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Trigger Point Therapy - Treating Soleus

Posted by Judith Winer on


Trigger Points in the Soleus can be tough to treat


[Latin solea, sole (fish)

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





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. 



Soleus Trigger Points - Stretching

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.



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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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