Leg Pain

Return to Table of Contents

Return to Table of Contents

Adductors Longus & Brevis

Return to Table of Contents

Dorsal Forefoot Pain

Return to Table of Contents

Extensor Hallucis Brevis/ Extensor

Return to Table of Contents

Extensor Digitorum Longus/

Return to Table of Contents

Flexor Hallucis Brevis

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