The Trigger Point Referred Pain Guide Interactive 1
April 4, 2017 | Author: eloganbyman | Category: N/A
Short Description
Trigger Point Guide...
Description
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 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 Anteromedial Knee Pain…………. 103-108
• • •
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
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 Throat & Anterior Neck Pain……………………………………………………………………………..436-439
3
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
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General Symptoms
4
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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
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Symptoms: Legs & Feet
6
7
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Anterior Ankle Pain
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Tibialis Anterior
9
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Peroneus Tertius
10
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Extensor Digitorum Longus & Extensor Hallucis Longus
11
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Anterior Leg Pain
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Tibialis Anterior
13
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Adductors Longus & Brevis
14
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Dorsal Forefoot Pain
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Extensor Hallucis Brevis/ Extensor Digitorum Brevis
16
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Extensor Digitorum Longus/ Extensor Hallucis Longus
17
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Flexor Hallucis Brevis
18
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Interossei of Foot
19
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Tibialis Anterior
20
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Dorsal Great Toe Pain
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Tibialis Anterior
22
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Extensor Hallucis Longus
23
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Extensor Hallucis Brevis
24
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Dorsal Lesser Toe Pain
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Interossei of Foot
26
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Extensor Digitorum Longus/ Extensor Hallucis Longus
27
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Heel Pain
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Soleus (TrP1)
29
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Quadratus Plantae
30
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Abductor Hallucis
31
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Tibialis Posterior
32
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Lateral Ankle Pain
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Peronei Longus, Brevis, Tertius
34
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Lateral Leg Pain
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Gastrocnemius
36
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Gluteus Minimus (anterior section)
37
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Peronei Longus & Brevis
38
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Vastus Lateralis
39
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Medial Ankle Pain
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Abductor Hallucis
41
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Metatarsal Head Pain
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Flexor Hallucis Brevis
43
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Flexor Digitorum Brevis
44
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Abductor Hallucis
45
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Extensor Hallucis Longus
46
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Interossei of Foot
47
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Abductor Digiti Minimi
48
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Tibialis Posterior
49
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Plantar Great Toe Pain
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Flexor Hallucis Longus
51
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Flexor Hallucis Brevis (Abductor Hallucis)
52
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Tibialis Posterior
53
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Plantar Lesser Toe Pain
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Flexor Digitorum Longus
55
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Tibialis Posterior
56
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Plantar Midfoot Pain
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Gastrocnemius
58
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Flexor Digitorum Longus
59
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Flexor Hallucis Brevis (Abductor Hallucis)
60
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Soleus
61
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Interossei of Foot
62
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Tibialis Posterior
63
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Posterior Ankle Pain
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Soleus (TrP1)
65
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Tibialis Posterior
66
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Posterior Leg Pain
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Soleus (TrP1 & TrP2)
68
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Gluteus Minimus (Posterior Section)
69
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Gastrocnemius
70
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Semitendinosus & Semimembranosus (fig. A)
71
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Flexor Digitorum Longus
72
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Tibialis Posterior
73
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Plantaris
74
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76
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Anterior Knee Pain
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Rectus Femoris
78
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Vastus Medialis
79
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Adductors Longus & Brevis
80
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Anterior Thigh Pain
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Adductors Longus & Brevis
82
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Iliopsoas
83
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Adductor Magnus
84
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Vastus Intermedius
85
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Pectineus
86
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Sartorius
87
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Quadratus Lumborum
88
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Rectus Femoris
89
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Medial Thigh Pain
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Pectineus
91
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Vastus Medialis
92
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Gracilis
93
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Adductor Magnus
94
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Sartorius
95
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Posterior Knee Pain
(TrP1, TrP3, & TrP4)
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Gastrocnemius
97
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Biceps Femoris (fig. B)
98
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Popliteus
99
(Fig. A)
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Semitendinosus & Semimembranosus
100
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Soleus
101
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Plantaris
102
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Anteromedial Knee Pain
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Vastus Medialis
104
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Gracilis
105
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Rectus Femoris
106
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Sartorius (lower TrP)
107
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Adductors Longus & Brevis
108
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Lateral Knee Pain
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Vastus Lateralis
110
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Lateral Thigh & Hip Pain
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Gluteus Minimus
112
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Vastus Lateralis (TrP1- 5)
113
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Piriformis
114
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Quadratus Lumborum
115
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Tensor Fasciae Latae
116
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Vastus Intermedius
117
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Gluteus Maximus
118
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Rectus Femoris
119
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Posterior Thigh Pain
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Gluteus Minimus
121
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Hamstring Complex: Semitendinosus Semimembranosus/ Bicep Femoris
122
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Piriformis
123
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Obturator Internus
124
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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)
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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
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Symptoms: Chest, Torso, Abdomen
127
128
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Abdominal Pain
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Rectus Abdominis
130
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Obliquus Externus Abdominis
131
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Iliocostalis Thoracis
132
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Multifidi
133
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Quadratus Lumborum
134
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Pyramidalis
135
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Buttock Pain
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Gluteus Medius
137
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Quadratus Lumborum
138
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Gluteus Maximus
