The Trigger Point Therapy Workbook
3rd edition
Clair Davies, MCTMB
Amber Davies, CMTPT, LMT
Pain Guide
© 2013 Amber Davies and Maria Worley / New Harbinger Publications. Permission is granted to the reader to reproduce this form for personal use.
Contents
1. Pain Guide: Head, Face, and Neck 2. Pain Guide: Shoulder, Upper Back, and Upper Arm 3. Pain Guide: Elbow, Forearm, and Hand 4. Pain Guide: Chest, Abdominal, and Genital 5. Pain Guide: Midback, Low Back, and Buttock 6. Pain Guide: Hip, Thigh, and Knee 7. Pain Guide: Lower Leg, Ankle, and Foot
The Trigger Point Therapy Workbook Pain Guide: Head, Face, and Neck
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Back of head pain
Back of neck pain
Crown headache Temple headache Sinus pain Toothache
Tongue pain
Frontal headache
Eye pain
Ear and jaw pain
Throat pain
The Trigger Point Therapy Workbook Pain Guide: Head, Face, and Neck
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Guide
Head, Face, and Neck
Boldface type indicates a primary pain pattern. Regular type refers to a less common or satellite trigger point pattern. Muscles are listed in the order of how likely they are to be the problem. Also see Other Symptoms Guide.
Back of Headtrapeziussternocleidomastoidsemispinalissplenius cervicissuboccipitalsoccipitalisdigastrictemporalis
Back of Necktrapeziusmultifidilevator scapulaesplenius cervicisinfraspinatusdigastric
Crown Headachesternocleidomastoidsplenius capitis
Ear and Jawlateral pterygoidmassetermedial pterygoidsternocleidomastoidtrapeziussoleus
Eye and Eyebrowsternocleidomastoidtemporalissplenius cervicismassetersuboccipitalsoccipitalisorbicularis oculitrapezius
Frontal Headachesternocleidomastoidsemispinalis capitisfrontaliszygomaticus major
Sinussternocleidomastoidmasseterlateral pterygoidorbicularis oculizygomaticus major
Temple Headachetrapeziussternocleidomastoidtemporalissplenius cervicissuboccipitalssemispinalis capitis
Throatsternocleidomastoiddigastricmedial pterygoidlongus colliplatysma
Tonguesternocleidomastoidmedial pterygoidmylohyoid
Toothachetemporalismasseterdigastric
The Trigger Point Therapy Workbook Other Symptoms Guide: Head, Face, and Neck
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Other Symptoms Guide
Head, Face, and Neck
Blurred Visionsplenius cervicissuboccipitalssternocleidomastoid
Coughsternocleidomastoid
Dizzinesssternocleidomastoid
Ear Itchmasseter
Ear Stuffinessmassetermedial pterygoid
Excess Mucus or Phlegm
sternocleidomastoidlateral pterygoidzygomaticuslevator labii
Eyelid Droopsternocleidomastoidorbicularis oculi
Eye Rednesssternocleidomastoid
Eye Twitchsternocleidomastoidorbicularis oculi
Hearing Losssternocleidomastoid
Imbalancesternocleidomastoid
Malocclusion of Teeth (teeth do not fit together)
temporalislateral pterygoiddigastric
Migraine Headachetrapeziussternocleidomastoidsplenius cervicissuboccipitalstemporalis
Nauseasternocleidomastoid
NumbnessHead
splenius cervicissemispinalis capitis
Pain or Trouble with MotionHead: Lying Down
semispinalis capitisTeeth: Biting Down
medial pterygoidThroat: Swallowing
medial pterygoiddigastricmylohyoid
Reduced Range of MotionJaw
massetertemporalislateral pterygoidmedial pterygoiddigastric
Neck: Flexion/Extensionsemispinalissplenius cervicissuboccipitals
Neck: Rotationlevator scapulaesplenius cervicissuboccipitalssternocleidomastoidtrapezius
Neck: Sideways Flexiontrapeziussternocleidomastoidsplenius cervicisscalenessuboccipitals
Sinus Drainagemasseter
Sore Throatsternocleidomastoidlongus colli
Stiffness, Necktrapeziuslevator scapulaesemispinalissplenius cervicissternocleidomastoidsuboccipitals
Swallowing Difficulty
lateral pterygoidmedial pterygoidlongus colli
Tearingsternocleidomastoid
Temporomandibular Joint (TMJ) Dysfunction
masseterlateral pterygoidmedial pterygoidtemporalissternocleidomastoid
TendernessBack of the Head
semispinalis capitisScalp
sternocleidomastoid
Tinnitus (ringing in the ears)
massetersternocleidomastoidlateral pterygoid
Tooth Sensitivitymassetertemporalisdigastric
Trigeminal Neuralgiasternocleidomastoid
Vertigosternocleidomastoid
Visual Disturbancessternocleidomastoidsplenius cervicissuboccipitals
Vocal Tensionmassetermylohyoidlongus colli
The Trigger Point Therapy Workbook Pain Illustration Guide: Head, Face, and Neck
Sternocleidomastoid, sternal branch: trigger points and referred pain pattern
Sternocleidomastoid, clavicular branch: trigger points and referred pain pattern
Trapezius number 1 trigger point and referred pain pattern: front view
Upper trapezius number 1 trigger point and referred pain pattern: side view
Upper trapezius number 2 trigger points and referred pain pattern
Lower trapezius number 3 trigger points and referred pain pattern
Trapezius number 4 trigger point and referred pain pattern
Middle trapezius number 5 trigger point and referred pain pattern
Upper trapezius number 6 trigger point and referred pain pattern
Levator scapulae trigger points and referred pain pattern
Splenius capitis trigger point and referred pain pattern
Splenius cervicis number 1 trigger point and referred pain pattern
Splenius cervicis number 2 trigger point and referred pain pattern
Caution: Please read the full treatment instructions for each muscle before beginning.
