Trigger Points and Knee Pain - Overview
Trigger points in Plantaris are often associated with "unexplained" pain at the back of the knee
Any therapist experienced in treating trigger points will tell you that it's amazing how often a little bit of trigger point knowledge can help identify the cause of "unexplained" pain.
A good example is clients who come to us with pain in the back of the knee, sometimes radiating to the back of the calf, and in a few cases radiating all the way down to the big toe.
In these cases, the culprit is often the Plantaris muscle. This is a slim tendon running next to the larger Achilles Tendon.
It’s function is to work with the Achilles to flex the ankle and knee joint by extending from the outside back of the femur (allowing you to stand on your toes or point your foot).
The plantaris starts just above lateral head of the gastrocnemius muscle and runs beneath the gastrocnemius and soleus muscles located near the inner (medial border) of the Achilles tendon and attaches to medial side of the Calcaneus (heel bone).
Trigger Point Therapy - Treating Plantaris
Who is most at risk?
Trigger points in the Plantaris are extremely common especially in runners and those who play weekend sports such as soccer.
Over the years we've also noticed a definite connection with people who drive for long periods, and with the prologued wearing of high heels - especially in the case of women who are on their feet for long periods each day.
Two other important observations (and something we regularly hear from colleagues) is that trigger points in Plantaris seem also to be commonly associated with shin splints, and growing pains in children.
Plantaris Trigger Points - Often associated with "unexplained" knee pain
Trigger Point Therapy
Identifying trigger points in the Plantaris should be quite straightforward for any experienced therapist, and they are generally quite simple to treat.
If you fall into any the categories above (running, driving, prologued wearing of high heels) it is probably worth having a therapist check you for trigger points as these may exist for a while without showing any signs or symptoms.
Trigger points make their host muscle shorter and less efficient, so early treatment may often help to avoid the development of a more serious injury.
Trigger Point Self Help
General advice includes change footwear; change and vary running techniques/running surface; avoid high-heeled shoes where possible. Regular stretching. Leg rests at home and at work. Warm up before exercise and use ice and massage after sports.
Balls and pressure tools should not be used by the novice, because the muscle is deep and there are many both superficial and deep veins in the area.
One thing you can do however is to regularly stretch. the correct stretching exercises can be excellent for disabling trigger points in the lower limb and calf muscles.
Sit with your legs out in front and bend both knees. Grab hold of your toes and pull them towards your knees.
Regulate the intensity of this stretch by pushing your heels forward and pulling your toes back.
Kneel on one foot and place your body weight over your knee. Keep your heel on the ground and lean forward.
Be careful as this stretch can put a lot of pressure on the Achilles tendon. Ease into this stretch by slowly leaning forward.
About NAT Courses
As a manual therapist or exercise professional, there is only one way to expand your business - education!
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Every NAT course is designed to build on what you already know, to empower you to treat more clients and grow your practice, with a minimal investment in time and money.
About Niel Asher Education
Niel Asher Education is a leading provider of distance learning and continued education courses.
Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.
Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website.
Printed course materials and other products offered on our websites are despatched worldwide from our 3 locations in the UK (London), USA (Pennsylvania) and Australia (Melbourne).
We are honored to have received the "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.
Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.
Award Winning Instructors
Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.
If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification.
In addition to national accreditation for continued education, each course that we offer includes "NAT Learning Credits". By taking and completing courses you can accumulate NAT credits to qualify for NAT certification.
There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications.
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Niel Asher Technique
Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.
The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.
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This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.
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