139
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Iliocostalis Lumborum & Longissimus Thoracis
140
(Fig. A)
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Semitendinosus & Semimembranosus
141
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Piriformis
142
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Gluteus Minimus
143
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Rectus Abdominis
144
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Soleus
145
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Iliosacral Pain
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Levator Ani & Coccygeus
147
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Gluteus Medius
148
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Quadratus Lumborum
149
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Gluteus Maximus
150
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Multifidi
151
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Iliopsoas
152
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Rectus Abdominis
153
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Iliocostalis Lumborum & Longissimus Thoracis
154
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Lumbar Pain
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Gluteus Medius
156
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Multifidi
157
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Iliopsoas
158
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Iliocostalis Lumborum & Longissimus Thoracis
159
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Rectus Abdominis
160
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Iliocostalis Thoracis
161
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Pelvic Pain
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Coccygeus/ Levator Ani/ Obturator Internis
163
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Adductor Magnus
164
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Piriformis
165
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167
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Low Thoracic Back Pain
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Iliocostalis Thoracis
169
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Multifidi
170
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Serratus Posterior Inferior
171
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Rectus Abdominis
172
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Intercostals
173
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Latissimus Dorsi
174
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Iliopsoas
175
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Lumbar Back Pain
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Iliopsoas
177
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Gluteus Medius
178
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Longissimus Thoracis & Iliocostalis Lumborum
179
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Iliocostalis Thoracis
180
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Multifidi
181
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Rectus Abdominis
182
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Rectus Abdominis (cont.)
183
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Sacral & Gluteal Pain
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Longissimus Thoracis & Iliocostalis Lumborum
185
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Multifidi
186
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Quadratus Lumborum
187
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Piriformis
188
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Gluteus Maximus
189
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Gluteus Medius
190
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Gluteus Minimus
191
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Sphincter Ani/Coccygeus/ Levator Ani/ Obturator Internis
192
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Soleus
193
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Abdominal Pain
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Rectus Abdominis
195
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Abdominal Obliques
196
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Transverse Abdominis
197
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Iliocostalis Thoracis
198
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Multifidi
199
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Pyramidalis
200
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Quadratus Lumborum
201
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Anterior Chest Pain
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Pectoralis Major
203
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Pectoralis Major (cont.)
204
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Pectoralis Minor
205
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Scalenes
206
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Sternocleidomastoid
207
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Sternalis
208
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Intercostals
209
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Subclavius
210
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External Abdominal Oblique
211
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Diaphragm
212
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Side of Chest Pain
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Serratus Anterior
214
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Intercostals
215
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Latissimus Dorsi
216
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Diaphragm
217
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219
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Upper Thoracic Back Pain
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Scalenes
221
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Levator Scapulae
222
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Supraspinatus
223
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Trapezius (TrP2 & TrP3)
224
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Trapezius (TrP5)
225
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Multifidi
226
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Rhomboideus
227
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Splenius Cervicis (Fig. B)
228
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Triceps Brachii
229
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Triceps Brachii (cont.)
230
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Biceps Brachii
231
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Posterior Shoulder Pain
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Deltoid
233
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Levator Scapulae
234
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Supraspinatus
235
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Teres Major
236
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Teres Minor
237
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Subscapularis
238
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Serratus Posterior Superior
239
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Latissimus Dorsi
240
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Triceps Brachii (TrP1)
241
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Trapezius (TrP3 )
242
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Trapezius (TrP6 )
243
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Iliocostalis Thoracis
244
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Posterior Arm Pain
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Scalenes
246
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Triceps Brachii (TrP1 & TrP3)
247
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Deltoid
248
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Subscapularis
249
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Supraspinatus
250
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Teres Major
251
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Teres Minor
252
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Latissimus Dorsi
253
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Serratus Posterior Superior
254
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Coracobrachialis
255
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Scalenus Minimus (Fig. B)
256
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Mid-Thoracic Back Pain
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Scalenes
258
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Latissimus Dorsi
259
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Levator Scapulae
260
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Iliocostalis Thoracis
261
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Multifidi
262
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Rhomboideus
263
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Serratus Posterior Superior
264
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Infraspinatus
265
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Trapezius (TrP4 & TrP5 )
266
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Serratus Anterior
267
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Anterior Shoulder Pain
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Infraspinatus
269
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Deltoid
270
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Scalenes
271
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Supraspinatus
272
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Pectoralis Major
273
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Pectoralis Minor
274
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Biceps Brachii
275
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Coracobrachialis
276
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Sternalis
277
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Subclavius
278
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Latissimus Dorsi
279
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Anterior Arm Pain
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Scalenes
281
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Infraspinatus
282
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Biceps Brachii
283
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Brachialis
284
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Triceps Brachii
285
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Triceps Brachii (cont.)