The Trigger Point Therapy Workbook Pain Illustration Guide: Head, Face, and Neck
Caution: Please read the full treatment instructions for each muscle before beginning.
Sample semispinalis capitis number 1 trigger points and referred pain pattern
Sample semispinalis capitis number 2 trigger point and referred pain pattern
Multifidi and rotatores trigger points and referred pain pattern
sample of rotatores sample of multifidi
Suboccipitals referred pain pattern
Temporalis trigger points and referred pain patterns
Digastric trigger points and referred pain pattern. Pain shown below the lower lip is actually felt in the lower teeth.
Buccinator trigger point and referred pain pattern
Obicularis oculi trigger points and referred pain pattern
Zygomaticus and levator labii trigger points and referred pain pattern
Masseter trigger points and referred pain pattern
Medial pterygoid trigger point and referred pain pattern. (Note that the jawbone is cut away to reveal this muscle deep to the bone.)
Lateral pterygoid trigger points and referred pain pattern
The Trigger Point Therapy Workbook Pain Guide: Shoulder, Upper Back, and Upper Arm
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Front of shoulder pain Side of shoulder pain Front of arm pain
Upper back pain Back of shoulder pain Back of arm pain
The Trigger Point Therapy Workbook Pain Guide: Shoulder, Upper Back, and Upper Arm
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Guide
Shoulder, Upper Back, and Upper Arm
Boldface type indicates a primary pain pattern. Regular type refers to a less common or satellite trigger point pattern. Muscles are listed in the order of how likely they are to be the problem. Also see Other Symptoms Guide.
Back of Armscalenestricepsposterior deltoidsubscapularissupraspinatusteres majorteres minorlatissimus dorsiserratus posterior superiorcoracobrachialis
Back of Shoulderposterior deltoidlevator scapulascalenessupraspinatusteres majorteres minorsubscapularisserratus posterior superiorlatissimus dorsitricepstrapeziussuperficial spinal muscles
Front of Armscalenesinfraspinatusbicepsbrachialistricepssupraspinatusanterior deltoidsubclavius
Front of Shoulderinfraspinatusanterior deltoidscalenessupraspinatuspectoralis majorpectoralis minorbicepscoracobrachialislatissimus dorsisubclavius
Side of Shoulderinfraspinatusscalenesmiddle deltoidsupraspinatus
Upper Backscaleneslevator scapulatrapeziusrhomboidslatissimus dorsideep spinal musclessuperficial spinal musclesserratus posterior superiorinfraspinatusserratus anteriorsplenius cervicissupraspinatusmultifidi and rotatores
The Trigger Point Therapy Workbook Other Symptoms Guide: Shoulder, Upper Back, and Upper Arm
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Other Symptoms Guide
Shoulder, Upper Back, and Upper Arm
Bursitisscalenessupraspinatusteres majorsubscapularisdeltoidsbicepslatissimus dorsipectoralis major
Crepitus (sounds with movement)Back
rhomboidsShoulder
supraspinatusbiceps
Frozen Shoulder (adhesive capsulitis)
subscapularisinfraspinatussupraspinatuspectoralis majorserratus anteriorlatissimus dorsirhomboidsdeltoids
Impingement Syndromessupraspinatusanterior deltoidsubscapularisbiceps
Musculocutaneous Nerve Entrapment
coracobrachialis
Pain or Stiffness with MovementBreathing
serratus posterior superiorserratus anteriorscalenespectoralis minorlatissimus dorsi
Driving without Power Steeringteres major
Raising Arm Out to the Sidesupraspinatussubscapularisdeltoids
Reaching Back at Shoulder Levelrhomboidspectoralis minor
Reaching Behindsupraspinatusinfraspinatuspectoralis minorcoracobrachialis
Reaching Downrhomboids
Reaching Up and Backteres major
Reaching Up and Forwardlatissimus dorsiteres majorsupraspinatuspectoralis minor
Resting Elbow on a Deskteres major
Sleeping: Side Lyinginfraspinatuslatissimus dorsi
Turning Arm Palm Upsubscapularis
Reduced Range of MotionAbduction (movement toward the outside)
deltoidssubscapularispectoralis majorpectoralis minorteres majortricepssupraspinatus
Adduction (movement toward the body)
infraspinatussupraspinatus
Extension of Upper Armdeltoidsinfraspinatuspectoralis minorsupraspinatusbiceps
External (lateral) Rotationsubscapularisinfraspinatuspectoralis majorpectoralis minor
Flexion of Upper Armdeltoidspectoralis minorsupraspinatusinfraspinatusbicepsteres majorlatissimus dorsipectoralis minor
Internal (medial) rotationinfraspinatusteres minorsubscapularis
The Trigger Point Therapy Workbook Other Symptoms Guide: Shoulder, Upper Back, and Upper Arm
Upward Rotation (movement of arm from 90 degrees abduction to completely overhead)
supraspinatusdeltoidssubscapularisserratus anteriorcoracobrachialisbiceps
Restlessnessscalenes
Tenderness (shoulder)infraspinatussubscapularisbiceps
Tendonitis or Arthritissupraspinatussubscapularisdeltoidsbicepsinfraspinatusteres majorpectoralis major
Thoracic Outlet Syndromescalenespectoralis minorsubclavius
Pseudo– Thoracic Outlet Syndrome
pectoralis majorlatissimus dorsisubscapularisteres major
WeaknessShoulder
deltoidsinfraspinatus
Armbiceps scalenes
The Trigger Point Therapy Workbook Pain Illustration Guide: Shoulder, Upper Back, and Upper Arm
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Teres minor trigger point and referred pain pattern
Subscapularis trigger points and referred pain pattern
Posterior deltoid pain pattern
Middle deltoid pain pattern
Scalene referred pain pattern, front view
Scalene referred pain pattern, back view
Rhomboid trigger points and referred pain pattern
Serratus posterior superior referred pain pattern
Infraspinatus medial border trigger point with referred pain pattern
Supraspinatus trigger points and referred pain pattern
Infraspinatus referred pain pattern
Pain Illustrations Guide
Shoulder, Upper Back, and Upper Arm
Caution: Please read the full treatment instructions for each muscle before beginning.
