The Trigger Point Referred Pain Guide Interactive 1

April 4, 2017 | Author: eloganbyman | Category: N/A
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Trigger Point Guide...

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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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