286
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Supraspinatus
287
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Deltoid
288
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Sternalis
289
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Scalenus Minimus (Fig. B)
290
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Subclavius
291
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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
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Symptoms: Arms & Hands
293
294
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Antecubital Pain
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Brachialis
296
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Biceps Brachii
297
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Thumb & Radial Hand Pain
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Supinator
299
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Scalenes
300
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Brachialis
301
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Infraspinatus
302
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Extensor Carpi Radialis Longus (Fig. C)
303
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Brachioradialis
304
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Opponens Pollicis & Adductor Pollicis
305
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Subclavius
306
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First Dorsal Interosseus
307
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Flexor Pollicis Longus
308
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Dorsal Finger Pain
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Extensor Digitorum
310
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Interossei
311
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Scalenes
312
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Abductor Digiti Minimi (Fig. B)
313
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Pectoralis Major
314
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Pectoralis Minor
315
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Latissimus Dorsi
316
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Subclavius
317
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Dorsal Forearm Pain
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Triceps Brachii
319
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Triceps Brachii (cont.)
320
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Teres Major
321
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Extensor Carpi Radialis Longus & Brevis
322
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Scalenus Minimus (Fig. B)
323
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Dorsal Wrist & Hand Pain
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Extensor Carpi Radialis Longus & Brevis (Fig. B & C)
325
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Extensor Digitorum & Indicis
326
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Extensor Carpi Ulnaris (Fig. A)
327
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Subscapularis
328
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Scalenus Minimus (Fig. B)
329
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Latissimus Dorsi
330
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Serratus Posterior Superior
331
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First Dorsal Interosseus
332
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Lateral Epicondylar Pain
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Supinator
334
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Brachioradialis
335
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Extensor Carpi Radialis Longus (Fig. C)
336
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Triceps Brachii
337
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Triceps Brachii (cont.)
338
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Supraspinatus
339
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4th & 5th Finger Extensors
340
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Anconeus
341
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Medial Epicondylar Pain
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Triceps Brachii
343
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Triceps Brachii (cont.)
344
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Pectoralis Major
345
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Pectoralis Minor
346
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Serratus Anterior
347
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Serratus Posterior Superior
348
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Olecranon Pain
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Triceps Brachii
350
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Triceps Brachii (cont.)
351
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Serratus Posterior Superior
352
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Radial Forearm Pain
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Infraspinatus
354
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Scalenes
355
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Brachioradialis
356
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Supraspinatus
357
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Subclavius
358
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Ulnar Forearm Pain
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Latissimus Dorsi
360
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Pectoralis Major
361
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Pectoralis Minor
362
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Serratus Posterior Superior
363
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Volar Finger Pain
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Flexores Digitorum Superficialis & Profundus
365
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Interossei
366
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Latissimus Dorsi
367
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Serratus Anterior
368
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Abductor Digiti Minimi (Fig. B)
369
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Palmaris Longus
370
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Pronator Teres (Fig. D)
371
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Triceps Brachii
372
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Triceps Brachii (cont.)
373
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Volar Wrist & Palmar Pain
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Flexor Carpi Radialis & Ulnaris
375
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Opponens Pollicis (Fig. B)
376
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Pectoralis Major
377
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Pectoralis Minor
378
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Latissimus Dorsi
379
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Palmaris Longus
380
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Pronator Teres (Fig. D)
381
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Serratus Anterior
382
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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
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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
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Symptoms: Head, Neck, & Shoulders
385
386
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Vertex Pain
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Sternocleidomastoid (sternal)
388
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Splenius Capitis
389
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Posterior Head Pain
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Trapezius (TrP1 )
391
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Sternocleidomastoid
392
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Semispinalis Capitis
393
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Splenius Cervicis (Fig. B)
394
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Suboccipital Group
395
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Occipitalis
396
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Digastric
397
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Temporalis (TrP4 or Fig. D)
398
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Temporal Headache
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Trapezius (TrP1 )
400
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Sternocleidomastoid (sternal)
401
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Temporalis (TrP1- TrP3 or Fig. A- C)
402
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Splenius Cervicis (Fig. B)
403
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Suboccipital Group
404
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Semispinalis Capitis
405
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Frontal Headache
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Sternocleidomastoid
407
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Semispinalis Capitis
408
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Frontalis (Fig. A)
409
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Zygomaticus Major
410
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Ear & TMJ
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Lateral Pterygoid
412
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Medial Pterygoid
413
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Masseter (deep)
414
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Sternocleidomastoid (Fig. B)
415
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Cheek & Jaw Pain
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Sternocleidomastoid (Fig. A)
417
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Masseter (superficial)
418
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Digastric
419
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Medial Pterygoid
420
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Buccinator
421
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Platysma
422
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Orbicularis Oculi
423
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Zygomaticus Major
424
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Toothache
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Temporalis (TrP1- TrP3 or Fig. A- C)
426
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Masseter (superficial)
427
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Digastric (Anterior)
428
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Posterior Neck Pain
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Trapezius (TrP1)
430
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Trapezius (TrP2 & TrP3)
431
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Multifidi
432
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Levator Scapulae
433
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Splenius Cervicis (Fig. B)
434
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Infraspinatus
435
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Throat & Anterior Neck Pain
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Sternocleidomastoid (Fig. A)
437
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Digastric (Anterior)
438
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Medial Pterygoid
439
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