The Trigger Point Therapy Workbook Pain Illustration Guide: Shoulder, Upper Back, and Upper Arm
Anterior deltoid pain pattern
Teres major trigger points and referred pain pattern
Latissimus dorsi trigger points and referred pain pattern
Coracobrachialis trigger points and anterior referred pain pattern
Coracobrachialis posterior referred pain pattern
Biceps trigger points and referred pain pattern
Triceps number 1 trigger points and referred pain pattern
Triceps number 2 trigger points and referred pain pattern
Triceps number 3 trigger points and referred pain pattern
Triceps number 4 trigger points and referred pain pattern
Triceps number 5 trigger points and referred pain pattern
Caution: Please read the full treatment instructions for each muscle before beginning.
The Trigger Point Therapy Workbook Pain Guide: Elbow, Forearm, and Hand
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Outer elbow pain
Inner elbow pain
Outer forearm pain
Inner forearm pain
Inner wrist and palm pain
Thumb and web pain
Outer finger pain
Inner finger pain
Outer wrist and hand pain
The Trigger Point Therapy Workbook Pain Guide: Elbow, Forearm, and Hand
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Guide
Elbow, Forearm, and Hand
Boldface type indicates a primary pain pattern. Regular type refers to a less common or satellite trigger point pattern. Muscles are listed in the order of how likely they are to be the problem. Also see Other Symptoms Guide.
Inner Elbowtricepspectoralis major abductor pollicis brevis pectoralis minorserratus anteriorserratus posterior superiorabductor pollicis brevis
Inner Finger (palm side)flexor digitoruminterosseoustricepslatissimus dorsiserratus anteriorabductor digiti minimi manuspronator quadratussubclavius
Inner Forearmpronator quadratuspalmaris longuspronator teresserratus anteriortricepslatissimus dorsipectoralis majorpectoralis minorserratus posterior superior
Inner Wrist and Palmflexor carpi radialisflexor carpi ulnarisopponens pollicispalmaris longuspronator terespronator quadratusabductor pollicis brevisabductor pollicis longuspectoralis majorpectoralis minorlatissimus dorsiserratus anterior
Outer Finger (dorsal side)extensor digitoruminterosseousscalenesabductor digiti minimi manusabductor pollicis longustricepspectoralis minorlatissimus dorsisubclavius
Outer Forearmbrachioradialistricepsscalenesextensorsinfraspinatusteres majorcoracobrachialissupraspinatussubclavius
Outer Elbowextensorssupinatorbrachioradialistricepssupraspinatusanconeus
Outer Wrist and Handextensorsabductor pollicis longusabductor pollicis brevissubscapulariscoracobrachialisscaleneslatissimus dorsiserratus posterior superiorfirst dorsal interosseous
Thumb and Websupinatorscalenesbrachialisinfraspinatusextensor carpi radialis longusbrachioradialisabductor pollicis brevisopponens pollicisadductor pollicissubclaviusfirst dorsal interosseousflexor pollicis longus
The Trigger Point Therapy Workbook Other Symptoms Guide: Elbow, Forearm, and Hand
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Other Symptoms Guide
Elbow, Forearm, and HandArthritis
extensor digitorum interosseous
Carpal Tunnel SyndromeEntrapment of the Median Nerve in the Forearm
pronator teres flexor carpi radialis
Pseudo– Carpal Tunnel Syndromebrachialis flexor digitorum scalenes palmaris longus opponens pollicis adductor pollicis brachioradialis extensor carpi radialis longusextensor carpi radialis brevissubscapularis
Cubital Tunnel SyndromeEntrapment of the Ulnar Nerve in the Forearm
flexor carpi ulnarisflexor digitorum
Entrapment of the Ulnar Nerve in the Hand
opponens digiti minimi
de Quervain’s Stenosing Tenosynovitis
abductor pollicis longusextensor carpi radialis longusextensor carpi radialis brevisbrachioradialispalmaris longus
Difficulty or Pain with Fine Motor Skills
thenar (thumb muscles)hypothenar (pinky muscles) interosseous
Finger Stiffness, Tenderness, or Weakness
extensor digitorumextensor indicisflexor digitoruminterosseoushypothenar
Golfer’s Elbow (medial epicondylitis)
tricepspectoralis majorforearm flexorsabductor pollicis brevis
Grip (handshake, doorknob, screwdriver, hand tools)Undependable
scalenesextensor carpi radialis longusextensor digitorumsupinator
Weaknessbrachioradialisextensor carpi radialis longusextensor carpi radialis brevisextensor digitorum
Painextensor carpi radialis longusextensor digitorumsupinatorflexor digitorumflexor carpi radialisflexor ulnarisinterosseous
Hand Swellingscalenes
Heberden’s Nodesinterosseousadductor pollicisabductor digiti minimi
Numbness and TinglingForearm
triceps #3pectoralis minorserratus posterior superior
Middle and Ring Fingers (with index or pinky occasionally)
pronator teresflexor digitorum
Pinky, Ring, and Middle Fingersscalenespectoralis minorserratus posterior superiortriceps #3teres minorflexor carpi ulnarisflexor digitorum
Thumb and First Fingerextensor carpi radialis brevisbrachialissupinator
The Trigger Point Therapy Workbook Other Symptoms Guide: Elbow, Forearm, and Hand
Radial Nerve Entrapmenttriceps #3 (extensor carpi radialis brevis supinatorbrachialis
TendernessElbow
tricepsbrachioradialissupinator
Palm (prickling feeling)palmaris longus
Thumb (and web of hand)brachialisscalenessupinatorbrachioradialisextensor carpi radialis longus
Wristflexor carpi radialisflexor ulnaris
Tennis Elbow (lateral epicondylitis)
supinatorbrachioradialisextensor carpi radialis longusextensor digitorumtricepsanconeusbicepsbrachialis
Thoracic Outlet Syndromescalenespectoralis minorsubclavius
Pseudo– Thoracic Outlet Syndrome
pectoralis majorlatissimus dorsisubscapularis teres major
Trigger Fingertendons of the hand and finger
flexors
Trigger Thumbflexor pollicis brevis
Weakness (also see Grip)Arm
biceps scalenes
Handscalenes triceps extensor carpi radialis brevis
The Trigger Point Therapy Workbook Pain Illustrations Guide: Elbow, Forearm, and Hand
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Illustrations Guide
Elbow, Forearm, and Hand
Brachialis trigger points and referred pain pattern. The inner 2 trigger points may cause entrapment of the radial nerve.
