Treating the Gastro-Soleus Complex - Stuart Hinds
From a dynamic postural viewpoint, the soleus prevents the body falling forward at the ankle joint during standing
In gait, the muscle eccentrically decelerates subtalar joint pronation and internal rotation of the lower leg at heel-strike. It also decelerates dorsi flexion of the foot.
The soleus typically refers pain into the posterior aspect and plantar surface of the heel and to the distal end of the Achilles tendon.
A rare myofascial trigger point spreads pain to the ipsilateral sacroiliac joint, and can also refer pain to the jaw in extreme cases.
Part of the triceps surae. The soleus is so called because its shape resembles a fish. The calcaneal tendon of the soleus and gastrocnemius is the thickest and strongest tendon in the body.
Posterior surfaces of head of bula and upper third of body of bula. Soleal line and middle third of medial border of tibia. Tendinous arch between tibia and bula.
With tendon of gastrocnemius into posterior surface of calcaneus.
Soleus - Common Trigger Point Sites
Plantar flexes ankle joint. Frequently in contraction during standing, to prevent body falling forward at ankle joint, i.e. to offset line of pull through body’s center of gravity, thus helping to maintain upright posture. Antagonist: tibialis anterior.
Tibial nerve, L5, S1, 2. BASIC FUNCTIONAL
Example: standing on tiptoes.
Soleus Trigger Points - Common Referred Pain Patterns
Trigger point referred pain patterns
Pain in distal Achilles tendon and heel to posterior half of foot. Calf pain from knee to just above Achilles tendon origin. 4–5 cm zone of pain in ipsilateral sacroiliac region (rare).
Calf/heel/posterior knee pain, chronic/long-term use of high-heeled shoes, planter fasciitis, chronic calf shortening, calf pain walking stairs, low back pain, leg cramps.
Post-fracture splinting, poor orthotics, prolonged driving, sports (e.g. running, soccer, cycling, climbing, skiing, rowing machine), footwear (high heels), PSLE, occupational standing, direct blow/ trauma, pressure on calf.
Achilles tendonitis. Compartment syndrome. Vascular disease.
Heel spur. Fasciitis. Subtalar joint problems. Venous pump mechanisms. Tendon rupture. Baker’s cyst. Shin splints. Stress fracture. Leg length discrepancy.
Popliteus, gastrocnemius, tibialis posterior, quadratus plantae (of foot), abductor hallucis (of foot), piriformis, occasionally to jaw.
Soleus Trigger Points can be self treated but the muscle is deep and pressure tools should not be used without instruction from a professional.
Stretching can be useful and there are many simple stretching exercises for the soleus that anyone can perform at home without special equipment
Self-massage techniques can be helpful; you can even use the opposite knee. Balls and pressure tools may be used but not by the novice, as the muscle is deep and there are many superficial and deep veins in the area.
Stretching is excellent for disabling trigger points in the calf muscles. Use of foam rollers can be effective.
Change footwear. Change and vary running techniques/running surface. Change/avoid high-heeled shoes. Regular stretching. Leg rests at home and at work. Use of cold. Massage after sports, with warm up before and cool down after. Posture.
About NAT Courses
As a manual therapist or exercise professional, there is only one way to expand your business - education!
Learning more skills increases the services that you offer and provides more opportunity for specialization.
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.
Most of our courses are accredited for CE/CPD/CPE. A full list of CE accreditations can be found by clicking on the link below.
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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Trigger Point Therapy Master Course
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