Extensor carpi radialis longus trigger point and referred pain pattern. The drawings show the outer side of the forearm and hand.
Brachioradialis trigger point and referred pain pattern
Supinator trigger point and referred pain pattern
Extensor carpi radialis brevis trigger point and referred pain pattern
Extensor carpi ulnaris trigger point and referred pain pattern
Anconeus trigger point and referred pain pattern
Extensor digitorum trigger points and referred pain pattern
Extensor indicis trigger point and referred pain pattern
Abductor pollicus longus sample trigger point and referred pain pattern
Flexor carpi radialis trigger point and referred pain pattern
Flexor carpi ulnaris trigger point and referred pain pattern
Caution: Please read the full treatment instructions for each muscle before beginning.
The Trigger Point Therapy Workbook Pain Illustrations Guide: Elbow, Forearm, and Hand
Adductor pollicis trigger points and referred pain pattern
Flexor pollicis longus trigger point and referred pain pattern
Opponens pollicis trigger points and referred pain pattern
Dorsal interosseous trigger points and referred pain pattern. The abductor digiti minimi manus muscle, trigger point, and referred pain are also included in this drawing.
First dorsal interosseous trigger points and referred pain pattern
Flexor digitorum trigger points and referred pain pattern
Pronator teres and pronator quadratus trigger points, pronator teres referred pain, and pronator quadratus referred pain
Palmaris longus trigger point and referred pain pattern
Abductor pollicis brevis referred pain pattern
Caution: Please read the full treatment instructions for each muscle before beginning.
The Trigger Point Therapy Workbook Pain Guide: Chest, Abdominal, and Genital
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Chest pain Side pain Abdominal pain Genital pain(both genders)
The Trigger Point Therapy Workbook Pain Guide: Chest, Abdominal, and Genital
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Guide
Chest, Abdominal, and Genital
Boldface type indicates a primary pain pattern. Regular type refers to a less common or satellite trigger point pattern. Muscles are listed in the order of how likely they are to be the problem. Also see Other Symptoms Guide.
Abdominalrectus abdominis abdominal obliques iliocostalis deep spinal muscles quadratus lumborum
Chestpectoralis major pectoralis minor scalenes sternocleidomastoid sternalis intercostals iliocostalis subclavius abdominal obliques diaphragm
Genitalpelvic floor muscles abdominal obliques adductor magnus rectus abdominis gluteus maximus piriformis psoas
Sideserratus anterior abdominal obliques intercostals latissimus dorsi diaphragm
The Trigger Point Therapy Workbook Other Symptoms Guide: Chest, Abdominal, and Genital
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Other Symptoms Guide
Chest, Abdominal, and GenitalBelching
abdominal obliques
Bladder Pain or Frequencyadductor magnus abdominal obliques piriformis (and other deep lateral
rotators) pelvic floor
Breast or Nipple Hypersensitivity
pectoralis major serratus anterior
Cardiac Arrhythmiapectoralis major
Cardiac Ischemia or Angina (false)
pectoralis major pectoralis minor sternalis superficial spinal iliocostalis
Chronic Pelvic Pain, Gynecological or Menstrual Pain
abdominal obliques rectus abdominis adductor magnus pelvic floorpiriformis/deep rotators psoas/iliacus
Coccyx (tailbone) Pain or Tenderness
gluteus maximusmultifidipelvic floor (levator ani,
coccygeus, sphincter ani, and obturator internus)
Colicrectus abdominis
Costochondritispectoralis majorserratus anteriorintercostaldiaphragmabdominal obliquesrectus abdominis
Forward- Head Posture (slouching)
rectus abdominisabdominal obliquespectoralis major pectoralis minorsternalissternocleidomastoidscalenes
Heartburnupper abdominal obliquesrectus abdominis
Impotencepiriformispelvic floor (bulbospongiosus)
Indigestionrectus abdominis
Nausearectus abdominis
Pain or Trouble with MotionBending and Lifting
rectus abdominisBowel Movement
pelvic floor (sphincter ani) Ejaculation
pelvic floor (bulbospongiosus)
Lying Flat on the Backpelvic floor (levator ani)
Reaching Out and Behindpectoralis majorpectoralis minor
Rising from a Chairsuperficial spinal muscles
Side Bendingabdominal obliquessuperficial spinal muscles
Sittingpelvic floor (levator ani and
coccygeus) Twisting
intercostals
Pain with Breathing, Coughing, Sneezing, or Difficulty Taking a Full Breath
scalenesserratus anteriorpectoralis minorpectoralis majordiaphragmintercostalsabdominal obliquesrectus abdominislatissimus dorsi
Penis Painrectus abdominispelvic floor (ischiocavernosus
and bulbospongiosus)
Perineumpiriformispelvic floor (levator ani,
bulbospongiosus, ischiocavenosus)
The Trigger Point Therapy Workbook Other Symptoms Guide: Chest, Abdominal, and Genital
Pseudo- Appendicitisrectus abdominis
Rectal Pain and Sense of Fullness
adductor magnus pelvic floor (levator ani,
obturator internus, and sphincter ani)
piriformis
Scrotum Painquadratus lumborum psoas/iliacuspelvic floor (bulbospongiosus)
Testicular Painabdominal obliquespelvic floor (bulbospongiosus
and ischiocavernosus)quadratus lumborum
Urinary Frequency or Urgency
abdominal obliques
Urinary Incontinence pelvic floor
Urinary Retentionabdominal obliques
Urinary Sphincter Spasmrectus abdominis
Vaginal Pain or Vulvodyniaabdominal obliquesadductor magnuspelvic floor (levator ani,
bulbospongiosus, ischiocavernosus, and obturator internus)
Vomiting, Projectileabdominal obliques rectus abdominis
The Trigger Point Therapy Workbook Other Symptoms Guide: Chest, Abdominal, and Genital
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Illustrations Guide
Chest, Abdominal, and Genital
Pectoralis major, clavicular section: trigger points and referred pain pattern
Pectoralis major, sternal section: trigger points and referred pain pattern
Pectoralis major, costal section: trigger points and referred pain pattern
Subclavius trigger point and referred pain pattern
Sample sternalis trigger point and referred pain pattern
Pectoralis minor trigger points and referred pain pattern
Serratus anterior referred pain pattern (side stitch)
Serratus anterior referred pain pattern in the back
Upper abdominal trigger points and referred visceral pain pattern
Diaphragm referred pain pattern. Trigger points are hidden behind the lowest ribs.
Midabdominal trigger points and referred visceral pain pattern
Caution: Please read the full treatment instructions for each muscle before beginning.
The Trigger Point Therapy Workbook Other Symptoms Guide: Chest, Abdominal, and Genital
Caution: Please read the full treatment instructions for each muscle before beginning.
Pseudoappendicitis trigger point and referred pain pattern
Lower abdominal trigger points and referred groin and genital pain (both genders)
Abdominal trigger points and referred pain patterns in the back
Psoas and iliacus trigger points and referred pain pattern in the back
Psoas and iliacus trigger points and referred pain pattern in the abdomen, groin, and thigh
The Trigger Point Therapy Workbook Pain Guide: Midback, Low Back, and Buttock
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Midback pain
Low back pain
Buttock pain
Hip pain
The Trigger Point Therapy Workbook Pain Guide: Midback, Low Back, and Buttock
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Guide
Midback, Low Back, and Buttock
Boldface type indicates a primary pain pattern. Regular type refers to a less common or satellite trigger point pattern. Muscles are listed in the order of how likely they are to be the problem. Also see Other Symptoms Guide.
Buttockgluteus mediusquadratus lumborumgluteus maximussuperficial spinal musclessemitendinosussemimembranosuspiriformisgluteus minimusrectus abdominissoleus
Coccyx (tailbone)pelvic floor muscles (levator ani, coccygeus) gluteus maximusdeep spinal muscles
Hipgluteus minimusvastus lateralispiriformisquadratus lumborumtensor fasciae lataeadductor longus and brevisgluteus maximusrectus femoris
Low Backgluteus mediuspsoas/iliacusdeep spinal musclessuperficial spinal musclesquadratus lumborumgluteus maximusrectus abdominissoleuspelvic floor muscles
Midbacksuperficial spinal musclesdeep spinal musclesserratus posterior inferiorrectus abdominisintercostalslatissimus dorsiserratus anterior
Sacrumpelvic floor musclesgluteus mediusquadratus lumborumgluteus maximusdeep spinal musclesrectus abdominissoleus
The Trigger Point Therapy Workbook Other Symptoms Guide: Midback, Low Back, and Buttocks
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Other Symptoms Guide
Midback, Low Back, and Buttocks
Leg- Length Inequality (mechanical, not structural)Anterior Pelvic Tilt
iliacus tensor fasciae latae rectus femoris gluteus medius adductor longus
Pelvic Upslipquadratus lumborum superficial spinal muscles
Posterior Pelvic Tiltsemimembranosus semitendinosus biceps femorisrectus abdominisadductor magnus
Pain or Trouble with MotionCoughing or Sneezing
rectus abdominisquadratus lumborumserratus posterior inferior
Forced to Crawl on All Foursquadratus lumborumpsoas/iliacus
Forward Flexion (bending)superficial spinalquadratus lumborumdeep spinal muscles
Going Down Stairs or Hillssoleus
Going Up Stairs or Hillssuperficial spinal musclesgluteus maximusquadratus lumborum
Hypersensitivity to Touchsuperficial spinal muscles
Liftingquadratus lumborum
Lying Down on Your Backgluteus medius
Lying Down on Your Sidequadratus lumborumgluteus minimusgluteus mediuspiriformis
Rising from a Low Chair or Car Seat
superficial spinal musclesgluteus minimusgluteus maximusquadratus lumborumpsoas/iliacuspiriformissemimembranosussemitendinosus
Side Bendingquadratus lumborumsuperficial spinal musclesabdominal obliquesdeep spinal muscles
Sittingquadratus lumborumpiriformisgluteus maximusgluteus mediussemimembranosussemitendinosuspelvic floorintrapelvic
Sit- Upspsoas/iliacus
Standingpsoas/iliacus quadratus lumborumgluteus minimus piriformis
Standing and Leaning Forwardquadratus lumborumsuperficial spinal muscles
Swayback (exaggerated lumbar curve)
psoasSwimming
gluteus maximusTurning Over in Bed
quadratus lumborumgluteus minimus
Twisting (rotation)quadratus lumborumsuperficial spinal musclesdeep spinal muscles
Upon Rising from Sitting or Lying Down Too Long
psoas/iliacusWalking
quadratus lumborumgluteus mediusgluteus minimuspiriformispsoas/iliacus
Sacroiliac Joint Dysfunction
gluteus minimussuperficial spinal musclesquadratus lumborumpelvic floor (coccygeus) gluteus mediuspiriformispsoas/iliacus
The Trigger Point Therapy Workbook Other Symptoms Guide: Midback, Low Back, and Buttocks
Sciaticapiriformis gluteus minimus vastus lateralis quadratus lumborum semimembranosus semitendinosus
TendernessBack
superficial spinal muscles Buttocks
gluteus maximus gluteus medius gluteus minimus greater trochanter of femur quadratus lumborum
Pelvis (top edge)gluteus medius sacroiliac joint quadratus lumborum sacrum gluteus medius
The Trigger Point Therapy Workbook Pain Illustrations Guide: Midback, Low Back, and Buttocks
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Illustrations Guide
Midback, Low Back, and Buttocks
Deep spinal muscles; examples of trigger points and pain patterns. Trigger points can occur anywhere along the spine.
Longissimus trigger points and referred pain pattern. All three points occur on both sides.
Iliocostalis trigger points and referred pain pattern. All three points occur on both sides.
Serratus posterior inferior trigger point and referred pain pattern
Quadratus lumborum superficial trigger points and referred pain pattern
Quadratus lumborum deep trigger points and referred pain pattern. These points are hidden underneath the superficial spinal muscles.
Gluteus maximus number 1 trigger point and referred pain pattern
Gluteus maximus number 2 trigger point and referred pain pattern
Gluteus maximus number 3 trigger point and referred pain pattern
Caution: Please read the full treatment instructions for each muscle before beginning.
The Trigger Point Therapy Workbook Pain Illustrations Guide: Midback, Low Back, and Buttocks
Caution: Please read the full treatment instructions for each muscle before beginning.
Gluteus medius number 1 trigger point and referred pain pattern
Gluteus medius number 2 trigger point and referred pain pattern
Gluteus medius number 3 trigger point and referred pain pattern
Gluteus minimus number 1 trigger point and referred pain pattern
Gluteus minimus number 2 trigger point and referred pain pattern
Piriformis number 1 trigger point and referred pain pattern
Piriformis number 2 trigger point and referred pain pattern
The Trigger Point Therapy Workbook Pain Guide: Hip, Thigh, and Knee
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Groin pain
Outer thigh and hip pain
Inner thigh pain
Front of thigh pain
Back of thigh pain
Inner knee pain
Outer knee pain
Front of knee pain
Back of knee pain
The Trigger Point Therapy Workbook Pain Guide: Hip, Thigh, and Knee
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Guide
Hip, Thigh, and Knee
Boldface type indicates a primary pain pattern. Regular type refers to a less common or satellite trigger point pattern. Muscles are listed in the order of how likely they are to be the problem. Also see Other Symptoms Guide.
Back of Kneegastrocnemius biceps femorispopliteussemitendinosussemimembranosussoleusplantaris
Back of Thighgluteus minimussemitendinosussemimembranosusbiceps femorispiriformispelvic floor muscles (obturator internus)
Front of Kneerectus femorisvastus medialisadductor longus and brevis
Front of Thighadductor longus and brevispsoas/iliacusadductor magnusvastus intermediuspectineussartoriusquadratus lumborumrectus femoris
Groin (also see Genital) Painpectineusadductor longus and brevisabdominal obliquespsoas/iliacusrectus femoristensor fasciae latae
Inner Kneevastus medialisgracilisrectus femorissartoriusadductor longus and brevis
Inner Thighpectineusvastus medialisgracilisadductor magnussartorius
Outer Kneevastus lateralis
Outer Thigh and Hipgluteus minimusvastus lateralispiriformisquadratus lumborumtensor fasciae lataeadductor longus and brevisvastus intermediusgluteus maximus rectus femoris
The Trigger Point Therapy Workbook Other Symptoms Guide: Hip, Thigh, and Knee
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Other Symptoms Guide
Hip, Thigh, and KneeBaker’s Cyst (false)
biceps femoris popliteus plantaris
Numbness or TinglingThigh
piriformis sartorius
Pain or Trouble with MotionBuckling (weak) Knee
vastus medialis vastus intermedius with
gastrocnemius Buckling Hip
rectus femoris vastus intermedius
Crouchingpopliteus
Going Down Stairs or Hillsvastus medialis rectus femoris popliteus
Going Up Stairs or Hillsvastus intermedius vastus lateralis
Inability to Straighten Kneevastus lateralis popliteusvastus intermedius
Kicking toward Opposite Side (hip flexion and adduction)
pectineus
Limpinggluteus minimusvastus lateralisvastus intermediussemimembranosussemitendinosusbiceps femoris
Locking Kneevastus lateralis
Lying on Your Side: Pain in the Top Hip
tensor fasciae lataeLying on Either Side
gluteus minimustensor fasciae lataevastus lateralisadductor magnus
Rising from a Seated Positionpectineuspsoas/iliacusgluteus minimusvastus lateralisvastus intermediussemimembranosussemitendinosusbiceps femoris
Running: Behind the Kneepopliteus
Sharp Pain or Tingling in Thighssartorius
Sleeping: Interrupted by Painrectus femorisvastus medialisbiceps femorisvastus lateralis
Sitting: Hipsemimembranosussemitendinosuspiriformistensor fasciae lataebiceps femoris
Sitting: Lotus Positionpectineus
Standingsartorius
Standing Up Straightgluteus minimus
Stinging Pain: Inner Thighgracilis
Twisting at the Hipadductor longus
Walking: Hipquadratus lumborumtensor fasciae lataesartoriusgluteus minimuspiriformisvastus lateralis
Walking: Hip or Legsemimembranosussemitendinosus
Walking: Back of Kneebiceps femoris
Phantom Limb Pain or Pain with Prosthetic
rectus femorissemimembranosussemitendinosusbiceps femoris
The Trigger Point Therapy Workbook Other Symptoms Guide: Hip, Thigh, and Knee
Pubic Stress Symphysitispectineus
Reduced Range of MotionAbduction of Thigh (opening the legs)
adductor longusadductor magnuspectineus
Crossing Legstensor fasciae lataepiriformis
Extension (taking long strides)tensor fasciae lataepsoas/iliacuspectineus
External Rotation of Thigh (turning the feet and knees out)
tensor fasciae latae gluteus minimusgluteus mediusadductor longus
Inability to Touch Toessemimembranosussemitendinosusbiceps femoris
Knee Flexionvastus intermedius
TendernessHip
tensor fasciae lataeThigh
tensor fasciae lataevastus intermediusvastus lateralis
Trochanteric Bursitis (false)
tensor fasciae lataegluteus minimusvastus lateralis
The Trigger Point Therapy Workbook Pain Illustrations Guide: Hip, Thigh, and Knee
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Illustrations Guide
Hip, Thigh, and Knee
Tensor fasciae latae trigger points (in front and on the side) and referred pain pattern
Sartorius trigger points and referred pain pattern
Sartorius referred pain pattern near the knee
Rectus femoris number 1 trigger point and referred pain pattern
Rectus femoris number 2 trigger point and referred pain pattern
Vastus intermedius trigger point and referred pain pattern
Vastus medialis number 1 trigger point and referred pain pattern
Vastus medialis number 2 trigger point and referred pain pattern
Vastus lateralis number 2 trigger points and referred pain pattern
Vastus lateralis number 3 trigger point and referred pain pattern
Vastus lateralis number 1 trigger points and referred pain pattern
Caution: Please read the full treatment instructions for each muscle before beginning.
The Trigger Point Therapy Workbook Pain Illustrations Guide: Hip, Thigh, and Knee
Vastus lateralis number 4 trigger points and referred pain pattern
Vastus lateralis number 5 trigger point and referred pain pattern
Pectineus trigger point and referred pain pattern
Adductors longus and brevis trigger points and referred pain pattern
Adductor magnus number 1 trigger points and referred pain pattern
Adductor magnus number 2 trigger points and referred pain pattern
Plantaris trigger point and referred pain pattern
Popliteus trigger point and referred pain pattern
Biceps femoris trigger points and referred pain pattern
Semitendinosus and semimembranosus trigger points and referred pain pattern
Gracilis trigger points and referred pain pattern
Caution: Please read the full treatment instructions for each muscle before beginning.
The Trigger Point Therapy Workbook Pain Guide: Lower Leg, Ankle, and Foot
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Lower Leg and Ankle
Front of leg pain
Front of ankle pain
Inner ankle pain
Back of leg pain Side of leg pain Back of ankle pain
Outer ankle pain
The Trigger Point Therapy Workbook Pain Guide: Lower Leg, Ankle, and Foot
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Guide
Lower Leg and Ankle
Boldface type indicates a primary pain pattern. Regular type refers to a less common or satellite trigger point pattern. Muscles are listed in the order of how likely they are to be the problem. Also see Other Symptoms Guide.
Back of Anklesoleus tibialis posterior flexor digitorum longus
Back of Legsoleusgluteus minimusgastrocnemiussemitendinosussemimembranosusflexor digitorum longustibialis posteriorplantaris
Front of Ankletibialis anteriorperoneus tertiusextensor digitorum longus extensor hallucis longus
Front of Legtibialis anterior adductor longus
Inner Ankleabductor hallucis flexor digitorum longus soleus
Outer Ankleperoneus longus peroneus brevis abductor digiti minimi peroneus tertius
Side of Leggastrocnemius gluteus minimus peroneus longus peroneus brevis vastus lateralis
The Trigger Point Therapy Workbook Pain Guide: Lower Leg, Ankle, and Foot
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Foot Pain
Under big toe pain
Under smaller toes pain
Head of metatarsal pain
Arch and midfoot pain
Heel pain Top of foot pain Top of smaller toes pain
Top of big toe pain
The Trigger Point Therapy Workbook Pain Guide: Lower Leg, Ankle, and Foot
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Guide
Foot
Boldface type indicates a primary pain pattern. Regular type refers to a less common or satellite trigger point pattern. Muscles are listed in the order of how likely they are to be the problem. Also see Other Symptoms Guide.
Arch and Midfootgastrocnemiusflexor digitorum longusadductor hallucissoleusabductor hallucistibialis posterior
Head of Metatarsalflexor hallucis brevisflexor digitorum brevisadductor hallucisflexor hallucis longusinterosseousabductor digiti minimiflexor digitorum longustibialis posteriorflexor digiti minimi brevis
Heelsoleusquadratus plantaeabductor hallucistibialis posteriorabductor digiti minimigastrocnemius
Top of Big Toetibialis anteriorextensor hallucis longusflexor hallucis brevis
Top of Footextensor digitorum brevisextensor hallucis brevisextensor digitorum longusextensor hallucis longusflexor hallucis brevisinterosseoustibialis anterior
Top of Smaller Toesinterosseousextensor digitorum longus
Under Big Toeflexor hallucis longusflexor hallucis brevistibialis posterior
Under Smaller Toesflexor digitorum longustibialis posterior
The Trigger Point Therapy Workbook Pain Guide: Lower Leg, Ankle, and Foot
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Other Symptoms Guide
Lower Leg, Ankle, and Foot
Achilles Tendonitistibialis posterior soleus gastrocnemius
Ankle Sprainperoneus longusperoneus brevisperoneus tertius
Claw Toesflexor digitorum longus
Calf Crampsgastrocnemiusextensor digitorum longus
Hammertoesflexor digitorum longusextensor digitorum longus
Morton’s Foot Syndromeperoneus longusperoneus brevisperoneus tertiustibialis posteriorflexor digitorum longusflexor hallucis longus
Numbness and TinglingLower Leg and Foot
piriformisBig Toe
first interosseous
Toesflexor digiti minimi brevisflexor hallucis brevisadductor hallucisinterosseous
Top of the Footperoneus longus
Plantar Fasciitissoleusgastrocnemiusquadratus plantaeflexor digitorum brevisabductor hallucisabductor digiti minimi
Pain or Trouble with MovementAching Pain at Rest
abductor hallucisabductor digiti minimiflexor digitorum brevis
Ankletibialis anterior
Back of Knee Pain while Climbing Up Stairs or Hills
gastrocnemiussoleus
Difficulty Picking Things Up off of the Floor
soleusDorsiflexion (flexing foot)
soleustibialis anterior
Foot Droptibialis anteriorperoneus longusextensor digitorum longus
Foot Slaptibialis anteriorextensor digitorum longus
Pain and Swelling of Ankle and Foot
soleusRunning
soleustibialis posterior
Standingflexor digitorum longusflexor digitorum brevisflexor hallucis longus
Standing: Leaning Forwardgastrocnemius
Straightening the Knee with Foot Flexed
gastrocnemiusTripping
tibialis anteriorUnstable Ankle (also see Morton’s Foot)
peroneus longusperoneus brevisperoneus tertius
Walkingtibialis anterior tibialis posteriorgastrocnemius
The Trigger Point Therapy Workbook Pain Guide: Lower Leg, Ankle, and Foot
soleusflexor digitorum longusflexor hallucis longusflexor digitorum brevisflexor hallucis brevis
Walking Down Stairs or Hillssoleus
Walking Fastsoleusgastrocnemius
Walking on Slanted Surfacegastrocnemius
Shin Splinttibialis anterior
TendernessAchilles Tendon
soleusAnkle
tibialis anteriorperoneus tertius
Big Toetibialis anterior
Bottom of Forefootadductor hallucisflexor digitorum longusflexor digitorum brevis
Heelsoleusquadratus plantae
Sides of the Toesinterosseous
Top of Feetextensor digitorum longusextensor hallucis longus
WeaknessAnkle
tibialis anteriorextensor digitorum longusperoneus longusperoneus brevisperoneus tertius
The Trigger Point Therapy Workbook Pain Illustrations Guide: Lower Leg, Ankle, and Foot
© 2013 Amber Davies and Maria Worley / New Harbinger Publications.
Permission is granted to the reader to reproduce this form for personal use.
Pain Illustrations Guide
Lower Leg, Ankle, and Foot
Tibialis anterior trigger points and referred pain pattern
Extensor digitorum longus trigger point and referred pain pattern
Extensor hallucis longus trigger point and referred pain pattern
Peroneus longus trigger point and referred pain pattern
Peroneus brevis trigger point and referred pain pattern
Peroneus tertius trigger point and referred pain pattern
Gastrocnemius number 1 trigger point and referred pain pattern
Soleus number 2 trigger point and referred pain pattern
Other gastrocnemius trigger points and local pain pattern
Soleus number 1 trigger point and referred pain pattern
Soleus number 4 trigger point and referred pain pattern
Back edge of the tibia
Tibialis posterior trigger point and referred pain pattern
Caution: Please read the full treatment instructions for each muscle before beginning.
The Trigger Point Therapy Workbook Pain Illustrations Guide: Lower Leg, Ankle, and Foot
Abductor hallucis trigger points and referred pain pattern
Flexor digitorum brevis trigger points and referred pain pattern
Abductor digiti minimi trigger points and referred pain pattern
Flexor hallucis longus trigger point and referred pain pattern
Extensor digitorum brevis and extensor hallucis brevis trigger points and referred pain pattern
Sample interosseous trigger point and referred pain pattern. These muscles lie between each metatarsal.
Flexor digitorum longus trigger point and referred pain pattern
Quadratus plantae trigger point and referred pain pattern
Flexor digiti minimi brevis trigger point and referred pain pattern
Adductor hallucis trigger points and referred pain pattern
Flexor hallucis brevis trigger points and referred pain pattern
Caution: Please read the full treatment instructions for each muscle before beginning.